ArticleCanadian journal of kidney health and disease2015
A modified Delphi process to identify process of care indicators for the identification, prevention and management of acute kidney injury after major surgery.
Article in Canadian journal of kidney health and disease, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.
- Quality indicators of continuous renal replacement therapy (CRRT) care in critically ill patients: a systematic review.Intensive care medicine · 2017Pooled it
- International Delphi consensus on acute kidney injury: Foundations for AI-driven digital twin development in critical care nephrology.PloS one · 2026Article
- Nephrologist's Perceptions of Risk of Severe Chronic Kidney Disease and Outpatient Follow-up After Hospitalization With AKI: Multinational Randomized Survey Study.Canadian journal of kidney health and disease · 2025Article
- An E-Delphi study to facilitate animal welfare assessment in Italian zoos and aquaria.PloS one · 2025Article
- Stepped-Wedge Trial of Decision Support for Acute Kidney Injury on Surgical Units.Kidney international reports · 2024Article
- Development and initial implementation of electronic clinical decision supports for recognition and management of hospital-acquired acute kidney injury.BMC medical informatics and decision making · 2020Article
- A Delphi consultation to assess indicators of readiness to provide quality health facility-based lymphoedema management services.PLoS neglected tropical diseases · 2018Article
Corrections and comments
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe outcomes of acute kidney injury (AKI) are well appreciated. However, valid indicators of high quality processes of care for AKI after major surgery are lacking.
objectivesTo identify indicators of high quality processes of care related to AKI prevention, identification, and management after major surgery.
designA three stage modified Delphi process.
settingThe study was conducted in Alberta, Canada using an online format.
participantsA panel of care providers from surgery, critical care, and nephrology. MEASUREMENTS: The degree of validity of candidate indicators were rated by panelists on a 7-point Likert scale that ranged from "strongly disagree" to "strongly agree".
methodsA focused literature review was performed to identify candidate indicators. A modified Delphi process, with three rounds, was used to obtain expert consensus on the validity of potential process of care quality indicators.
resultsThirty-three physicians participated (6 from surgery, 10 from critical care, and 17 from nephrology). A list of 58 potential process of care quality indicators for AKI after surgery was generated including 28 indicators from the initial literature review and 30 indicators suggested by panelists. Following the third round of questioning, 40 process of care indicators were identified with a high level of agreement for face validity; 16 of these reached high consensus among all panelists. LIMITATIONS: The consensus of panelists from Alberta, Canada may not be generalizable to other settings. The modified Delphi process did not focus on the feasibility of measuring these process indicators.
conclusionsThese indicators can be used to measure and improve the quality of care for AKI after major surgery.
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