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Consensus on controversial issues of the surgery for Crohn’s disease by Delphi method

https://doi.org/10.33878/2073-7556-2023-22-2-172-183

Abstract

AIM: to establish the consensus on controversial issues of the surgery for Сrohn’s disease by Delphi method.

METHODS: a cross-sectional study was conducted by the Delphi method. 62 experts voted intramural and anonymous (31.03.23). 5 statements from the current edition of clinical guidelines were selected for correction by working group and further voting [2]. Based on the practical experience of the working group and literature data, 3 new statements were created also. Statements that do not reach the required level of agreement (80% or more) will be subjected to Round 2 of the Delphi method.

RESULTS: all experts took part in the anonymous voting. The panel of experts is represented by 8 different areas of practical medicine and the median of the professional experience of the respondents was 30 (12–49) years. Of the 8 statements submitted for voting, consensus (80% or more) was reached on 6 out of 8. 2 statements have been revised by working group for the distance 2nd round of the Delphi study. Consensus (more than 80%) was reached on both.

CONCLUSION: a cross-sectional study by the Delphi method provided the opinions of a panel of experts on controversial issues in the surgical treatment of Crohn’s disease. Statements that reach consensus will be included by the working group in a new edition of clinical guidelines of Crohn’s disease.

About the Authors

Yu. A. Shelygin
Ryzhikh National Medical Research Center of Coloproctology; Russian Medical Academy of Continuous Professional Education
Russian Federation

Salyama Adilya st., 2, Moscow, 123423, Russia

Barrikadnaya st., 2/1, Moscow, 125993, Russia


S. I. Achkasov
Ryzhikh National Medical Research Center of Coloproctology; Russian Medical Academy of Continuous Professional Education
Russian Federation

Salyama Adilya st., 2, Moscow, 123423, Russia

Barrikadnaya st., 2/1, Moscow, 125993, Russia


I. V. Reshetov
I.M. Sechenov First Moscow State Medical University of the Ministry of Health of Russia
Russian Federation

Bolshaya Pirogovskaya st., 2, p.4, Moscow, 119991, Russia


I. V. Mayev
Moscow State Medical and Dental University named after A.I. Evdokimov of the Ministry of Health of Russia
Russian Federation

Delegatskaya st., 20, p. 1, Moscow, 127473, Russia


O. M. Drapkina
National Medical Research Center for Therapy and Preventive Medicine of the Ministry of Health of the Russian Federation
Russian Federation

Petroverigsky Lane, 10, p. 3, Moscow, 101000, Russia


E. A. Belousova
Moscow Regional Research Clinical Institute named after M.F. Vladimirsky
Russian Federation

61/2 Mira Ave., Moscow, 129090, Russia


A. V. Vardanyan
Ryzhikh National Medical Research Center of Coloproctology
Russian Federation

Salyama Adilya st., 2, Moscow, 123423, Russia


B. A. Nanaeva
Ryzhikh National Medical Research Center of Coloproctology
Russian Federation

Salyama Adilya st., 2, Moscow, 123423, Russia


D. I. Abdulganieva
Kazan State Medical University of the Ministry of Health of Russia
Russian Federation

49 Butlerova st., Kazan, 420012, Russia


L. V. Adamyan
National Medical Research Center of Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov of the Ministry of Health of the Russian Federation of Russia
Russian Federation

Akademika Oparina st., Moscow, 117997, Russia


L. S. Namazova-Baranova
Research Institute of Pediatrics and Children’s Health of the Central Committee of the Russian Academy of Sciences of the Ministry of Science and Higher Education of the Russian Federation
Russian Federation

Lomonosovsky Ave., 2, p. 1, Moscow, 119991, Russia


A. Yu. Razumovsky
Russian National Research Medical University named after N.I. Pirogov
Russian Federation

Ostrovityanova str., 1, Moscow, 117321, Russia


A. Sh. Revishvili
A.V.Vishnevsky National Medical Research Center of the Ministry of Health of Russia; Russian Medical Academy of Continuous Professional Education
Russian Federation

Bolshaya Serpukhovskaya st., 27, Moscow, 115093, Russia

Barrikadnaya st., 2/1, Moscow, 125993, Russia


I. E. Khatkov
Moscow Clinical Research Center named after A.S. Loginov of the Moscow Department of Health
Russian Federation

Highway Enthusiasts, 86, Moscow, 111123, Russia


A. V. Shabunin
Russian Medical Academy of Continuous Professional Education
Russian Federation

Barrikadnaya st., 2/1, Moscow, 125993, Russia


M. A. Livzan
Omsk State Medical University of the Ministry of Health of Russia
Réunion

Lenin st., 12, Omsk, 644099, Russia


A. V. Sazhin
Russian National Research Medical University named after N.I. Pirogov
Russian Federation

Ostrovityanova str., 1, Moscow, 117321, Russia


V. M. Timerbulatov
Bashkir State Medical University of the Ministry of Health of Russia
Russian Federation

Lenin st., 3, Ufa, 450008, Russia


O. V. Khlynova
Perm State Medical University named after Academician E.A. Wagner of the Ministry of Health of Russia
Russian Federation

