Developing a Diagnostic Bundle for Bronchiectasis in South Korea: A Modified Delphi Consensus Study
Hayoung Choi, M.D., Ph.D. (Department of Internal Medicine, Hallym University Kangnam Sacred Heart Hospital)
Hyun Lee, M.D., Ph.D. (Hanyang University College of Medicine)
Seung Won Ra, M.D., Ph.D. (Division of Pulmonary Medicine, Department of Internal Medicine, Ulsan University Hospital)
Jong Geol Jang, M.D. (Yeungnam University Medical Center, Yeungnam University College of Medicine)
Ji-Ho Lee, M.D., Ph.D. (Department of Internal Medicine, Yonsei University Wonju College of Medicine)
Byung Woo Jhun, M.D., Ph.D. (Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul)
Hye Yun Park, M.D., Ph.D. (Department of Medicine, Samsung Medical Center)
Ji Ye Jung, M.D., Ph.D. (Severance Hospital, Younsei University Health System, Yonsei University College of Medicine, Seoul)
Seung Jun Lee, M.D., Ph.D. (Gyeongsang National University Hospital)
Kyung-Wook Jo, M.D., Ph.D. (Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea)
Chin Kook Rhee, M.D., Ph.D. (The Catholic University of Korea)
Changwhan Kim, M.D., Ph.D. (Department of Internal Medicine, Jeju National University Hospital)
Sei Won Lee, M.D., Ph.D (Asan Medical Center, University of Ulsan College of Medicine)
Kyung Hoon Min, M.D., Ph.D. (Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Korea Un)
Yong-Soo Kwon, M.D., Ph.D. (Chonnam National University Medical School)
Deog Kyeom Kim, M.D., Ph.D. (Seoul Metropolitan Government-Seoul National University Boramae Medical Center)
Jin Hwa Lee, M.D., Ph.D. (Ewha Womans University School of Medicine)
Yong Bum Park, M.D., Ph.D. (Department of Internal Medicine, Hallym University Kandong Sacred Heart Hospital)
Eun Hee Chung, M.D., Ph.D. (Department of Pediatrics, Chungnam National University College of Medicine)
Yae-Jean Kim, M.D., Ph.D. (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Kwang Ha Yoo, M.D. Ph.D. (Konkuk University School of Medicine)
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Abstract
Background: Because the etiologies of bronchiectasis and related diseases vary significantly among different regionsand ethnicities, this study aimed to develop a diagnostic bundle for bronchiectasis in South Korea. Methods: A modified Delphi method was used to develop expert consensus statements on a diagnostic bundle forbronchiectasis in South Korea. Initial statements proposed by a core panel, based on international bronchiectasisguidelines, were discussed in an online meeting and two email surveys by a panel of experts (≥70% agreement). Results: The study involved 21 expert participants, and 30 statements regarding a diagnostic bundle for bronchiectasiswere classified as recommended, conditional, or not recommended. The consensus statements of the expert panel wereas follows: A standardized diagnostic bundle is useful in clinical practice; diagnostic tests for specific diseases, includingimmunodeficiency and allergic bronchopulmonary aspergillosis, are necessary when clinically suspected; initialdiagnostic tests, including sputum microbiology and spirometry, are essential in all patients with bronchiectasis, andpatients suspected with rare causes such as primary ciliary dyskinesia should be referred to specialized centers. Conclusion: Based 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 SouthKorea.
- keywords
- Bronchiectasis, Diagnosis, Consensus Guideline, Korea, Survey
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