Data Sheet 1_Construction of a management protocol for high-risk neurogenic bladder in Chinese patients with type 2 diabetes: a Delphi study.doc
Objectives<p>The objective of this study is to establish an evidence-based protocol for managing high-risk neurogenic bladder (NB) in Chinese patients with T2DM, integrating risk stratification to standardize clinical practice in China region.</p>Methods<p>Through a two-round Delph...
Saved in:
| Main Author: | |
|---|---|
| Other Authors: | , , , , |
| Published: |
2025
|
| Subjects: | |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | Objectives<p>The objective of this study is to establish an evidence-based protocol for managing high-risk neurogenic bladder (NB) in Chinese patients with T2DM, integrating risk stratification to standardize clinical practice in China region.</p>Methods<p>Through a two-round Delphi consensus process involving 20 national experts and evidence synthesis from 13 clinical guidelines and a systematic review, we developed China’s first hierarchical NB risk stratification system. Quantitative analyses incorporated authority weighting (0–1 scale), coordination coefficients, and Kendall’s concordance testing across 81 systematically validated clinical indicators.</p>Results<p>High expert engagement persisted through both rounds (Round 1: 90% response rate; Round 2: 94.7%). Consensus levels demonstrated progressive improvement, with primary indicators achieving the most substantial enhancement (Kendall’s W: 0.289 vs. 0.391, 35.3% improvement). Secondary and tertiary indicators showed 5.5% and 27.4% increases respectively (all p<0.01). The final protocol reached a consensus, including 4 primary indicators, 17 secondary indicators, and 60 tertiary indicators.</p>Conclusion<p>This consensus-driven framework provides innovative clinical tools for NB risk stratification in diabetes care. Its three-tiered structure—integrating policy recommendations, clinical algorithms, and bedside assessment protocols—significantly improves patient management and outcomes, serving as a valuable resource to guide clinical practice.</p> |
|---|