Sörelius, Karl; Wyss, Thomas R (2023). Infective Native Aortic Aneurysms: A Delphi Consensus Document on Terminology, Definition, Classification, Diagnosis, and Reporting Standards. European journal of vascular and endovascular surgery, 65(3), pp. 323-329. Elsevier 10.1016/j.ejvs.2022.11.024
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BACKGROUND
There was no consensus regarding the terminology, definition, classification, diagnostic criteria and algorithm, nor reporting standards for the disease infective native aortic aneurysm (INAA), previously known as mycotic aneurysm. The aim of this study was to establish this by performing a consensus study.
METHODS
The Delphi methodology was used. The two principal investigators (PI), invited 37 international experts via mail. Four Delphi rounds were performed, two weeks each, using an online questionnaire, initially with 22 statements and 9 reporting items. The panelists rated the statements on a five-point Likert scale. Comments on statements were analysed, statements revised, and results presented in the iterative rounds. Consensus was defined as ≥75% of the panel rating a statement strongly agree or agree on the Likert scale, and consensus on the final assessment was defined as Cronbach's alpha coefficient > .80.
RESULTS
All 38 panelists fulfilled all four rounds, resulting in 100 % participation and agreement that this study was necessary, and the term INAA was agreed to be the most optimal. Three more statements were added based on the results and comments of the panel, resulting in a final 25 statements and 9 reporting items. All 25 statements reached an agreement of ≥87%, and all 9 reporting items reached an agreement of 100%. The Cronbach's alpha increased for each consecutive round; round 1 = .84, round 2 = .87, round 3 = .90, and round 4 = .92. Thus, consensus was reached for all statements and reporting items.
CONCLUSION
This Delphi study established the first consensus document on infective native aortic aneurysm regarding terminology, definition, classification, diagnostic criteria and algorithm, as well as reporting standards. The results of this study create essential conditions for scientific research on this disease. The presented consensus will need future amendments in accordance with newly acquired knowledge.
Item Type: |
Journal Article (Review Article) |
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Division/Institute: |
04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Heart Surgery 04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic, Interventional and Paediatric Radiology |
UniBE Contributor: |
Wyss, Thomas (B) |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1532-2165 |
Publisher: |
Elsevier |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
07 Dec 2022 12:32 |
Last Modified: |
27 Feb 2024 14:27 |
Publisher DOI: |
10.1016/j.ejvs.2022.11.024 |
PubMed ID: |
36470311 |
Additional Information: |
Jürg Schmidli (Department of Vascular Surgery), Jos C van den Berg (Universitätsinstitut für Diagnostische, Interventionelle und Pädiatrische Radiologie), Salome Weiss (Department of Vascular Surgery) are members of the Academic research consortium of infective native aortic aneurysm (ARC of INAA). |
Uncontrolled Keywords: |
Delphi study classification criteria definition diagnosis infective aneurysm mycotic aneurysm |
BORIS DOI: |
10.48350/175532 |
URI: |
https://boris.unibe.ch/id/eprint/175532 |
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