Petropavlovsk st., 26, Perm, 614990, Russia


S. P. Yatsyk
National Medical Research Center for Children’s Health of the Ministry of Health of the Russian Federation
Russian Federation

Lomonosovsky Ave., 2, p. 1, Moscow, 119991, Russia


R. A. Abdulkhakov
Kazan State Medical University of the Ministry of Health of Russia
Russian Federation

49 Butlerova st., Kazan, 420012, Russia


O. P. Alekseeva
Nizhny Novgorod Regional Clinical Hospital named after N.A. Semashko
Russian Federation

190 Rodionova st., Nizhny Novgorod, 603126, Russia


S. A. Alekseenko
Far Eastern State Medical University
Russian Federation

Muravyov-Amursky st., 35, Khabarovsk, 680000, Russia


I. G. Bakulin
I.I. Mechnikov Northwestern State Medical University of the Ministry of Health of Russia
Russian Federation

Kirochnaya st., 41, St. Petersburg, 191015, Russia


O. Yu. Barysheva
Petrozavodsk State University
Russian Federation

Lenin Ave., 33, Petrozavodsk, 185910, Russia


D. A. Blagovestnov
Russian Medical Academy of Continuous Professional Education
Russian Federation

Barrikadnaya st., 2/1, Moscow, 125993, Russia


K. V. Bolikhov
Russian National Research Medical University named after N.I. Pirogov
Russian Federation

Ostrovityanova str., 1, Moscow, 117321, Russia


V. V. Veselov
Ryzhikh National Medical Research Center of Coloproctology; Russian Medical Academy of Continuous Professional Education
Russian Federation

Salyama Adilya st., 2, Moscow, 123423, Russia

Barrikadnaya st., 2/1, Moscow, 125993, Russia


Yu. A. Vinogradov
City Clinical Hospital No. 24 of the Moscow Department of Health
Russian Federation

Pistsovaya st., 10, Moscow, 127015, Russia


O. V. Golovenko
Russian Medical Academy of Continuous Professional Education
Russian Federation

Barrikadnaya st., 2/1, Moscow, 125993, Russia


I. V. Gubonina
Clinic Scandinavia
Russian Federation

Liteyny Ave., 55A, St. Petersburg, 191014, Russia


A. A. Gulyaev
Russian Medical Academy of Continuous Professional Education
Russian Federation

Barrikadnaya st., 2/1, Moscow, 125993, Russia


A. I. Dolgushina
South Ural State Medical University of the Ministry of Health of the Russian Federation
Russian Federation

Vorovsky st., 64, Chelyabinsk, 454048, Russia


E. Yu. Dyakonova
National Medical Research Center for Children’s Health of the Ministry of Health of the Russian Federation
Russian Federation

Lomonosovsky Ave., 2, p. 1, Moscow, 119991, Russia


T. N. Zhigalova
City Clinical Hospital No. 31
Russian Federation

Dynamo Ave., 3, St. Petersburg, 197110, Russia


O. Yu. Karpukhin
Kazan State Medical University of the Ministry of Health of Russia
Russian Federation

49 Butlerova st., Kazan, 420012, Russia


O. V. Knyazev
Moscow Clinical Research Center named after A.S. Loginov of the Moscow Department of Health
Russian Federation

Highway Enthusiasts, 86, Moscow, 111123, Russia


N. V. Kostenko
Astrakhan State Medical University of the Ministry of Health of Russia
Russian Federation

Bakinskaya st., 121, Astrakhan, 414000, Russia


I. D. Loranskaya
Russian National Research Medical University named after N.I. Pirogov; Russian Medical Academy of Continuous Professional Education
Russian Federation

Ostrovityanova str., 1, Moscow, 117321, Russia

Barrikadnaya st., 2/1, Moscow, 125993, Russia


A. I. Moskalev
Ryzhikh National Medical Research Center of Coloproctology
Russian Federation

Salyama Adilya st., 2, Moscow, 123423, Russia


A. H. Odintsova
Republican Clinical Hospital of the Ministry of Health of the Republic of Tatarstan
Russian Federation

Orenburg tract, 138, Kazan, 420064, Russia


V. V. Omelyanovsky
Russian Medical Academy of Continuous Professional Education
Russian Federation

Barrikadnaya st., 2/1, Moscow, 125993, Russia


M. F. Osipenko
Novosibirsk State Medical University of the Ministry of Health of Russia
Russian Federation

Krasny Ave., 52, Novosibirsk, 630091, Russia


V. V. Pavlenko
Stavropol State Medical University of the Ministry of Health of Russia
Russian Federation

Mira st., 310, Stavropol, 355017, Russia


E. A. Poluektova
I.M. Sechenov First Moscow State Medical University of the Ministry of Health of Russia
Russian Federation

