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Koloproktologia, 2(22), p. 172-183, 2023

DOI: 10.33878/2073-7556-2023-22-2-172-183

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Consensus on controversial issues of the surgery for Crohn’s disease by Delphi method

Journal article published in 2023 by Y.-U. A. Shelygin ORCID, S. I. Achkasov ORCID, I. V. Reshetov ORCID, I. V. Mayev ORCID, O. M. Drapkina ORCID, E. A. Belousova ORCID, A. V. Vardanyan ORCID, B. A. Nanaeva ORCID, D. I. Abdulganieva ORCID, L. V. Adamyan ORCID, L. S. Namazova-Baranova ORCID, A. Y.-U. Razumovsky ORCID, A. S.-H. Revishvili ORCID, I. E. Khatkov ORCID, A. V. Shabunin ORCID and other authors.
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Abstract

AIM: to establish the consensus on controversial issues of the surgery for Сrohn’s disease by Delphi method.METHODS: a cross-sectional study was conducted by the Delphi method. 62 experts voted intramural and anonymous (31.03.23). 5 statements from the current edition of clinical guidelines were selected for correction by working group and further voting [2]. Based on the practical experience of the working group and literature data, 3 new statements were created also. Statements that do not reach the required level of agreement (80% or more) will be subjected to Round 2 of the Delphi method.RESULTS: all experts took part in the anonymous voting. The panel of experts is represented by 8 different areas of practical medicine and the median of the professional experience of the respondents was 30 (12–49) years. Of the 8 statements submitted for voting, consensus (80% or more) was reached on 6 out of 8. 2 statements have been revised by working group for the distance 2nd round of the Delphi study. Consensus (more than 80%) was reached on both.CONCLUSION: a cross-sectional study by the Delphi method provided the opinions of a panel of experts on controversial issues in the surgical treatment of Crohn’s disease. Statements that reach consensus will be included by the working group in a new edition of clinical guidelines of Crohn’s disease.