npj Primary Care Respiratory Medicine (Jan 2022)
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 F. M. 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,
- Stephanie J. C. Taylor,
- Ioanna Tsiligianni,
- Alice Turner,
- David Weller,
- Osman Yusuf,
- Aizhamal K. Tabyshova,
- Rachel E. Jordan
Affiliations
- Arwa Abdel-Aal
- Academy of Primary Care, University of Hull York Medical School
- Karin Lisspers
- Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine, Uppsala University
- Siân Williams
- Joint Chief Executive Officer, International Primary Care Respiratory Group
- Peymané Adab
- Institute of Applied Health Research, University of Birmingham
- Rachel Adams
- Institute of Applied Health Research, University of Birmingham
- Dhiraj Agarwal
- Vadu Rural Health Program, KEM Hospital Research Centre
- Amanda Barnard
- Charles Strut University and Australian National University
- Izolde Bouloukaki
- University of Crete, Medical School
- Job F. M. van Boven
- University of Groningen, University Medical Centre Groningen
- Niels Chavannes
- Leiden University Medical Center, Department of Public Health and Primary Care
- Andrew P. Dickens
- Institute of Applied Health Research, University of Birmingham
- Frederik van Gemert
- University of Groningen, University Medical Centre Groningen
- Mercedes Escarrer
- Spanish Pediatric Society of Clinical Immunology, Asthma and Allergy
- Shamil Haroon
- Institute of Applied Health Research, University of Birmingham
- Alex Kayongo
- Makerere University Lung Institute
- Bruce Kirenga
- Makerere University Lung Institute
- Janwillem W. H. Kocks
- General Practitioners Research Institute
- Daniel Kotz
- Institute of General Practice, Medical Faculty of the Heinrich-Heine-University Düsseldorf
- Chris Newby
- Medical School, University of Nottingham
- Cliodna McNulty
- Primary Care and Interventions Unit, Gloucester, Public Health England
- Esther Metting
- University of Groningen, University Medical Centre Groningen
- Luis Moral
- Alicante University General Hospital, Alicante Institute for Health and Biomedical Research (ISABIAL)
- Sophia Papadakis
- Department of Social Medicine, University of Crete
- Hilary Pinnock
- Allergy and Respiratory Group, Usher institute, University of Edinburgh
- David Price
- Observational and Pragmatic Research Institute
- Dermot Ryan
- Allergy and Respiratory Group, Usher institute, University of Edinburgh
- Sally J. Singh
- Pulmonary and Cardiac Rehabilitation, University of Leicester
- Jaime Correia de Sousa
- University of Minho
- Björn Ställberg
- Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine, Uppsala University
- Stanley J. Szefler
- Paediatrics-Pulmonary Medicine, University of Colorado
- Stephanie J. C. Taylor
- Institute of Population Health Sciences, Barts and the London School of Medicine, Queen Mary, University of London
- Ioanna Tsiligianni
- Department of Social Medicine, University of Crete
- Alice Turner
- Institute of Applied Health Research, University of Birmingham
- David Weller
- Allergy and Respiratory Group, Usher institute, University of Edinburgh
- Osman Yusuf
- The Allergy and Asthma Institute
- Aizhamal K. Tabyshova
- National Center of Cardiology and Internal Medicine
- Rachel E. Jordan
- Institute of Applied Health Research, University of Birmingham
- DOI
- https://doi.org/10.1038/s41533-021-00266-4
- Journal volume & issue
-
Vol. 32,
no. 1
pp. 1 – 12
Abstract
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. One hundred and twelve community-based physicians, nurses and other healthcare professionals from 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, self-management and prognosis of asthma, COPD and other respiratory conditions (including infections, lung cancer, tobacco control, sleep apnoea). Forty-nine 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.
