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
Affiliations
- Tilak Das
- Department of Radiology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
- Ruben Dammers
- Department of Neurosurgery, Erasmus Medical Center, Rotterdam, The Netherlands
- Emily Feilding
- Department of Geriatric Medicine, Salford Royal NHS Foundation Trust, Salford, UK
- Vanessa Elliott
- Department of Anaesthesia, St George's University NHS Trust, London, UK
- Laurence Glancz
- ORCiD
- Department of Neurosurgery, Nottingham University Hospitals NHS Trust, Nottingham, UK
- Robert Grange
- Department of Medicine for Older People, North Bristol NHS Trust, Bristol, UK
- Peter Hartley
- Department of Physiotherapy, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
- Felix Gooding
- Department of Emergency Medicine, St Thomas' Hospital, London, UK
- Dana Holl
- ORCiD
- Department of Neurosurgery, Erasmus Medical Center, Rotterdam, The Netherlands
- Taj Hassan
- Department of Emergency Medicine, Leeds Teaching Hospitals NHS Trust, Leeds, UK
- Richard Knight
- The Burwell Surgery, Cambridge, UK
- Julia Jones
- ORCiD
- Department of Neurosurgery, St George's Hospital, London, UK
- Thais Minett
- Department of Radiology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
- Val Luoma
- Department of Anaesthesia and Critical Care, National Hospital for Neurology and Neurosurgery, London, UK
- George Peck
- ORCiD
- Department of Geriatric Medicine, Imperial College London, London, UK
- Stephen Novak
- Department of Rehabilitation Medicine, North Bristol NHS Trust, Bristol, UK
- Ahmed-Ramadan Sadek
- Department of Neurosurgery, Barking Havering Redbridge University Trust, Romford, UK
- Shvaita Ralhan
- Department of Geriatric Medicine, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
- Davina Richardson
- Department of Neurosciences, Imperial College Healthcare NHS Trust, London, UK
- Jennifer Ramshaw
- Pharmacy Department, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
- Francoise Sheppard
- Department of Emergency Medicine, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, UK
- Rebecca Rous
- Department of Neuropsychology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
- Katie Sheehan
- Rehabilitation and Health Services Research, Kings College, London, UK
- David Shipway
- ORCiD
- Department of Medicine for Older People, North Bristol NHS Trust, Bristol, UK
- Christelle Smit
- Department of Neurosurgery, Imperial College Healthcare NHS Trust, London, UK
- Navneet Singh
- Department of Neurosurgery, St George's Hospital, London, UK
- Rhonda Sturley
- Department of Geriatric Medicine, St George's, University of London, London, UK
- Martin Smith
- Department of Emergency Medicine, Salford Royal NHS Foundation Trust, Salford, UK
- William Thomas
- Department of Haematology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
- Michael Swart
- Department of Anaesthesia, Torbay and South Devon NHS Foundation Trust, Torquay, UK
- Anthony Figaji
- ORCiD
- Department of Neurosurgery, University of Cape Town, Cape Town, South Africa
- Crispin Weidmann
- Department of Anaesthesia, University Hospitals Southampton, Southampton, UK
- James Uprichard
- Department of Haematology, St George's Hospital, London, UK
- David K Menon
- Division of Perioperative, Acute, and Critical care, University of Cambridge Addenbrooke's Hospital Cambridge, Cambridge, UK
- Vickie Yeardley
- Imperial College Healthcare NHS Trust, London, UK
- Peter J Hutchinson
- Department of Clinical Neurosurgery, University of Cambridge Addenbrooke's Hospital Cambridge, Cambridge, UK
- Paul M Brennan
- ORCiD
- Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK
- Akbar Ansari
- The Healthcare Improvement Studies (THIS) Institute, University of Cambridge, Cambridge, UK
- Christopher Corbett
- ACP in Emergency Medicine, Norfolk & Norwich University Hospital, Norwich, UK
- Tilak Das
- Consultant Neuroradiologist, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
- Ruben Dammers
- Neurosurgeon, Erasmus MC Stroke Center, Erasmus University Medical Center, Rotterdam, The Netherlands
