Delphi Study to Reach International Consensus Among Vascular Surgeons on Major Arterial Vascular Surgical Complications

S. M. L. de Mik, F. E. Stubenrouch, D. A. Legemate, R. Balm, D. T. Ubbink, the DISCOVAR Study Group

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background: The complications discussed with patients by surgeons prior to surgery vary, because no consensus on major complications exists. Such consensus may improve informed consent and shared decision-making. This study aimed to achieve consensus among vascular surgeons on which complications are considered ‘major’ and which ‘minor,’ following surgery for abdominal aortic aneurysm (AAA), carotid artery disease (CAD) and peripheral artery disease (PAD). Methods: Complications following vascular surgery were extracted from Cochrane reviews, national guidelines, and reporting standards. Vascular surgeons from Europe and North America rated complications as major or minor on five-point Likert scales via an electronic Delphi method. Consensus was reached if ≥ 80% of participants scored 1 or 2 (minor) or 4 or 5 (major). Results: Participants reached consensus on 9–12 major and 6–10 minor complications per disease. Myocardial infarction, stroke, renal failure and allergic reactions were considered to be major complications of all three diseases. All other major complications were treatment specific or dependent on disease severity, e.g., spinal cord ischemia, rupture following AAA repair, stroke for CAD or deep wound infection for PAD. Conclusion: Vascular surgeons reached international consensus on major and minor complications following AAA, CAD and PAD treatment. This consensus may be helpful in harmonizing the information patients receive and improving standardization of the informed consent procedure. Since major complications differed between diseases, consensus on disease-specific complications to be discussed with patients is necessary.
Original languageEnglish
Pages (from-to)2328-2336
JournalWorld Journal of Surgery
Volume43
Issue number9
DOIs
Publication statusPublished - 2019

Cite this

de Mik, S. M. L. ; Stubenrouch, F. E. ; Legemate, D. A. ; Balm, R. ; Ubbink, D. T. ; the DISCOVAR Study Group. / Delphi Study to Reach International Consensus Among Vascular Surgeons on Major Arterial Vascular Surgical Complications. In: World Journal of Surgery. 2019 ; Vol. 43, No. 9. pp. 2328-2336.
@article{87d33e234d634d009e69f75afcbf9f84,
title = "Delphi Study to Reach International Consensus Among Vascular Surgeons on Major Arterial Vascular Surgical Complications",
abstract = "Background: The complications discussed with patients by surgeons prior to surgery vary, because no consensus on major complications exists. Such consensus may improve informed consent and shared decision-making. This study aimed to achieve consensus among vascular surgeons on which complications are considered ‘major’ and which ‘minor,’ following surgery for abdominal aortic aneurysm (AAA), carotid artery disease (CAD) and peripheral artery disease (PAD). Methods: Complications following vascular surgery were extracted from Cochrane reviews, national guidelines, and reporting standards. Vascular surgeons from Europe and North America rated complications as major or minor on five-point Likert scales via an electronic Delphi method. Consensus was reached if ≥ 80{\%} of participants scored 1 or 2 (minor) or 4 or 5 (major). Results: Participants reached consensus on 9–12 major and 6–10 minor complications per disease. Myocardial infarction, stroke, renal failure and allergic reactions were considered to be major complications of all three diseases. All other major complications were treatment specific or dependent on disease severity, e.g., spinal cord ischemia, rupture following AAA repair, stroke for CAD or deep wound infection for PAD. Conclusion: Vascular surgeons reached international consensus on major and minor complications following AAA, CAD and PAD treatment. This consensus may be helpful in harmonizing the information patients receive and improving standardization of the informed consent procedure. Since major complications differed between diseases, consensus on disease-specific complications to be discussed with patients is necessary.",
author = "{de Mik}, {S. M. L.} and Stubenrouch, {F. E.} and Legemate, {D. A.} and R. Balm and Ubbink, {D. T.} and {the DISCOVAR Study Group} and Becquemin, {J. P.} and Blankensteijn, {J. D.} and {de Borst}, {G. J.} and L. Capoccia and Clair, {D. G.} and Cronenwett, {J. L.} and Davies, {A. H.} and Elsman, {B. H. P.} and Farber, {M. A.} and Forbes, {T. L.} and Goverde, {P. C. J. M.} and {van Herzeele}, I. and Hinchliffe, {R. J.} and Jacobs, {D. L.} and V. Jongkind and Liapis, {C. D.} and L. L{\"o}nn and M. Montero-Baker and Moore, {W. S.} and Naylor, {A. R.} and K. Overbeck and Resch, {T. A.} and S. Ronchey and N. Sakalihasan and Sarac, {T. P.} and C. Setacci and H. Sillesen and Veith, {F. J.} and Verhagen, {H. J.} and F. Verzini and Wiersema, {A. M.}",
year = "2019",
doi = "10.1007/s00268-019-05038-3",
language = "English",
volume = "43",
pages = "2328--2336",
journal = "World Journal of Surgery",
issn = "0364-2313",
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Delphi Study to Reach International Consensus Among Vascular Surgeons on Major Arterial Vascular Surgical Complications. / de Mik, S. M. L.; Stubenrouch, F. E.; Legemate, D. A.; Balm, R.; Ubbink, D. T.; the DISCOVAR Study Group.

