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

Arwa  Abdel-Aal; Karin Lisspers; Siân Williams; Peymané  Adab; Rachel Adams; Dhiraj  Agarwal; Amanda  Barnard; Izolde  Bouloukaki; Job FM  van Boven; Niels Chavannes; Andrew P  Dickens; Frederik  van Gemert; Mercedes  Escarrer; Shamil  Haroon; Alex  Kayongo; Bruce  Kirenga; Janwillem W H Kocks; Daniel  Kotz; Chris  Newby; Cliodna  McNulty; Esther  Metting; Luis  Moral; Sophia  Papadakis; Hilary Pinnock; David Price; Dermot Ryan; Sally J  Singh; Jaime Correia de Sousa; Björn Ställberg; Stanley J.   Szefler; Steph J.C.  Taylor; Ioanna Tsiligianni; Alice  Turner; David Weller; Osman M Yusuf; Aizhamal K  Tabyshova; Rachel E  Jordan

doi:10.1038/s41533-021-00266-4

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

Arwa Abdel-Aal, Karin Lisspers, Siân Williams, Peymané Adab, Rachel Adams, Dhiraj Agarwal, Amanda Barnard, Izolde Bouloukaki, Job FM van Boven, Niels Chavannes, Andrew P Dickens, Frederik van Gemert, Mercedes Escarrer, Shamil Haroon, Alex Kayongo, Bruce Kirenga, Janwillem W H Kocks, Daniel Kotz, Chris Newby, Cliodna McNultyEsther Metting, Luis Moral, Sophia Papadakis, Hilary Pinnock, David Price, Dermot Ryan, Sally J Singh, Jaime Correia de Sousa, Björn Ställberg, Stanley J. Szefler, Steph J.C. Taylor, Ioanna Tsiligianni, Alice Turner, David Weller, Osman M Yusuf, Aizhamal K Tabyshova, Rachel E Jordan^* (Corresponding Author)

^*Corresponding author for this work

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Abstract

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. 112 community-based physicians, nurses and other healthcare professionalsfrom 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, selfmanagement and prognosis of asthma, COPD and other respiratory conditions (including infections, lung cancer, tobacco control, sleep apnoea). 49 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.

Original language	English
Article number	6
Pages (from-to)	6
Number of pages	12
Journal	npj Primary Care Respiratory Medicine
Volume	32
Issue number	1
Early online date	28 Jan 2022
DOIs	https://doi.org/10.1038/s41533-021-00266-4
Publication status	Published - 28 Jan 2022

Keywords

e-Delphi
primary care
research care
research priorities
respiratory disease
asthma
COPD
tobacco

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Abdel-Aal, A., Lisspers, K., Williams, S., Adab, P., Adams, R., Agarwal, D., Barnard, A., Bouloukaki, I., van Boven, J. FM., Chavannes, N., Dickens, A. P., van Gemert, F., Escarrer, M., Haroon, S., Kayongo, A., Kirenga, B., Kocks, J. W. H., Kotz, D., Newby, C., ... Jordan, R. E. (2022). Prioritising primary care respiratory research needs: results from the 2020 International Primary Care Respiratory Group (IPCRG) global e-Delphi exercise . npj Primary Care Respiratory Medicine, 32(1), 6. [6]. https://doi.org/10.1038/s41533-021-00266-4

Abdel-Aal, A, Lisspers, K, Williams, S, Adab, P, Adams, R, Agarwal, D, Barnard, A, Bouloukaki, I, van Boven, JFM, Chavannes, N, Dickens, AP, van Gemert, F, Escarrer, M, Haroon, S, Kayongo, A, Kirenga, B, Kocks, JWH, Kotz, D, Newby, C, McNulty, C, Metting, E, Moral, L, Papadakis, S, Pinnock, H, Price, D, Ryan, D, Singh, SJ, Correia de Sousa, J, Ställberg, B, Szefler, SJ, Taylor, SJC, Tsiligianni, I, Turner, A, Weller, D, Yusuf, OM, Tabyshova, AK & Jordan, RE 2022, 'Prioritising primary care respiratory research needs: results from the 2020 International Primary Care Respiratory Group (IPCRG) global e-Delphi exercise ', npj Primary Care Respiratory Medicine, vol. 32, no. 1, 6, pp. 6. https://doi.org/10.1038/s41533-021-00266-4

