Editor's Choice - Infective Native Aortic Aneurysms

TY - JOUR

T1 - Editor's Choice - Infective Native Aortic Aneurysms

T2 - A Delphi Consensus Document on Terminology, Definition, Classification, Diagnosis, and Reporting Standards

AU - Sörelius, Karl

AU - Wyss, Thomas R

AU - Adam, Donald

AU - Beck, Adam W

AU - Berard, Xavier

AU - Budtz-Lilly, Jacob

AU - Chakfé, Nabil

AU - Clough, Rachel

AU - Czerny, Martin

AU - D'Oria, Mario

AU - Dang, Michael

AU - di Summa, Pietro G

AU - Eldrup, Nikolaj

AU - Fourneau, Inge

AU - Heinola, Ivika

AU - Hosaka, Akihiro

AU - Hsu, Ron-Bin

AU - Huang, Yao-Kuang

AU - Jutidamrongphan, Warissara

AU - Kan, Chung-Dann

AU - Kölbel, Tilo

AU - Lau, Christopher

AU - Lawaetz, Martin

AU - Mani, Kevin

AU - Moulakakis, Konstantinos

AU - Oderich, Gustavo S

AU - Resch, Timothy

AU - Schmidli, Jürg

AU - Sedivy, Petr

AU - Shirasu, Takuro

AU - Suwannanon, Ruedeekorn

AU - Szeberin, Zoltan

AU - Touma, Joseph

AU - van den Berg, Jos C

AU - Veger, Hugo

AU - Wanhainen, Anders

AU - Weiss, Salome

AU - Candy-Plug Collaborators

N1 - Copyright © 2022 The Author(s). Published by Elsevier B.V. All rights reserved.

PY - 2023/3

Y1 - 2023/3

N2 - OBJECTIVE: There is no consensus regarding the terminology, definition, classification, diagnostic criteria, and algorithm, or reporting standards for the disease of infective native aortic aneurysm (INAA), previously known as mycotic aneurysm. The aim of this study was to establish this by performing a consensus study.METHODS: The Delphi methodology was used. Thirty-seven international experts were invited via mail to participate. Four two week Delphi rounds were performed, using an online questionnaire, initially with 22 statements and nine reporting items. The panellists rated the statements on a five point Likert scale. Comments on statements were analysed, statements revised, and results presented in iterative rounds. Consensus was defined as ≥ 75% of the panel selecting "strongly agree" or "agree" on the Likert scale, and consensus on the final assessment was defined as Cronbach's alpha coefficient > .80.RESULTS: All 38 panellists completed all four rounds, resulting in 100% participation and agreement that this study was necessary, and the term INAA was agreed to be optimal. Three more statements were added based on the results and comments of the panel, resulting in a final 25 statements and nine reporting items. All 25 statements reached an agreement of ≥ 87%, and all nine reporting items reached an agreement of 100%. The Cronbach's alpha increased for each consecutive round (round 1 = .84, round 2 = .87, round 3 = .90, and round 4 = .92). Thus, consensus was reached for all statements and reporting items.CONCLUSION: This Delphi study established the first consensus document on INAA regarding terminology, definition, classification, diagnostic criteria, and algorithm, as well as reporting standards. The results of this study create essential conditions for scientific research on this disease. The presented consensus will need future amendments in accordance with newly acquired knowledge.

AB - OBJECTIVE: There is no consensus regarding the terminology, definition, classification, diagnostic criteria, and algorithm, or reporting standards for the disease of infective native aortic aneurysm (INAA), previously known as mycotic aneurysm. The aim of this study was to establish this by performing a consensus study.METHODS: The Delphi methodology was used. Thirty-seven international experts were invited via mail to participate. Four two week Delphi rounds were performed, using an online questionnaire, initially with 22 statements and nine reporting items. The panellists rated the statements on a five point Likert scale. Comments on statements were analysed, statements revised, and results presented in iterative rounds. Consensus was defined as ≥ 75% of the panel selecting "strongly agree" or "agree" on the Likert scale, and consensus on the final assessment was defined as Cronbach's alpha coefficient > .80.RESULTS: All 38 panellists completed all four rounds, resulting in 100% participation and agreement that this study was necessary, and the term INAA was agreed to be optimal. Three more statements were added based on the results and comments of the panel, resulting in a final 25 statements and nine reporting items. All 25 statements reached an agreement of ≥ 87%, and all nine reporting items reached an agreement of 100%. The Cronbach's alpha increased for each consecutive round (round 1 = .84, round 2 = .87, round 3 = .90, and round 4 = .92). Thus, consensus was reached for all statements and reporting items.CONCLUSION: This Delphi study established the first consensus document on INAA regarding terminology, definition, classification, diagnostic criteria, and algorithm, as well as reporting standards. The results of this study create essential conditions for scientific research on this disease. The presented consensus will need future amendments in accordance with newly acquired knowledge.

U2 - 10.1016/j.ejvs.2022.11.024

DO - 10.1016/j.ejvs.2022.11.024

M3 - SCORING: Journal article

C2 - 36470311

VL - 65

SP - 323

EP - 329

JO - EUR J VASC ENDOVASC

JF - EUR J VASC ENDOVASC

SN - 1078-5884

IS - 3

ER -