. 2015 Dec 16;5(12):e010006.

doi: 10.1136/bmjopen-2015-010006.

Identifying research priorities in anaesthesia and perioperative care: final report of the joint National Institute of Academic Anaesthesia/James Lind Alliance Research Priority Setting Partnership

Affiliations

¹ Surgical Outcomes Research Centre, University College Hospital, London, UK Health Services Research Centre, National Institute of Academic Anaesthesia, London, UK.
² Royal College of Anaesthetists, London, UK.
³ Association for Perioperative Practice, Harrogate, UK.
⁴ Royal National Orthopaedic Hospital Patient Group, Stanmore, UK.
⁵ Health Services Research Centre, National Institute of Academic Anaesthesia, London, UK Royal College of Anaesthetists, London, UK.
⁶ Independent Cancer Patients' Voice, London, UK.
⁷ Surgical Outcomes Research Centre, University College Hospital, London, UK Health Services Research Centre, National Institute of Academic Anaesthesia, London, UK Integrative Physiology and Critical Illness Group, Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK Critical Care Research Area, Southampton NIHR Respiratory Biomedical Research Unit, University Hospital Southampton, Southampton, UK.
⁸ The Kangaroo Club, John Radcliffe Hospital, Oxford, UK.
⁹ Oesophageal Patients' Association, Solihull, UK.
¹⁰ Association of Anaesthetists of Great Britain and Ireland (AAGBI), London, UK.
¹¹ Royal College of Surgeons (England), London, UK.
¹² The James Lind Alliance, NIHR Evaluation Trials and Studies Coordinating Centre, Southampton, UK.

PMID: 26674506
PMCID: PMC4691782
DOI: 10.1136/bmjopen-2015-010006

Identifying research priorities in anaesthesia and perioperative care: final report of the joint National Institute of Academic Anaesthesia/James Lind Alliance Research Priority Setting Partnership

Oliver Boney et al. BMJ Open. 2015.

. 2015 Dec 16;5(12):e010006.

doi: 10.1136/bmjopen-2015-010006.

Authors

Affiliations

¹ Surgical Outcomes Research Centre, University College Hospital, London, UK Health Services Research Centre, National Institute of Academic Anaesthesia, London, UK.
² Royal College of Anaesthetists, London, UK.
³ Association for Perioperative Practice, Harrogate, UK.
⁴ Royal National Orthopaedic Hospital Patient Group, Stanmore, UK.
⁵ Health Services Research Centre, National Institute of Academic Anaesthesia, London, UK Royal College of Anaesthetists, London, UK.
⁶ Independent Cancer Patients' Voice, London, UK.
⁷ Surgical Outcomes Research Centre, University College Hospital, London, UK Health Services Research Centre, National Institute of Academic Anaesthesia, London, UK Integrative Physiology and Critical Illness Group, Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK Critical Care Research Area, Southampton NIHR Respiratory Biomedical Research Unit, University Hospital Southampton, Southampton, UK.
⁸ The Kangaroo Club, John Radcliffe Hospital, Oxford, UK.
⁹ Oesophageal Patients' Association, Solihull, UK.
¹⁰ Association of Anaesthetists of Great Britain and Ireland (AAGBI), London, UK.
¹¹ Royal College of Surgeons (England), London, UK.
¹² The James Lind Alliance, NIHR Evaluation Trials and Studies Coordinating Centre, Southampton, UK.

PMID: 26674506
PMCID: PMC4691782
DOI: 10.1136/bmjopen-2015-010006

Abstract

Objective: To identify research priorities for Anaesthesia and Perioperative Medicine.

Design: Prospective surveys and consensus meetings guided by an independent adviser.

Setting: UK.

Participants: 45 stakeholder organisations (25 professional, 20 patient/carer) affiliated as James Lind Alliance partners.

Outcomes: First 'ideas-gathering' survey: Free text research ideas and suggestions. Second 'prioritisation' survey: Shortlist of 'summary' research questions (derived from the first survey) ranked by respondents in order of priority. Final 'top ten': Agreed by consensus at a final prioritisation workshop.

Results: First survey: 1420 suggestions received from 623 respondents (49% patients/public) were refined into a shortlist of 92 'summary' questions. Second survey: 1718 respondents each nominated up to 10 questions as research priorities. Top ten: The 25 highest-ranked questions advanced to the final workshop, where 23 stakeholders (13 professional, 10 patient/carer) agreed the 10 most important questions: ▸ What can we do to stop patients developing chronic pain after surgery? ▸ How can patient care around the time of emergency surgery be improved? ▸ What long-term harm may result from anaesthesia, particularly following repeated anaesthetics?▸ What outcomes should we use to measure the 'success' of anaesthesia and perioperative care? ▸ How can we improve recovery from surgery for elderly patients? ▸ For which patients does regional anaesthesia give better outcomes than general anaesthesia? ▸ What are the effects of anaesthesia on the developing brain? ▸ Do enhanced recovery programmes improve short and long-term outcomes? ▸ How can preoperative exercise or fitness training, including physiotherapy, improve outcomes after surgery? ▸ How can we improve communication between the teams looking after patients throughout their surgical journey?

Conclusions: Almost 2000 stakeholders contributed their views regarding anaesthetic and perioperative research priorities. This is the largest example of patient and public involvement in shaping anaesthetic and perioperative research to date.

Keywords: ANAESTHETICS; INTENSIVE & CRITICAL CARE; SURGERY.

Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

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Figures

**Figure 1**
Summary of the James Lind Alliance Priority Setting Process.

**Figure 2**
Age and background of initial survey respondents.

**Figure 3**
Classification of research questions (minus those deemed out of scope) submitted.

**Figure 4**
Age and background of second (prioritisation) survey respondents.

See this image and copyright information in PMC

References

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Identifying research priorities in anaesthesia and perioperative care: final report of the joint National Institute of Academic Anaesthesia/James Lind Alliance Research Priority Setting Partnership

Affiliations

Identifying research priorities in anaesthesia and perioperative care: final report of the joint National Institute of Academic Anaesthesia/James Lind Alliance Research Priority Setting Partnership

Authors

Affiliations

Abstract

Figures

References

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical