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Results from the ATTOM project: A Delphi consensus study

Results from the ATTOM project: A Delphi consensus study. Sarah Tonkin-Crine, Rishi Pruthi, Gabriel Oniscu, Gerry Leydon, Rommel Ravanan, Paul Roderick on behalf of the ATTOM group. Background. The ATTOM* study – stream 1

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Results from the ATTOM project: A Delphi consensus study

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  1. Results from the ATTOM project: A Delphi consensus study Sarah Tonkin-Crine, Rishi Pruthi, Gabriel Oniscu, Gerry Leydon, Rommel Ravanan, Paul Roderick on behalf of the ATTOM group.

  2. Background • The ATTOM* study – stream 1 • There is variation between renal units in listing for kidney transplantation. • It is important to identify factors which influence decisions to list. • The ATTOM national survey sought to assess this at unit level. • The survey identified specific areas where there is variation. *Access to Transplant and Transplant Outcome Measures.

  3. Aim and Method • The Delphi Study • Aim: To assess levels of consensus between individual clinicians on factors which influence listing for transplantation. • Method • modified Delphi method • two data collection rounds, web-based survey • all UK consultant nephrologists and surgeons (n=600).

  4. Content of the Delphi • Clinicians were asked about specific areas and their influence on listing for transplantation: • Written transplant protocol • BMI criteria for listing • Minimum cardiac work-up • Evaluation of lower limb peripheral vascular disease • Screening for malignancy • Patient compliance • Using an MDT approach to decide on listing

  5. Web-based survey • Clinicians received emails with a link to an online questionnaire. • Clinicians rated their agreement with 29 statements.

  6. Procedure • Round 1: • Clinicians rated 29 statements. • Median agreement and IQR were calculated for each statement. • Agreement consensus was rated as 8 or more out of 9. • Round 2: • Clinicians rated statements that did not reach consensus in Round 1. • Clinicians were reminded of their previous answer and were given the median of all answers to Round 1. • Agreement consensus was rated as 8 or more out of 9.

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