Prioritising primary care respiratory research needs: results from the 2020 International Primary Care Respiratory Group (IPCRG) global e-Delphi exercise

Abdel-Aal, A.; Lisspers, K.; Williams, S.; Adab, P.; Adams, R.; Agarwal, D.; Barnard, A.; Bouloukaki, I.; Chavannes, N.; Dickens, A.P.; Gemert, F. van; Escarrer, M.; Haroon, S.; Kayongo, A.; Kirenga, B.; Kocks, J.W.H.; Kotz, D.; Newby, C.; McNulty, C.; Metting, E.; Moral, L.; Papadakis, S.; Pinnock, H.; Price, D.; Ryan, D.; Singh, S.J.; Sousa, J.C. de; Stallberg, B.; Szefler, S.J.; Taylor, S.J.C.; Tsiligianni, I.; Turner, A.; Weller, D.; Yusuf, O.; Tabyshova, A.K.; Jordan, R.E.

doi:doi:10.1038/s41533-021-00266-4

Respiratory diseases remain a significant cause of global morbidity and mortality and primary care plays a central role in their prevention, diagnosis and management. An e-Delphi process was employed to identify and prioritise the current respiratory research needs of primary care health professionals worldwide. One hundred and twelve community-based physicians, nurses and other healthcare professionals from 27 high-, middle- and low-income countries suggested 608 initial research questions, reduced after evidence review by 27 academic experts to 176 questions covering diagnosis, management, monitoring, self-management and prognosis of asthma, COPD and other respiratory conditions (including infections, lung cancer, tobacco control, sleep apnoea). Forty-nine questions reached 80% consensus for importance. Cross-cutting themes identified were: a need for more effective training of primary care clinicians; evidence and guidelines specifically relevant to primary care, adaption for...Show moreRespiratory diseases remain a significant cause of global morbidity and mortality and primary care plays a central role in their prevention, diagnosis and management. An e-Delphi process was employed to identify and prioritise the current respiratory research needs of primary care health professionals worldwide. One hundred and twelve community-based physicians, nurses and other healthcare professionals from 27 high-, middle- and low-income countries suggested 608 initial research questions, reduced after evidence review by 27 academic experts to 176 questions covering diagnosis, management, monitoring, self-management and prognosis of asthma, COPD and other respiratory conditions (including infections, lung cancer, tobacco control, sleep apnoea). Forty-nine questions reached 80% consensus for importance. Cross-cutting themes identified were: a need for more effective training of primary care clinicians; evidence and guidelines specifically relevant to primary care, adaption for local and low-resource settings; empowerment of patients to improve self-management; and the role of the multidisciplinary healthcare team.Show less

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Prioritising primary care respiratory research needs: results from the 2020 International Primary Care Respiratory Group (IPCRG) global e-Delphi exercise