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

abstract = "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. 112 community-based physicians, nurses and other healthcare professionalsfrom 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, selfmanagement and prognosis of asthma, COPD and other respiratory conditions (including infections, lung cancer, tobacco control, sleep apnoea). 49 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 resourcesettings; empowerment of patients to improve self-management; and the role of the multidisciplinary healthcare team.",

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author = "Arwa Abdel-Aal and Karin Lisspers and Si{\^a}n Williams and Peyman{\'e} Adab and Rachel Adams and Dhiraj Agarwal and Amanda Barnard and Izolde Bouloukaki and {van Boven}, {Job FM} and Niels Chavannes and Dickens, {Andrew P} and {van Gemert}, Frederik and Mercedes Escarrer and Shamil Haroon and Alex Kayongo and Bruce Kirenga and Kocks, {Janwillem W H} and Daniel Kotz and Chris Newby and Cliodna McNulty and Esther Metting and Luis Moral and Sophia Papadakis and Hilary Pinnock and David Price and Dermot Ryan and Singh, {Sally J} and {Correia de Sousa}, Jaime and Bj{\"o}rn St{\"a}llberg and Szefler, {Stanley J.} and Taylor, {Steph J.C.} and Ioanna Tsiligianni and Alice Turner and David Weller and Yusuf, {Osman M} and Tabyshova, {Aizhamal K} and Jordan, {Rachel E}",

note = "Acknowledgements The IPCRG are very grateful for all the healthcare professionals across the world who took part in this e-Delphi survey, to LC for facilitating survey recruitment and to Neil Fitch for administrative assistance for the final report. IPCRG commissioned this work which was donated by all authors. IPCRG provided travel and administrative support and a free conference place to the lead researcher and incentivised responses by funding a prize draw for a free conference place for a forthcoming IPCRG conference. ",

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AU - Williams, Siân

AU - Adab, Peymané

AU - Adams, Rachel

AU - Agarwal, Dhiraj

AU - Barnard, Amanda

AU - Bouloukaki, Izolde

AU - van Boven, Job FM

AU - Chavannes, Niels

AU - Dickens, Andrew P

AU - van Gemert, Frederik

AU - Escarrer, Mercedes

AU - Haroon, Shamil

AU - Kayongo, Alex

AU - Kirenga, Bruce

AU - Kocks, Janwillem W H

AU - Kotz, Daniel

AU - Newby, Chris

AU - McNulty, Cliodna

AU - Metting, Esther

AU - Moral, Luis

AU - Papadakis, Sophia

AU - Pinnock, Hilary

AU - Price, David

AU - Ryan, Dermot

AU - Singh, Sally J

AU - Correia de Sousa, Jaime

AU - Ställberg, Björn

AU - Szefler, Stanley J.

AU - Taylor, Steph J.C.

AU - Tsiligianni, Ioanna

AU - Turner, Alice

AU - Weller, David

AU - Yusuf, Osman M

AU - Tabyshova, Aizhamal K

AU - Jordan, Rachel E

N1 - Acknowledgements The IPCRG are very grateful for all the healthcare professionals across the world who took part in this e-Delphi survey, to LC for facilitating survey recruitment and to Neil Fitch for administrative assistance for the final report. IPCRG commissioned this work which was donated by all authors. IPCRG provided travel and administrative support and a free conference place to the lead researcher and incentivised responses by funding a prize draw for a free conference place for a forthcoming IPCRG conference.

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N2 - 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. 112 community-based physicians, nurses and other healthcare professionalsfrom 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, selfmanagement and prognosis of asthma, COPD and other respiratory conditions (including infections, lung cancer, tobacco control, sleep apnoea). 49 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 resourcesettings; empowerment of patients to improve self-management; and the role of the multidisciplinary healthcare team.

AB - 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. 112 community-based physicians, nurses and other healthcare professionalsfrom 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, selfmanagement and prognosis of asthma, COPD and other respiratory conditions (including infections, lung cancer, tobacco control, sleep apnoea). 49 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 resourcesettings; empowerment of patients to improve self-management; and the role of the multidisciplinary healthcare team.

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

Abstract

Keywords

UN SDGs

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