Protocol for the development of a multidisciplinary clinical practice guideline for the care of patients with chronic subdural haematoma
Daniel J. Stubbs, Benjamin M. Davies, Mary Dixon‐Woods, Tom Bashford, Philip Braude, Diedrik Bulters, Sophie Camp, Georgina Carr, Jonathan Coles, Jugdeep Dhesi, Judith Dinsmore, Ellie Edlmann, Nicholas R. Evans, Anthony Figaji, Emily Foster, Fiona Lecky, Angelos G. Kolias, Alexis Joannides, Iain Moppett, M. H. Nathanson, Virginia Newcombe, Nicola Owen, L. Peterman, Amy Proffitt, Charlotte Skiterall, Peter C. Whitfield, Sally Wilson, Ardalan Zolnourian, Meriem Amarouche, Akbar Ansari, Nick Borg, Paul M. Brennan, Charlotte Brown, Christopher Corbett, Rúben Dammers, Tilak Das, E. Feilding, Marilise Galea, Conor S. Gillespie, Laurence Glancz, Felix Gooding, Robert Grange, Natalie Gray, Peter Hartley, Taj Hassan, Dana C. Holl, Julia Jones, Richard Knight, Val Luoma, Harry Mee, Thaı́s Minett, Stephen R. Novak, George Peck, Shvaita Ralhan, Jennifer Ramshaw, Davina Richardson, Ahmed‐Ramadan Sadek, Katie Jane Sheehan, Francoise Sheppard, David Shipway, Navneet Singh, Martin Smith, Rhonda Sturley, Michael Swart, William C. Thomas, James Uprichard, Vickie Yeardley, David Menon, Peter J. Hutchinson
Abstract
<ns5:p> <ns5:bold>Introduction:</ns5:bold> A common neurosurgical condition, chronic subdural haematoma (cSDH) typically affects older people with other underlying health conditions. The care of this potentially vulnerable cohort is often, however, fragmented and suboptimal. In other complex conditions, multidisciplinary guidelines have transformed patient experience and outcomes, but no such framework exists for cSDH. This paper outlines a protocol to develop the first comprehensive multidisciplinary guideline from diagnosis to long-term recovery with cSDH. </ns5:p> <ns5:p> <ns5:bold>Methods:</ns5:bold> The project will be guided by a steering group of key stakeholders and professional organisations and will feature patient and public involvement. Multidisciplinary thematic working groups will examine key aspects of care to formulate appropriate, patient-centered research questions, targeted with evidence review using the GRADE framework. The working groups will then formulate draft clinical recommendations to be used in a modified Delphi process to build consensus on guideline contents. </ns5:p> <ns5:p> <ns5:bold>Conclusions:</ns5:bold> We present a protocol for the development of a multidisciplinary guideline to inform the care of patients with a cSDH, developed by cross-disciplinary working groups and arrived at through a consensus-building process, including a modified online Delphi. </ns5:p>