The Uniform grading tooL for flexIble ureterorenoscoPes (TULIP-tool): a Delphi consensus project on standardised evaluation of flexible ureterorenoscopes

Michaël M.E.L. Henderickx; Nora Hendriks; Joyce Baard; Oliver J. Wiseman; Kymora B. Scotland; Bhaskar K. Somani; Tarik E. Şener; Esteban Emiliani; Laurian B. Dragos; Luca Villa; Michele Talso; Saeed Bin Hamri; Silvia Proietti; Steeve Doizi; Olivier Traxer; Ben H. Chew; Brian H. Eisner; Manoj Monga; Ryan S. Hsi; Karen L. Stern; David A. Leavitt; Marcelino Rivera; Daniel A. Wollin; Michael Borofsky; Noah E. Canvasser; Johann P. Ingimarsson; Marawan M. El Tayeb; Naeem Bhojani; Nariman Gadzhiev; Thomas Tailly; Otas Durutovic; Udo Nagele; Andreas Skolarikos; Barbara M.A. Schout; Harrie P. Beerlage; Rob C.M. Pelger; Guido M. Kamphuis

doi:10.1111/bju.15916

The Uniform grading tooL for flexIble ureterorenoscoPes (TULIP-tool): a Delphi consensus project on standardised evaluation of flexible ureterorenoscopes

Michaël M.E.L. Henderickx, Nora Hendriks, Joyce Baard, Oliver J. Wiseman, Kymora B. Scotland, Bhaskar K. Somani, Tarik E. Şener, Esteban Emiliani, Laurian B. Dragos, Luca Villa, Michele Talso, Saeed Bin Hamri, Silvia Proietti, Steeve Doizi, Olivier Traxer, Ben H. Chew, Brian H. Eisner, Manoj Monga, Ryan S. Hsi, Karen L. SternDavid A. Leavitt, Marcelino Rivera, Daniel A. Wollin, Michael Borofsky, Noah E. Canvasser, Johann P. Ingimarsson, Marawan M. El Tayeb, Naeem Bhojani, Nariman Gadzhiev, Thomas Tailly, Otas Durutovic, Udo Nagele, Andreas Skolarikos, Barbara M.A. Schout, Harrie P. Beerlage, Rob C.M. Pelger, Guido M. Kamphuis

Urology

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

Objective: To develop a standardised tool to evaluate flexible ureterorenoscopes (fURS). Materials and Methods: A three-stage consensus building approach based on the modified Delphi technique was performed under guidance of a steering group. First, scope- and user-related parameters used to evaluate fURS were identified through a systematic scoping review. Then, the main categories and subcategories were defined, and the expert panel was selected. Finally, a two-step modified Delphi consensus project was conducted to firstly obtain consensus on the relevance and exact definition of each (sub)category necessary to evaluate fURS, and secondly on the evaluation method (setting, used tools and unit of outcome) of those (sub)categories. Consensus was reached at a predefined threshold of 80% high agreement. Results: The panel consisted of 30 experts in the field of endourology. The first step of the modified Delphi consensus project consisted of two questionnaires with a response rate of 97% (n = 29) for both. Consensus was reached for the relevance and definition of six main categories and 12 subcategories. The second step consisted of three questionnaires (response rate of 90%, 97% and 100%, respectively). Consensus was reached on the method of measurement for all (sub)categories. Conclusion: This modified Delphi consensus project reached consensus on a standardised grading tool for the evaluation of fURS – The Uniform grading tooL for flexIble ureterorenoscoPes (TULIP) tool. This is a first step in creating uniformity in this field of research to facilitate future comparison of outcomes of the functionality and handling of fURS.

Original language	English (US)
Pages (from-to)	494-502
Number of pages	9
Journal	BJU International
Volume	131
Issue number	4
DOIs	https://doi.org/10.1111/bju.15916
State	Published - Apr 2023

Bibliographical note

Publisher Copyright:
© 2022 The Authors. BJU International published by John Wiley & Sons Ltd on behalf of BJU International.

