©2016 Concussion in Sport · PDF fileRound 1-Scientific Committee -Open Ended – 45...

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Concussion Consensus Process ©2016 Concussion in Sport Group

Transcript of ©2016 Concussion in Sport · PDF fileRound 1-Scientific Committee -Open Ended – 45...

Page 1: ©2016 Concussion in Sport · PDF fileRound 1-Scientific Committee -Open Ended – 45 questions suggested Round 2 – Rating (Essential, Desirable, Not a priority) – Wording changes

ConcussionConsensusProcess

©2016ConcussioninSportGroup

Page 2: ©2016 Concussion in Sport · PDF fileRound 1-Scientific Committee -Open Ended – 45 questions suggested Round 2 – Rating (Essential, Desirable, Not a priority) – Wording changes

Organizing Committee• MarkAubry(IIHF)• JiriDvorak(FIFA)• LarsEngebretsen (IOC)• PaulMcCrory• WillemMeeuwisse• MartinRaftery (WorldRugby)• AllenSills(FEI)

ScientificCommittee• WillemMeeuwisse• PaulMcCrory• JiriDvorak• RubenEchemendia• LarsEngebretsen• NinaFeddermann• MichaelMakdissi• MikeMcCrea• JonPatricios• KathrynSchneider• AllenSills

Scientificand Organizing Committee

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History:“the5th”

• 2001Vienna,2004Prague• Aim:“toproviderecommendationsfortheimprovementofsafetyand

healthofathleteswhosufferconcussiveinjuriesinicehockey,rugby,football(soccer)aswellasothersports”

• Summary&AgreementStatements

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2008Zurich

• FirstformalConsensusMeeting• Framework:– NationalInstitutesofHealth(NIH)– ConsensusDevelopmentConferenceFormat

https://prevention.nih.gov/programs-events

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NIHConsensusDevelopment1. Specificquestionsarepreparedandposedinadvancetodefinethescopeand

guidethedirectionoftheconference.2. Asystematicliteraturereviewwaspreparedandcirculatedinadvanceforuseby

thepanelinaddressingtheconferencequestions.3. Expertspresenteddatainapublicsession,followedbyinquiryanddiscussion.4. ExpertPanelmeetsinaclosedsessiontopreparetheconsensusstatement.5. Theprincipletaskofthepanelistoelucidateresponsestothequestions6. Theconsensusstatementisintendedtoserveasthescientificrecordofthe

conference.7. Widelydisseminatedtoachievemaximumimpactonbothcurrenthealthcare

practiceandfuturemedicalresearch.

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2008,2012,2016ConcussioninSportConsensus

Goals• HighestScientificStandard• StructuredFormat• Transparency• ClinicallyApplicableOutcome

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Timeframe

Jan2015

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Timeframe

Jan2015

Apr2015

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Timeframe

Jan2015

Apr2015

Aug2015

Page 10: ©2016 Concussion in Sport · PDF fileRound 1-Scientific Committee -Open Ended – 45 questions suggested Round 2 – Rating (Essential, Desirable, Not a priority) – Wording changes

DevelopmentoftheConsensusQuestionsNEW:ModifiedDelphiMethod

• Initialdrafting,feedbackandrevisionsof

questionswereconducted:

– 5roundswithScientificCommittee(10members)

andExpertPanel(35memberstotal)

10

Page 11: ©2016 Concussion in Sport · PDF fileRound 1-Scientific Committee -Open Ended – 45 questions suggested Round 2 – Rating (Essential, Desirable, Not a priority) – Wording changes

Round1 - ScientificCommittee- OpenEnded– 45questionssuggested

Round2– Rating(Essential,Desirable,Notapriority)– Wordingchangesandother/additionalquestions.– Distilledto14questions+subquestions

Round3 – ExpertPanelRanking– Additionalquestions?

