Orthopaedic Trauma Research Priority-Setting Exercise and Development of a Research Network

Willett et al. (2010) full text summary PDF

For which topic were research priorities identified?

orthopedic trauma

In which location was the research priority setting conducted?

Europe - United Kingdom

Why was it conducted at all?

Clinical practice should be informed by high quality evidence, of which randomised controlled trials (RCTs) are considered the gold standard. Surgical trials are inherently difficult with potential problems around clinical equipoise and participant acceptability. This is often most true with trial designs comparing operative and non-operative treatments. It is hoped that research activity can be maximised by collaborating in (a) the identification of research questions and (b) involvement in clinical trials. Development of the national research networks can be utilised to provide support for research endeavours within the orthopaedic trauma community.

What was the objective?

to identify and prioritize the research questions felt to be of most importance by the orthopedic trauma community

What was the outcome?

a ranking list of 10 research questions

How long did the research prioritization take?

June 2007 - April 2008

Which methods were used to identify research priorities?

Delphi

How were the priorities for research identified exactly?

Step 1: Delphi round 1: participants were asked to suggest up to five therapeutic interventions that should be tested within a randomized controlled trial, 147 suggestions made. Step 2: data processing: submission allocated to 9 topics, 24 research questions formulated. Step 3: Delphi round 2: participants were asked to rate each question. Step 4: top 10 questions were checked against evidence, followed by discussion on how to proceed with the top 10 questions

Which stakeholders took part?

Orthopaedic surgeons, nurses. Delphi round 1: 49 participants. Delphi round 2: 120 participants.

How were stakeholders recruited?

Participants were members of the AOUK Long Bone Faculty.

Were stakeholders actively involved or did they just participate?

Stakeholders were mere participants of the research prioritization process; they were not actively involved in the process.