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European society for trauma and emergency surgery member-identified research priorities in emergency surgery: a roadmap for future clinical research opportunities
Division of Traumatology, Emergency Surgery and Surgical Critical Care, Perelman School of Medicine, University of Pennsylvania, 51 N. 39th Street, MOB 1, Suite 120, Philadelphia, PA, 19104, USA; Leonard Davis Institute of Health Economics (LDI), University of Pennsylvania, Philadelphia, PA, USA; Center for Perioperative Outcomes Research and Transformation (CPORT), University of Pennsylvania, Philadelphia, PA, USA.ORCID iD: 0000-0002-1918-9443
Division of Traumatology, Emergency Surgery and Surgical Critical Care, Perelman School of Medicine, University of Pennsylvania, 51 N. 39th Street, MOB 1, Suite 120, Philadelphia, PA, 19104, USA; Surgical Critical Care, Corporal Michael J Crescenz VA Medical Center, 3900 Woodland Avenue, Philadelphia, PA, 19104, USA.
Department of Traumatology at Oslo University Hospital Ullevål (OUH U), Olso, Norway.
Riverside University Health System Medical Center, Moreno Valley, CA, USA; Loma Linda University School of Medicine, Loma Linda, CA, USA; Comparative Effectiveness and Clinical Outcomes Research Center - CECORC, Moreno Valley, CA, USA.
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2024 (English)In: European Journal of Trauma and Emergency Surgery, ISSN 1863-9933, E-ISSN 1863-9941, Vol. 50, no 2, p. 367-382Article, review/survey (Refereed) Published
Abstract [en]

BACKGROUND: European Society for Trauma and Emergency Surgery (ESTES) is the European community of clinicians providing care to the injured and critically ill surgical patient. ESTES has several interlinked missions - (1) the promotion of optimal emergency surgical care through networked advocacy, (2) promulgation of relevant clinical cognitive and technical skills, and (3) the advancement of scientific inquiry that closes knowledge gaps, iteratively improves upon surgical and perioperative practice, and guides decision-making rooted in scientific evidence. Faced with multitudinous opportunities for clinical research, ESTES undertook an exercise to determine member priorities for surgical research in the short-to-medium term; these research priorities were presented to a panel of experts to inform a 'road map' narrative review which anchored these research priorities in the contemporary surgical literature.

METHODS: Individual ESTES members in active emergency surgery practice were polled as a representative sample of end-users and were asked to rank potential areas of future research according to their personal perceptions of priority. Using the modified eDelphi method, an invited panel of ESTES-associated experts in academic emergency surgery then crafted a narrative review highlighting potential research priorities for the Society.

RESULTS: Seventy-two responding ESTES members from 23 countries provided feedback to guide the modified eDelphi expert consensus narrative review. Experts then crafted evidence-based mini-reviews highlighting knowledge gaps and areas of interest for future clinical research in emergency surgery: timing of surgery, inter-hospital transfer, diagnostic imaging in emergency surgery, the role of minimally-invasive surgical techniques and Enhanced Recovery After Surgery (ERAS) protocols, patient-reported outcome measures, risk-stratification methods, disparities in access to care, geriatric outcomes, data registry and snapshot audit evaluations, emerging technologies interrogation, and the delivery and benchmarking of emergency surgical training.

CONCLUSIONS: This manuscript presents the priorities for future clinical research in academic emergency surgery as determined by a sample of the membership of ESTES. While the precise basis for prioritization was not evident, it may be anchored in disease prevalence, controversy around aspects of current patient care, or indeed the identification of a knowledge gap. These expert-crafted evidence-based mini-reviews provide useful insights that may guide the direction of future academic emergency surgery research efforts.

Place, publisher, year, edition, pages
Urban und Vogel Medien und Medizin Verlagsgesellsc , 2024. Vol. 50, no 2, p. 367-382
Keywords [en]
Delphi Technique, Diagnosis, Emergency Surgery, Implementation Science, Research, Treatment
National Category
Surgery
Identifiers
URN: urn:nbn:se:oru:diva-112007DOI: 10.1007/s00068-023-02441-3ISI: 001171759900001PubMedID: 38411700Scopus ID: 2-s2.0-85186255903OAI: oai:DiVA.org:oru-112007DiVA, id: diva2:1841191
Note

Open Access funding enabled and organized by Projekt DEAL.

Publisher Correction: European society for trauma and emergency surgery member-identified research priorities in emergency surgery: a roadmap for future clinical research opportunities. Bass, G.A., Kaplan, L.J., Gaarder, C. et al. Eur J Trauma Emerg Surg (2024). https://doi.org/10.1007/s00068-024-02600-0

Available from: 2024-02-28 Created: 2024-02-28 Last updated: 2024-08-26Bibliographically approved

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Bass, Gary AlanMohseni, Shahin

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