TY - JOUR
T1 - Essential Features of an Interstitial Lung Disease Multidisciplinary Meeting An International Delphi Survey
AU - the ILD MDM Dephi Collaborators
AU - Teoh, Alan K.Y.
AU - Holland, Anne E.
AU - Morisset, Julie
AU - Flaherty, Kevin R.
AU - Wells, Athol U.
AU - Walsh, Simon L.F.
AU - Glaspole, Ian
AU - Wuyts, Wim A.
AU - Corte, Tamera J.
AU - Adamali, Huzaifa
AU - Shirine Allam, J.
AU - Antillon, Sofia
AU - Antoniou, Katherina M.
AU - Athanazio, Rodrigo
AU - Avdeev, Sergey
AU - Averyanov, Alexander
AU - Azuma, Arata
AU - Baldi, Bruno
AU - Balestro, Elisabetta
AU - Bascom, Rebecca
AU - Bastiampillai, Shalini
AU - Beckert, Lutz
AU - Behr, Juergen
AU - Beirne, Paul
AU - Bennett, David
AU - Borie, Raphael
AU - Bouros, Demosthenes
AU - Brockway, Ben
AU - Brown, Kevin
AU - Callejas Gonzalez, Francisco Javier
AU - Castillo, Diego
AU - Chaves, Ronald Chacon
AU - Chambers, Daniel
AU - Chapman, Sally
AU - Chaudhuri, Nazia
AU - Collard, Harold
AU - Cottin, Vincent
AU - Crestani, Bruno
AU - Davidsen, Jesper Rømhild
AU - Dhasmana, Devesh J.
AU - Dhooria, Sahajal
AU - Enghelmayer, Juan Ignacio
AU - Fabro, Alexandre Todorovic
AU - Garcha, Puneet
AU - Goh, Nicole
AU - Gomez, Alejandro
AU - Grainge, Christopher
AU - Handa, Tomohiro
AU - Huie, Tristan
AU - Nambiar, Anoop
N1 - Publisher Copyright:
Copyright © 2022 by the American Thoracic Society.
PY - 2022/1
Y1 - 2022/1
N2 - Rationale: The interstitial lung disease (ILD) multidisciplinary meetings (MDM), composed of pulmonologists, radiologists, and pathologists, is integral to the rendering of an accurate ILD diagnosis. However, there is significant heterogeneity in the conduct of ILD MDMs, and questions regarding their best practices remain unanswered. Objectives: To achieve consensus among ILD experts on essential components of an ILD MDM. Methods: Using a Delphi methodology, semi-structured interviews with ILD experts were used to identify key themes and features of ILD MDMs. These items informed two subsequent rounds of online questionnaires that were used to achieve consensus among a broader, international panel of ILD experts. Experts were asked to rate their level of agreement on a five-point Likert scale. An a priori threshold for consensus was set at a median score 4 or 5 with an interquartile range of 0. Results: We interviewed 15 ILD experts, and 102 ILD experts participated in the online questionnaires. Five items and two exploratory statements achieved consensus on being essential for an ILD MDM following two questionnaire rounds. There was consensus that the presence of at least one radiologist, a quiet setting with a visual projection system, a high-quality chest high-resolution computed tomography, and a standardized template summarizing collated patient data are essential components of an ILD MDM. Experts also agreed that it would be useful for ILD MDMs to undergo an annual benchmarking process and a validation process by fulfilling a minimum number of cases annually. Twenty-seven additional features were considered to be either highly desirable or desirable features based on the degree of consensus. Although our findings on desirable features are similar to the current literature, several of these remain controversial and warrant further research. The study also showed an agreement among participants on several future concepts to improve the ILD MDM, such as performing regular self-assessments and conducting research into shared practices to develop an international expert guideline statement on ILD MDMs. Conclusions: This Delphi study showed consensus among international ILD experts on essential and desirable features of an ILD MDM. Our data represent an important step toward potential collaborative research into future standardization of ILD MDMs.
AB - Rationale: The interstitial lung disease (ILD) multidisciplinary meetings (MDM), composed of pulmonologists, radiologists, and pathologists, is integral to the rendering of an accurate ILD diagnosis. However, there is significant heterogeneity in the conduct of ILD MDMs, and questions regarding their best practices remain unanswered. Objectives: To achieve consensus among ILD experts on essential components of an ILD MDM. Methods: Using a Delphi methodology, semi-structured interviews with ILD experts were used to identify key themes and features of ILD MDMs. These items informed two subsequent rounds of online questionnaires that were used to achieve consensus among a broader, international panel of ILD experts. Experts were asked to rate their level of agreement on a five-point Likert scale. An a priori threshold for consensus was set at a median score 4 or 5 with an interquartile range of 0. Results: We interviewed 15 ILD experts, and 102 ILD experts participated in the online questionnaires. Five items and two exploratory statements achieved consensus on being essential for an ILD MDM following two questionnaire rounds. There was consensus that the presence of at least one radiologist, a quiet setting with a visual projection system, a high-quality chest high-resolution computed tomography, and a standardized template summarizing collated patient data are essential components of an ILD MDM. Experts also agreed that it would be useful for ILD MDMs to undergo an annual benchmarking process and a validation process by fulfilling a minimum number of cases annually. Twenty-seven additional features were considered to be either highly desirable or desirable features based on the degree of consensus. Although our findings on desirable features are similar to the current literature, several of these remain controversial and warrant further research. The study also showed an agreement among participants on several future concepts to improve the ILD MDM, such as performing regular self-assessments and conducting research into shared practices to develop an international expert guideline statement on ILD MDMs. Conclusions: This Delphi study showed consensus among international ILD experts on essential and desirable features of an ILD MDM. Our data represent an important step toward potential collaborative research into future standardization of ILD MDMs.
KW - Delphi
KW - Essential features
KW - Interstitial lung disease
KW - Multidisciplinary meeting
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U2 - 10.1513/AnnalsATS.202011-1421OC
DO - 10.1513/AnnalsATS.202011-1421OC
M3 - Article
C2 - 34191689
AN - SCOPUS:85122385534
SN - 2329-6933
VL - 19
SP - 66
EP - 73
JO - Annals of the American Thoracic Society
JF - Annals of the American Thoracic Society
IS - 1
ER -