- Emily Feilding
- Consultant Geriatrician (Major Trauma), Salford Royal Hospital, Salford, UK
- Marilise Galea
- Department of Neurosurgery, University Hospital Southampton, Southampton, UK
- Natalie Gray
- Department of Physiotherapy, Queen's Medical Centre, Nottingham University Hospitals NHS Trust, Nottingham, UK
- Conor Gillespie
- Department of Clinical Neurosurgery, University of Cambridge Addenbrooke's Hospital Cambridge, Cambridge, UK
- Harry Mee
- ORCiD
- Department of Rehabilitation Medicine, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
- Mary Dixon-Woods
- The Healthcare Improvement Studies (THIS) Institute, University of Cambridge, Cambridge, UK
- Daniel J Stubbs
- ORCiD
- Division of Perioperative, Acute, and Critical care, University of Cambridge Addenbrooke's Hospital Cambridge, Cambridge, UK
- Thomas H Bashford
- ORCiD
- Division of Perioperative, Acute, and Critical care, University of Cambridge Addenbrooke's Hospital Cambridge, Cambridge, UK
- Benjamin M Davies
- Department of Clinical Neurosurgery, University of Cambridge Addenbrooke's Hospital Cambridge, Cambridge, UK
- Diedrik Bulters
- Department of Neurosurgery, University Hospital Southampton, Southampton, UK
- Philip Braude
- Department of Medicine for Older People, North Bristol NHS Trust, Bristol, UK
- Sophie Camp
- Department of Neurosurgery, Imperial College Healthcare NHS Trust, London, UK
- Jonathan P Coles
- ORCiD
- Division of Perioperative, Acute, and Critical care, University of Cambridge Addenbrooke's Hospital Cambridge, Cambridge, UK
- Georgina Carr
- The Neurological Alliance, London, UK
- Judith Dinsmore
- ORCiD
- Department of Anaesthesia, St George's University NHS Trust, London, UK
- Jugdeep Dhesi
- ORCiD
- Department of Geriatric Medicine, Guy's and St Thomas' NHS Foundation Trust, London, UK
- Nicholas R Evans
- ORCiD
- Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK
- Ellie Edlmann
- Department of Neurosurgery, University Hospitals Plymouth NHS Trust, Plymouth, UK
- Fiona Lecky
- Department of Emergency Medicine, University of Sheffield, Sheffield, UK
- Emily Foster
- Department of Clinical Neurosciences, Royal Infirmary of Edinburgh, Edinburgh, UK
- Alexis Joannides
- Department of Clinical Neurosurgery, University of Cambridge Addenbrooke's Hospital Cambridge, Cambridge, UK
- Angelos Kolias
- Department of Clinical Neurosurgery, University of Cambridge Addenbrooke's Hospital Cambridge, Cambridge, UK
- Mike Nathanson
- Department of Anaesthesia, Nottingham University Hospitals NHS Trust, Nottingham, UK
- Iain Moppett
- Department of Anaesthesia and Perioperative Medicine, University of Nottingham, Nottingham, UK
- Nicola Owen
- Department of Neurosurgery, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
- Virginia Newcombe
- Division of Perioperative, Acute, and Critical care, University of Cambridge Addenbrooke's Hospital Cambridge, Cambridge, UK
- Amy Proffitt
- Department of Palliative Medicine, Barts and The London NHS Trust, London, UK
- Lisa Peterman
- ExEp Consulting, Calgary, Canada
- Sally R Wilson
- Department of Anaesthesia and Critical Care, National Hospital for Neurology and Neurosurgery, London, UK
- Charlotte Skiterall
- Pharmacy Department, Manchester University NHS Foundation Trust, Manchester, UK
- Ardalan Zolnourian
- Department of Neurosurgery, University Hospital Southampton, Southampton, UK
- Peter Whitfield
- Department of Neurosurgery, University Hospitals Plymouth NHS Trust, Plymouth, UK
- Nick Borg
- Department of Neurosurgery, University of Nebraska Medical Center, Omaha, Nebraska, USA
- Meriem Amarouche
- Department of Neurosurgery, St George's Hospital, London, UK
- Christopher Corbett
- Department of Emergency Medicine, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, UK
- Charlotte Brown
- Pharmacy Department, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
- Journal volume & issue
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Vol. 8
Abstract
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.
