Construction of Evidence-Based Guidelines for the Diagnosis and Treatment of Distal Radius Fractures in Adults (2024) based on the Delphi method
10.3760/cma.j.cn115530-20241112-00442
- VernacularTitle:德尔菲法在《成人桡骨远端骨折诊断与治疗循证指南（2024）》制订中的应用
- Author:
Shixiang GAO
1
;
Zhijian SUN
1
;
Changrun LI
1
;
Dongchen YAO
1
;
Han FEI
1
;
Zhelun TAN
1
;
Xiang YU
1
;
Yinghong MA
1
;
Shiyu ZHU
1
;
Ting LI
1
Author Information
1. 首都医科大学附属北京积水潭医院创伤骨科，北京 100035
- Publication Type:Journal Article
- Keywords:
Delphi technique;
Evidence-based medicine;
Guidelines;
Expert consultation;
Distal radius fracture
- From:
Chinese Journal of Orthopaedic Trauma
2025;27(8):709-714
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To report construction of Evidence-Based Guidelines for the Diagnosis and Treatment of Distal Radius Fractures in Adults (2024) using the Delphi method.Methods:Literature related to the study of adult distal radius fractures was fully searched for and evaluated. An expert group was established from representative experts from all over the nation. The related clinical issues were established by consulting the experts in the form of electronic questionnaires, strictly following the Delphi research method. After the first draft of Evidence-Based Guidelines for the Diagnosis and Treatment of Distal Radius Fractures in Adults (2024) was written, an expert consultation questionnaire was designed for the recommendation opinions to determine the recommendation strength.Results:The clinical issues were determined by 2 rounds of correspondence based on the Delphi method. For the both rounds of correspondence, the questionnaire recovery rates were respectively 88.68% (47/53) and 98.11% (52/53), and the expert authority coefficients >0.7. According to the screening criteria based on the importance of clinical issues (mean importance score <3.5 points or a coefficient of variation ≥0.25 points and a full score ratio <30%) and expert opinions, a total of 40 clinical issues were deleted in the first round of determination of clinical issues, and a total of 5 clinical issues deleted in the second round of determination of clinical issues. The reliability analysis of the results of the 2 rounds of questionnaires showed that the Cronbach α coefficient was >0.9. In the questionnaire to determine the recommendation strength, according to the screening criteria for the consistency of recommendation strength (consistency ≥ 70%) and expert opinions, a total of 26 recommendations were screened in the first round. In the second round when the remaining 4 recommendations were investigated, one recommendation reached the consistency of recommendation strength ≥ 70%. Eventually, 27 recommendations were formed.Conclusion:The Evidence-Based Guidelines for the Diagnosis and Treatment of Distal Radius Fractures in Adults (2024) constructed using the Delphi method shows good scientific validity, authority, and reliability, providing methodological references for guideline development and research.
