Developing a Diagnostic Bundle for Bronchiectasis in South Korea: A Modified Delphi Consensus Study

Tuberculosis and Respiratory Diseases

article

Hayoung Choi¹  Hyun Lee²  Seung Won Ra³  Jong Geol Jang⁴  Ji-Ho Lee⁵  Byung Woo Jhun⁶  Hye Yun Park⁶  Ji Ye Jung⁷  Seung Jun Lee⁸  Kyung-Wook Jo⁹  Chin Kook Rhee^1,10  Changwhan Kim^1,11  Sei Won Lee⁹  Kyung Hoon Min^1,12  Yong-Soo Kwon^1,13  Deog Kyeom Kim^1,14  Jin Hwa Lee^1,15  Yong Bum Park^1,16  Eun Hee Chung^1,17  Yae-Jean Kim^1,18  Kwang Ha Yoo^1,19  Yeon-Mok Oh⁹ 

[1] Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Internal Medicine, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine;Division of Pulmonary Medicine and Allergy, Department of Internal Medicine, Hanyang University College of Medicine;Division of Pulmonary Medicine, Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine;Division of Pulmonology and Allergy, Department of Internal Medicine, College of Medicine, Yeungnam University and Regional Center for Respiratory Diseases, Yeungnam University Medical Center;Department of Internal Medicine, Yonsei University Wonju College of Medicine;Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine;Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine;Department of Internal Medicine, Gyeongsang National University School of Medicine and Gyeongsang National University Hospital;Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine;Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea;Department of Internal Medicine, Jeju National University Hospital, Jeju National University School of Medicine;Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Korea University Guro Hospital, Korea University College of Medicine;Department of Internal Medicine, Chonnam National University Medical School, Chonnam National University Hospital;Department of Internal Medicine, SMG-SNU Borame Medical Center, Seoul National University College of Medicine;Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Ewha Womans University College of Medicine;Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Hallym University Kangdong Sacred Heart Hospital;Department of Pediatrics, Chungnam National University College of Medicine;Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine;Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Konkuk University School of Medicine

关键词: Bronchiectasis;    Diagnosis;    Consensus Guideline;    Korea;    Survey;   

DOI  :  10.4046/trd.2021.0136

学科分类：医学（综合）

来源: The Korean Academy of Tuberculosis and Respiratory Diseases

【 摘 要 】

BackgroundBecause the etiologies of bronchiectasis and related diseases vary significantly among different regions and ethnicities, this study aimed to develop a diagnostic bundle for bronchiectasis in South Korea. MethodsA modified Delphi method was used to develop expert consensus statements on a diagnostic bundle for bronchiectasis in South Korea. Initial statements proposed by a core panel, based on international bronchiectasis guidelines, were discussed in an online meeting and two email surveys by a panel of experts (≥70% agreement). ResultsThe study involved 21 expert participants, and 30 statements regarding a diagnostic bundle for bronchiectasis were classified as recommended, conditional, or not recommended. The consensus statements of the expert panel were as follows: A standardized diagnostic bundle is useful in clinical practice; diagnostic tests for specific diseases, including immunodeficiency and allergic bronchopulmonary aspergillosis, are necessary when clinically suspected; initial diagnostic tests, including sputum microbiology and spirometry, are essential in all patients with bronchiectasis, and patients suspected with rare causes such as primary ciliary dyskinesia should be referred to specialized centers. ConclusionBased on this Delphi survey, expert consensus statements were generated including specific diagnostic, laboratory, microbiological, and pulmonary function tests required to manage patients with bronchiectasis in South Korea.

【 授权许可】

CC BY-NC