PMID- 37158676
OWN - NLM
STAT- Publisher
LR  - 20230509
IS  - 1532-5040 (Electronic)
IS  - 0959-3985 (Linking)
DP  - 2023 May 9
TI  - Identifying which adverse events associated with dry needling should be included 
      for informed consent: A modified e-Delphi study.
PG  - 1-13
LID - 10.1080/09593985.2023.2208668 [doi]
AB  - OBJECTIVE: Dry needling (DN) uses a monofilament needle to reduce pain and is 
      performed by various healthcare professions. Due to the invasive needle puncture, 
      adverse events (AEs) have been associated with DN. It is unclear, which AEs 
      should be included in a risk statement for Informed Consent (IC). The purpose of 
      this study was to identify which AEs should be included in a risk statement for 
      IC. METHODS: A three-round e-Delphi study was undertaken using a panel of DN 
      experts. Expert inclusion criteria included: (1) >/=5 years practice performing DN 
      and one of the following secondary criteria: (A) certification in DN; (B) 
      completion of a manual therapy fellowship that included DN training; or (C) >/=1 
      publication involving the use of DN. Participants rated their level of agreement 
      using a 4-point Likert scale. Consensus was defined as either: 1) >/=80% agreement; 
      or 2) >/=70% and <80% agreement with median >/=3, interquartile range </=1, and 
      standard deviation </=1. RESULTS: A total of 14 (28%) AEs achieved final consensus 
      in Round 3 for inclusion on IC. Kendall's Coefficient (w) of agreement for Round 
      2 was 0.213 and improved to 0.349 after Round 3. Wilcoxon rank tests revealed 
      statistically significant changes for 12 of the 50 AEs. CONCLUSION: Consensus was 
      attained for 14 AEs for inclusion on IC. The AEs identified can be used for the 
      development of a shorter, more concise IC risk statement. A total of 93.6% of 
      experts agreed on definitions for AE classification.
FAU - Ickert, Edmund C
AU  - Ickert EC
AUID- ORCID: 0000-0002-8002-1279
AD  - Department of Graduate Studies and Rehabilitation Sciences, Youngstown State 
      University, Youngstown, OH, USA.
FAU - Griswold, David
AU  - Griswold D
AUID- ORCID: 0000-0002-5597-5572
AD  - Department of Graduate Studies and Rehabilitation Sciences, Youngstown State 
      University, Youngstown, OH, USA.
FAU - Learman, Ken
AU  - Learman K
AUID- ORCID: 0000-0002-5047-9852
AD  - Department of Graduate Studies and Rehabilitation Sciences, Youngstown State 
      University, Youngstown, OH, USA.
FAU - Cook, Chad
AU  - Cook C
AUID- ORCID: 0000-0001-8622-8361
AD  - Department of Orthopaedics, Duke University, Durham ,NC, USA.
LA  - eng
PT  - Journal Article
DEP - 20230509
PL  - England
TA  - Physiother Theory Pract
JT  - Physiotherapy theory and practice
JID - 9015520
SB  - IM
OTO - NOTNLM
OT  - Adverse events
OT  - Delphi
OT  - dry needling
OT  - informed consent
EDAT- 2023/05/09 13:42
MHDA- 2023/05/09 13:42
CRDT- 2023/05/09 09:42
PHST- 2023/05/09 13:42 [medline]
PHST- 2023/05/09 13:42 [pubmed]
PHST- 2023/05/09 09:42 [entrez]
AID - 10.1080/09593985.2023.2208668 [doi]
PST - aheadofprint
SO  - Physiother Theory Pract. 2023 May 9:1-13. doi: 10.1080/09593985.2023.2208668.