Wellcome Open Research (Sep 2023)

Protocol for the development of a multidisciplinary clinical practice guideline for the care of patients with chronic subdural haematoma [version 1; peer review: 1 approved, 2 approved with reservations]

  • Tilak Das,
  • Ruben Dammers,
  • Emily Feilding,
  • Vanessa Elliott,
  • Laurence Glancz,
  • Robert Grange,
  • Peter Hartley,
  • Felix Gooding,
  • Dana Holl,
  • Taj Hassan,
  • Richard Knight,
  • Julia Jones,
  • Thais Minett,
  • Val Luoma,
  • George Peck,
  • Stephen Novak,
  • Ahmed-Ramadan Sadek,
  • Shvaita Ralhan,
  • Davina Richardson,
  • Jennifer Ramshaw,
  • Francoise Sheppard,
  • Rebecca Rous,
  • Katie Sheehan,
  • David Shipway,
  • Christelle Smit,
  • Navneet Singh,
  • Rhonda Sturley,
  • Martin Smith,
  • William Thomas,
  • Michael Swart,
  • Anthony Figaji,
  • Crispin Weidmann,
  • James Uprichard,
  • David K Menon,
  • Vickie Yeardley,
  • Peter J Hutchinson,
  • Paul M Brennan,
  • Akbar Ansari,
  • Christopher Corbett,
  • Tilak Das,
  • Ruben Dammers,
  • Emily Feilding,
  • Marilise Galea,
  • Natalie Gray,
  • Conor Gillespie,
  • Harry Mee,
  • Mary Dixon-Woods,
  • Daniel J Stubbs,
  • Thomas H Bashford,
  • Benjamin M Davies,
  • Diedrik Bulters,
  • Philip Braude,
  • Sophie Camp,
  • Jonathan P Coles,
  • Georgina Carr,
  • Judith Dinsmore,
  • Jugdeep Dhesi,
  • Nicholas R Evans,
  • Ellie Edlmann,
  • Fiona Lecky,
  • Emily Foster,
  • Alexis Joannides,
  • Angelos Kolias,
  • Mike Nathanson,
  • Iain Moppett,
  • Nicola Owen,
  • Virginia Newcombe,
  • Amy Proffitt,
  • Lisa Peterman,
  • Sally R Wilson,
  • Charlotte Skiterall,
  • Ardalan Zolnourian,
  • Peter Whitfield,
  • Nick Borg,
  • Meriem Amarouche,
  • Christopher Corbett,
  • Charlotte Brown

Journal volume & issue
Vol. 8

Abstract

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Introduction: 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. Methods: 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. Conclusions: 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.

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