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Moving forward through consensus: protocol for a modified Delphi approach to determine the top research priorities in the field of orthopaedic oncology
  1. Patricia Schneider1,
  2. Nathan Evaniew2,
  3. Juan Sebastian Rendon2,
  4. Paula McKay1,
  5. R Lor Randall3,
  6. Robert Turcotte4,
  7. Roberto Vélez5,
  8. Mohit Bhandari1,2,
  9. Michelle Ghert2,6
  10. on behalf of The PARITY Investigators
  1. 1Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada
  2. 2Department of Surgery, McMaster University, Hamilton, Ontario, Canada
  3. 3Department of Orthopaedics, University of Utah, Salt Lake City, Utah, USA
  4. 4Division of Orthopaedic Surgery, McGill University, Montreal, Quebec, Canada
  5. 5Tumour Unit, Department of Orthopaedic Surgery and Traumatology, Hospital Vall d'Hebron, Barcelona, Catalunya, Spain
  6. 6Juravinski Cancer Centre, Hamilton Health Sciences, Hamilton, Ontario, Canada
  1. Correspondence to Dr Michelle Ghert; mghert{at}


Introduction Orthopaedic oncology researchers face several obstacles in the design and execution of randomised controlled trials, including finite fiscal resources to support the rising costs of clinical research and insufficient patient volume at individual sites. As a result, high-quality research to guide clinical practice has lagged behind other surgical subspecialties. A focused approach is imperative to design a research programme that is economical, streamlined and addresses clinically relevant endpoints. The primary objective of this study will be to use a consensus-based approach to identify research priorities for international clinical trials in orthopaedic oncology.

Methods and analysis We will conduct a 3-phase modified Delphi method consisting of 2 sequential rounds of anonymous web-based questionnaires (phases I and II), and an in-person consensus meeting (phase III). Participants will suggest research questions that they believe are of particular importance to the field (phase I), and individually rate each proposed question on 5 criteria (phase II). Research questions that meet predetermined consensus thresholds will be brought forward to the consensus meeting (phase III) for discussion by an expert panel. Following these discussions, the expert panel will be asked to assign scores for each research question, and research questions meeting predetermined criteria will be brought forward for final ranking. The expert panel will then be asked to rank the top 3 research questions, and these 3 research questions will be distributed to the initial group of participants for validation.

Ethics and dissemination An ethics application is currently under review with the Hamilton Integrated Research Ethics Board in Hamilton, Ontario, Canada. The results of this initiative will be disseminated through peer-reviewed publications and conference presentations.

  • Consensus
  • Delphi study
  • Research priorities

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