Keywords

#EndoUrology
#UroStone
#Urology
Delphi consensus
endourology
evaluation
flexible ureterorenoscope
quality assessment
tool

PubMed: MeSH publication types

Systematic Review
Journal Article

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Henderickx, M. M. E. L., Hendriks, N., Baard, J., Wiseman, O. J., Scotland, K. B., Somani, B. K., Şener, T. E., Emiliani, E., Dragos, L. B., Villa, L., Talso, M., Bin Hamri, S., Proietti, S., Doizi, S., Traxer, O., Chew, B. H., Eisner, B. H., Monga, M., Hsi, R. S., ... Kamphuis, G. M. (2023). The Uniform grading tooL for flexIble ureterorenoscoPes (TULIP-tool): a Delphi consensus project on standardised evaluation of flexible ureterorenoscopes. BJU International, 131(4), 494-502. https://doi.org/10.1111/bju.15916

Henderickx, MMEL, Hendriks, N, Baard, J, Wiseman, OJ, Scotland, KB, Somani, BK, Şener, TE, Emiliani, E, Dragos, LB, Villa, L, Talso, M, Bin Hamri, S, Proietti, S, Doizi, S, Traxer, O, Chew, BH, Eisner, BH, Monga, M, Hsi, RS, Stern, KL, Leavitt, DA, Rivera, M, Wollin, DA, Borofsky, M, Canvasser, NE, Ingimarsson, JP, El Tayeb, MM, Bhojani, N, Gadzhiev, N, Tailly, T, Durutovic, O, Nagele, U, Skolarikos, A, Schout, BMA, Beerlage, HP, Pelger, RCM & Kamphuis, GM 2023, 'The Uniform grading tooL for flexIble ureterorenoscoPes (TULIP-tool): a Delphi consensus project on standardised evaluation of flexible ureterorenoscopes', BJU International, vol. 131, no. 4, pp. 494-502. https://doi.org/10.1111/bju.15916

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title = "The Uniform grading tooL for flexIble ureterorenoscoPes (TULIP-tool): a Delphi consensus project on standardised evaluation of flexible ureterorenoscopes",

abstract = "Objective: To develop a standardised tool to evaluate flexible ureterorenoscopes (fURS). Materials and Methods: A three-stage consensus building approach based on the modified Delphi technique was performed under guidance of a steering group. First, scope- and user-related parameters used to evaluate fURS were identified through a systematic scoping review. Then, the main categories and subcategories were defined, and the expert panel was selected. Finally, a two-step modified Delphi consensus project was conducted to firstly obtain consensus on the relevance and exact definition of each (sub)category necessary to evaluate fURS, and secondly on the evaluation method (setting, used tools and unit of outcome) of those (sub)categories. Consensus was reached at a predefined threshold of 80% high agreement. Results: The panel consisted of 30 experts in the field of endourology. The first step of the modified Delphi consensus project consisted of two questionnaires with a response rate of 97% (n = 29) for both. Consensus was reached for the relevance and definition of six main categories and 12 subcategories. The second step consisted of three questionnaires (response rate of 90%, 97% and 100%, respectively). Consensus was reached on the method of measurement for all (sub)categories. Conclusion: This modified Delphi consensus project reached consensus on a standardised grading tool for the evaluation of fURS – The Uniform grading tooL for flexIble ureterorenoscoPes (TULIP) tool. This is a first step in creating uniformity in this field of research to facilitate future comparison of outcomes of the functionality and handling of fURS.",

keywords = "#EndoUrology, #UroStone, #Urology, Delphi consensus, endourology, evaluation, flexible ureterorenoscope, quality assessment, tool",