In: World Journal of Surgery, Vol. 43, No. 9, 2019, p. 2328-2336.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Delphi Study to Reach International Consensus Among Vascular Surgeons on Major Arterial Vascular Surgical Complications

AU - de Mik, S. M. L.

AU - Stubenrouch, F. E.

AU - Legemate, D. A.

AU - Balm, R.

AU - Ubbink, D. T.

AU - the DISCOVAR Study Group

AU - Becquemin, J. P.

AU - Blankensteijn, J. D.

AU - de Borst, G. J.

AU - Capoccia, L.

AU - Clair, D. G.

AU - Cronenwett, J. L.

AU - Davies, A. H.

AU - Elsman, B. H. P.

AU - Farber, M. A.

AU - Forbes, T. L.

AU - Goverde, P. C. J. M.

AU - van Herzeele, I.

AU - Hinchliffe, R. J.

AU - Jacobs, D. L.

AU - Jongkind, V.

AU - Liapis, C. D.

AU - Lönn, L.

AU - Montero-Baker, M.

AU - Moore, W. S.

AU - Naylor, A. R.

AU - Overbeck, K.

AU - Resch, T. A.

AU - Ronchey, S.

AU - Sakalihasan, N.

AU - Sarac, T. P.

AU - Setacci, C.

AU - Sillesen, H.

AU - Veith, F. J.

AU - Verhagen, H. J.

AU - Verzini, F.

AU - Wiersema, A. M.

PY - 2019

Y1 - 2019

N2 - Background: The complications discussed with patients by surgeons prior to surgery vary, because no consensus on major complications exists. Such consensus may improve informed consent and shared decision-making. This study aimed to achieve consensus among vascular surgeons on which complications are considered ‘major’ and which ‘minor,’ following surgery for abdominal aortic aneurysm (AAA), carotid artery disease (CAD) and peripheral artery disease (PAD). Methods: Complications following vascular surgery were extracted from Cochrane reviews, national guidelines, and reporting standards. Vascular surgeons from Europe and North America rated complications as major or minor on five-point Likert scales via an electronic Delphi method. Consensus was reached if ≥ 80% of participants scored 1 or 2 (minor) or 4 or 5 (major). Results: Participants reached consensus on 9–12 major and 6–10 minor complications per disease. Myocardial infarction, stroke, renal failure and allergic reactions were considered to be major complications of all three diseases. All other major complications were treatment specific or dependent on disease severity, e.g., spinal cord ischemia, rupture following AAA repair, stroke for CAD or deep wound infection for PAD. Conclusion: Vascular surgeons reached international consensus on major and minor complications following AAA, CAD and PAD treatment. This consensus may be helpful in harmonizing the information patients receive and improving standardization of the informed consent procedure. Since major complications differed between diseases, consensus on disease-specific complications to be discussed with patients is necessary.

AB - Background: The complications discussed with patients by surgeons prior to surgery vary, because no consensus on major complications exists. Such consensus may improve informed consent and shared decision-making. This study aimed to achieve consensus among vascular surgeons on which complications are considered ‘major’ and which ‘minor,’ following surgery for abdominal aortic aneurysm (AAA), carotid artery disease (CAD) and peripheral artery disease (PAD). Methods: Complications following vascular surgery were extracted from Cochrane reviews, national guidelines, and reporting standards. Vascular surgeons from Europe and North America rated complications as major or minor on five-point Likert scales via an electronic Delphi method. Consensus was reached if ≥ 80% of participants scored 1 or 2 (minor) or 4 or 5 (major). Results: Participants reached consensus on 9–12 major and 6–10 minor complications per disease. Myocardial infarction, stroke, renal failure and allergic reactions were considered to be major complications of all three diseases. All other major complications were treatment specific or dependent on disease severity, e.g., spinal cord ischemia, rupture following AAA repair, stroke for CAD or deep wound infection for PAD. Conclusion: Vascular surgeons reached international consensus on major and minor complications following AAA, CAD and PAD treatment. This consensus may be helpful in harmonizing the information patients receive and improving standardization of the informed consent procedure. Since major complications differed between diseases, consensus on disease-specific complications to be discussed with patients is necessary.

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UR - https://www.ncbi.nlm.nih.gov/pubmed/31183537

U2 - 10.1007/s00268-019-05038-3

DO - 10.1007/s00268-019-05038-3

M3 - Article

VL - 43

SP - 2328

EP - 2336

JO - World Journal of Surgery

JF - World Journal of Surgery

SN - 0364-2313

IS - 9

ER -