Round4 – ScientificCommittee– Reviewofadditions– Reorganizedandreducedto12questions

Round5– Finalreview– Final12questions(withsub-questions)

DevelopmentoftheConsensusQuestionsModifiedDelphiMethod

Page 12: ©2016 Concussion in Sport · PDF fileRound 1-Scientific Committee -Open Ended – 45 questions suggested Round 2 – Rating (Essential, Desirable, Not a priority) – Wording changes

Timeframe

Jan2015

Apr2015

Nov2015

Aug2015

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ExpertPanel

• Selectedforscientific,clinicalandacademicunderstandingofthetopic/field

• Expertiseandexperience• Notrepresentingorganizationsperse• Broadened toincludemorerelateddisciplines,organizationsandexperts

Page 14: ©2016 Concussion in Sport · PDF fileRound 1-Scientific Committee -Open Ended – 45 questions suggested Round 2 – Rating (Essential, Desirable, Not a priority) – Wording changes

Timeframe

Jan2015

Apr2015

Mar2016

Nov2015

Aug2015

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SystematicReviews

• Ensureliteraturesearchedsystematically• Methodologicalrigour• Standardizedguidelinebasedon:– BJSMAuthorInstructions– PRISMAguidelines

• Focusonsport-relatedconcussion• Discussiontobringinotherrelevantliterature

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SystematicReviews• Included:– Searchstrategydevelopedbycontentexperts(authors)– Searchstrategyreviewedbylibrariansknowledgeableonsystematicreviews(CADTHPeerReviewChecklistforSearchStrategieswasused)• Dr.Alix Hayden• Dr.KathrynSchneider

– Riskofbiastools• Titlessharedwithallleadauthorsandencouragedtodiscussoverlap

• 7meetingsheldduringfinalfivemonthsleadinguptomeeting– LeadAuthors+ScientificCommittee

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Timeframe

Jan2015

Apr2015

Mar2016

Nov2015

Aug2015

Jun2016

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ScientificAbstracts

• Newstructuredonlinereviewprocess• EngagedlargergroupofExpertPanel• 202Accepted (56in2012)

• 178Posterand24oralpresentations• Objective:Addtosystematicreviewsbyprovidinglatestevidence

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Timeframe

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Disclosure

• Allconflictsofinterestdeclared– Relevantrelationships,funding– Direct,Indirect,Perceived

• InternationalJournalofMedicalEditors– Formsubmitted– Postedonline– PrintedinConsensusStatement

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2016Format

• Day1&2- Public– Plenarylecturestoaddressfocusedquestions

• Day3-Closed– ExpertPanelmeeting

• Day4– SCAT,ChildSCATandCRT

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PlenarySession–Day1&2

• Nota“continuingmedicaleducation”conference

• Speakerswill:1. Presenttheevidence2. Onafocusedtopic/question3. Giverecommendations,wherepossible4. Stayontime!

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PlenarySession–Day1&2

• Discussion– Paneldiscussion– Audienceparticipation

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ExpertPanelDay3• Todebatepre-definedquestions• Synthesize:

1. Publishedevidence2. Newresearch(abstracts)3. Plenarysessionsummary4. Audienceinput

• Interprettheevidenceanddraftaconsensusstatement

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TheTask

• Achieveconsensuson12Keyquestions• Consensusdoesnotneedtobeunanimous– Optionfordissentingopinion/minorityopinion–Withdrawal

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Day4

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Theendgoal

• Asimple,clearmessageandtoolsthatwillequipthepractitioner todiagnoseandmanageconcussioninsport

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Timeframe

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Jun2016

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Timeframe

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MeetingDetails

• 1hourplenarysessionforeachofthe12questions/themes:– Oralabstract(s)~10min.– Presentationofsystematicreviewsummary~25min.– Paneldiscussionwithaudience~20min.

• Precededbyabstractpostersession“breaks”– Groupedbythemes

Page 32: ©2016 Concussion in Sport · PDF fileRound 1-Scientific Committee -Open Ended – 45 questions suggested Round 2 – Rating (Essential, Desirable, Not a priority) – Wording changes

APointinTime

• TheConsensusConferenceitselfisonlyonepointintime– 18monthspreparation– Informationexchange,discussion,feedback– Followedbydrafting/writingofconsensusdocument

– Tobecompletedandreleasedinearly2017

Page 33: ©2016 Concussion in Sport · PDF fileRound 1-Scientific Committee -Open Ended – 45 questions suggested Round 2 – Rating (Essential, Desirable, Not a priority) – Wording changes

ConcussionConsensusProcess

©2016ConcussioninSportGroup


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