A Delphi study and ranking exercise to support commissioning services: future delivery of Thrombectomy services in England

BMC Health Services Research
Kristoffer HalvorsrudPhil White

Abstract

Intra-arterial thrombectomy is the gold standard treatment for large artery occlusive stroke. However, the evidence of its benefits is almost entirely based on trials delivered by experienced neurointerventionists working in established teams in neuroscience centres. Those responsible for the design and prospective reconfiguration of services need access to a comprehensive and complementary array of information on which to base their decisions. This will help to ensure the demonstrated effects from trials may be realised in practice and account for regional/local variations in resources and skill-sets. One approach to elucidate the implementation preferences and considerations of key experts is a Delphi survey. In order to support commissioning decisions, we aimed using an electronic Delphi survey to establish consensus on the options for future organisation of thrombectomy services among physicians with clinical experience in managing large artery occlusive stroke. A Delphi survey was developed with 12 options for future organisation of thrombectomy services in England. A purposive sampling strategy established an expert panel of stroke physicians from the British Association of Stroke Physicians (BASP) Clinical Standards and/...Continue Reading

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Citations

Jan 13, 2019·Applied Health Economics and Health Policy·Susan Caroline Peirce, Grace Carolan-Rees
Dec 29, 2018·The International Journal of Pharmacy Practice·Iben L AltmanPaul R Gard
Jul 3, 2019·The International Journal of Pharmacy Practice·Nour Alhusein, Margaret C Watson
Apr 28, 2018·Clinical Medicine : Journal of the Royal College of Physicians of London·Philip White, Andrew Nanapragasam
May 19, 2020·Journal of Medical Imaging and Radiation Oncology·Eun Ji HwangVerity Ahern
Aug 8, 2020·BMC Health Services Research·Eugene Y H TangChristopher Price
Sep 6, 2020·BMC Medical Informatics and Decision Making·Kim SutherlandUNKNOWN NSW Health Clinical Analytics Working Group
Oct 4, 2018·Journal of Evaluation in Clinical Practice·Dalton L WolfeKatie Gillis

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Methods Mentioned

BETA
imaging techniques

Software Mentioned

LAOS
RAPID
OLEA

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