Bolshaya Pirogovskaya st., 2, p.4, Moscow, 119991, Russia


D. E. Popov
I.P. Pavlov First St. Petersburg State Medical University
Russian Federation

6-8 Leo Tolstoy st., St. Petersburg, 197022, Russia


G. V. Rodoman
Russian National Research Medical University named after N.I. Pirogov
Russian Federation

Ostrovityanova str., 1, Moscow, 117321, Russia


A. M. Segal
City Clinical Hospital No. 31
Russian Federation

Dynamo Ave., 3, St. Petersburg, 197110, Russia


S. I. Sitkin
I.I. Mechnikov Northwestern State Medical University of the Ministry of Health of Russia
Russian Federation

Kirochnaya st., 41, St. Petersburg, 191015, Russia


M. I. Skalinskaya
I.I. Mechnikov Northwestern State Medical University of the Ministry of Health of Russia
Russian Federation

Kirochnaya st., 41, St. Petersburg, 191015, Russia


A. N. Surkov
Research Institute of Pediatrics and Children’s Health of the Central Committee of the Russian Academy of Sciences of the Ministry of Science and Higher Education of the Russian Federation
Russian Federation

Lomonosovsky Ave., 2, p. 1, Moscow, 119991, Russia


L. V. Tarasova
I.N. Ulyanov Chuvash State University
Russian Federation

Moskovsky Ave., 15, Cheboksary, 428015, Russia


Yu. B. Uspenskaya
Clinical Center “Clinic Dawn”
Russian Federation

trans. Stolyarny, 3, bld. 2, Moscow, 123022, Russia


S. A. Frolov
Ryzhikh National Medical Research Center of Coloproctology; Russian Medical Academy of Continuous Professional Education
Russian Federation

Salyama Adilya st., 2, Moscow, 123423, Russia

Barrikadnaya st., 2/1, Moscow, 125993, Russia


E. Yu. Chashkova
Irkutsk Scientific Center of Surgery and Traumatology
Russian Federation

1, Bortsov Revolyutsii st., Irkutsk, 664003, Russia


S. G. Shapovalyants
Russian National Research Medical University named after N.I. Pirogov
Russian Federation

Ostrovityanova str., 1, Moscow, 117321, Russia


O. S. Shifrin
I.M. Sechenov First Moscow State Medical University of the Ministry of Health of Russia
Russian Federation

Bolshaya Pirogovskaya st., 2, p.4, Moscow, 119991, Russia


O. V. Shcherbakova
Russian National Research Medical University named after N.I. Pirogov
Russian Federation

Ostrovityanova str., 1, Moscow, 117321, Russia


O. B. Shchukina
I.P. Pavlov First St. Petersburg State Medical University
Russian Federation

6-8 Leo Tolstoy st., St. Petersburg, 197022, Russia


T. V. Shkurko
Ryzhikh National Medical Research Center of Coloproctology
Russian Federation

Salyama Adilya st., 2, Moscow, 123423, Russia


I. V. Nazarov
Ryzhikh National Medical Research Center of Coloproctology
Russian Federation

Salyama Adilya st., 2, Moscow, 123423, Russia


A. F. Mingazov
Ryzhikh National Medical Research Center of Coloproctology
Russian Federation

Salyama Adilya st., 2, Moscow, 123423, Russia


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Review

For citations:

Shelygin Yu.A., Achkasov S.I., Reshetov I.V., Mayev I.V., Drapkina O.M., Belousova E.A., Vardanyan A.V., Nanaeva B.A., Abdulganieva D.I., Adamyan L.V., Namazova-Baranova L.S., Razumovsky A.Yu., Revishvili A.Sh., Khatkov I.E., Shabunin A.V., Livzan M.A., Sazhin A.V., Timerbulatov V.M., Khlynova O.V., Yatsyk S.P., Abdulkhakov R.A., Alekseeva O.P., Alekseenko S.A., Bakulin I.G., Barysheva O.Yu., Blagovestnov D.A., Bolikhov K.V., Veselov V.V., Vinogradov Yu.A., Golovenko O.V., Gubonina I.V., Gulyaev A.A., Dolgushina A.I., Dyakonova E.Yu., Zhigalova T.N., Karpukhin O.Yu., Knyazev O.V., Kostenko N.V., Loranskaya I.D., Moskalev A.I., Odintsova A.H., Omelyanovsky V.V., Osipenko M.F., Pavlenko V.V., Poluektova E.A., Popov D.E., Rodoman G.V., Segal A.M., Sitkin S.I., Skalinskaya M.I., Surkov A.N., Tarasova L.V., Uspenskaya Yu.B., Frolov S.A., Chashkova E.Yu., Shapovalyants S.G., Shifrin O.S., Shcherbakova O.V., Shchukina O.B., Shkurko T.V., Nazarov I.V., Mingazov A.F. Consensus on controversial issues of the surgery for Crohn’s disease by Delphi method. Koloproktologia. 2023;22(2):172-183. https://doi.org/10.33878/2073-7556-2023-22-2-172-183

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ISSN 2073-7556 (Print)
ISSN 2686-7303 (Online)

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