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Record W4392448609 · doi:10.1016/j.bja.2024.01.033

Research priorities in regional anaesthesia: an international Delphi study

2024· review· en· W4392448609 on OpenAlexaff
Jenny Ferry, Owen Lewis, James F. Lloyd, Kariem El‐Boghdadly, Rachel Kearns, Éric Albrecht, Fernando Altermatt, Balakrishnan Ashokka, Amany E. Ayad, Ezzat Sami Aziz, Lutful Aziz, Balavenkatasubramanian Jagannathan, Noreddine Bouarroudj, Ki Jinn Chin, Alain Delbos, Alex de Gracia, Vivian Ip, Kwesi Kwofie, Sebastián Layera, Clara Lobo, Mohammed Mohammed, Εleni Μoka, Milena Moreno, Bethan Morgan, Arthur Polela, Poupak Rahimzadeh, Suwimon Tangwiwat, Vishal Uppal, Marcelo Vaz Perez, Thomas Volk, P. Wong, James Bowness, Alan Macfarlane

Bibliographic record

VenueBritish Journal of Anaesthesia · 2024
Typereview
Languageen
FieldSocial Sciences
TopicDelphi Technique in Research
Canadian institutionsUniversity of OttawaUniversity of Alberta HospitalAlberta Hospital EdmontonUniversity of TorontoDalhousie UniversityToronto Western Hospital
FundersAesculap AkademieGE HealthcareCSL BehringEdwards LifesciencesPfizer
KeywordsDelphi methodRegional anaesthesiaInclusion (mineral)DelphiMedicinePsychologyMedical educationPolitical scienceAnesthesiaSocial psychologyComputer science

Abstract

fetched live from OpenAlex

BACKGROUND: Regional anaesthesia use is growing worldwide, and there is an increasing emphasis on research in regional anaesthesia to improve patient outcomes. However, priorities for future study remain unclear. We therefore conducted an international research prioritisation exercise, setting the agenda for future investigators and funding bodies. METHODS: We invited members of specialist regional anaesthesia societies from six continents to propose research questions that they felt were unanswered. These were consolidated into representative indicative questions, and a literature review was undertaken to determine if any indicative questions were already answered by published work. Unanswered indicative questions entered a three-round modified Delphi process, whereby 29 experts in regional anaesthesia (representing all participating specialist societies) rated each indicative question for inclusion on a final high priority shortlist. If ≥75% of participants rated an indicative question as 'definitely' include in any round, it was accepted. Indicative questions rated as 'definitely' or 'probably' by <50% of participants in any round were excluded. Retained indicative questions were further ranked based on the rating score in the final Delphi round. The final research priorities were ratified by the Delphi expert group. RESULTS: There were 1318 responses from 516 people in the initial survey, from which 71 indicative questions were formed, of which 68 entered the modified Delphi process. Eleven 'highest priority' research questions were short listed, covering themes of pain management; training and assessment; clinical practice and efficacy; technology and equipment. CONCLUSIONS: We prioritised unanswered research questions in regional anaesthesia. These will inform a coordinated global research strategy for regional anaesthesia and direct investigators to address high-priority areas.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.023
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Scholarly communication, Research integrity
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.965
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0230.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0020.001
Bibliometrics0.0030.002
Science and technology studies0.0000.001
Scholarly communication0.0020.001
Open science0.0040.000
Research integrity0.0010.004
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.337
GPT teacher head0.552
Teacher spread0.215 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designNot applicable
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations22
Published2024
Admission routes1
Has abstractyes

Explore more

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