author = "Henderickx, {Micha{\"e}l M.E.L.} and Nora Hendriks and Joyce Baard and Wiseman, {Oliver J.} and Scotland, {Kymora B.} and Somani, {Bhaskar K.} and {\c S}ener, {Tarik E.} and Esteban Emiliani and Dragos, {Laurian B.} and Luca Villa and Michele Talso and {Bin Hamri}, Saeed and Silvia Proietti and Steeve Doizi and Olivier Traxer and Chew, {Ben H.} and Eisner, {Brian H.} and Manoj Monga and Hsi, {Ryan S.} and Stern, {Karen L.} and Leavitt, {David A.} and Marcelino Rivera and Wollin, {Daniel A.} and Michael Borofsky and Canvasser, {Noah E.} and Ingimarsson, {Johann P.} and {El Tayeb}, {Marawan M.} and Naeem Bhojani and Nariman Gadzhiev and Thomas Tailly and Otas Durutovic and Udo Nagele and Andreas Skolarikos and Schout, {Barbara M.A.} and Beerlage, {Harrie P.} and Pelger, {Rob C.M.} and Kamphuis, {Guido M.}",

note = "Publisher Copyright: {\textcopyright} 2022 The Authors. BJU International published by John Wiley & Sons Ltd on behalf of BJU International.",

year = "2023",

month = apr,

doi = "10.1111/bju.15916",

language = "English (US)",

volume = "131",

pages = "494--502",

journal = "BJU International",

issn = "1464-4096",

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T1 - The Uniform grading tooL for flexIble ureterorenoscoPes (TULIP-tool)

T2 - a Delphi consensus project on standardised evaluation of flexible ureterorenoscopes

AU - Henderickx, Michaël M.E.L.

AU - Hendriks, Nora

AU - Baard, Joyce

AU - Wiseman, Oliver J.

AU - Scotland, Kymora B.

AU - Somani, Bhaskar K.

AU - Şener, Tarik E.

AU - Emiliani, Esteban

AU - Dragos, Laurian B.

AU - Villa, Luca

AU - Talso, Michele

AU - Bin Hamri, Saeed

AU - Proietti, Silvia

AU - Doizi, Steeve

AU - Traxer, Olivier

AU - Chew, Ben H.

AU - Eisner, Brian H.

AU - Monga, Manoj

AU - Hsi, Ryan S.

AU - Stern, Karen L.

AU - Leavitt, David A.

AU - Rivera, Marcelino

AU - Wollin, Daniel A.

AU - Borofsky, Michael

AU - Canvasser, Noah E.

AU - Ingimarsson, Johann P.

AU - El Tayeb, Marawan M.

AU - Bhojani, Naeem

AU - Gadzhiev, Nariman

AU - Tailly, Thomas

AU - Durutovic, Otas

AU - Nagele, Udo

AU - Skolarikos, Andreas

AU - Schout, Barbara M.A.

AU - Beerlage, Harrie P.

AU - Pelger, Rob C.M.

AU - Kamphuis, Guido M.

PY - 2023/4

Y1 - 2023/4

N2 - Objective: To develop a standardised tool to evaluate flexible ureterorenoscopes (fURS). Materials and Methods: A three-stage consensus building approach based on the modified Delphi technique was performed under guidance of a steering group. First, scope- and user-related parameters used to evaluate fURS were identified through a systematic scoping review. Then, the main categories and subcategories were defined, and the expert panel was selected. Finally, a two-step modified Delphi consensus project was conducted to firstly obtain consensus on the relevance and exact definition of each (sub)category necessary to evaluate fURS, and secondly on the evaluation method (setting, used tools and unit of outcome) of those (sub)categories. Consensus was reached at a predefined threshold of 80% high agreement. Results: The panel consisted of 30 experts in the field of endourology. The first step of the modified Delphi consensus project consisted of two questionnaires with a response rate of 97% (n = 29) for both. Consensus was reached for the relevance and definition of six main categories and 12 subcategories. The second step consisted of three questionnaires (response rate of 90%, 97% and 100%, respectively). Consensus was reached on the method of measurement for all (sub)categories. Conclusion: This modified Delphi consensus project reached consensus on a standardised grading tool for the evaluation of fURS – The Uniform grading tooL for flexIble ureterorenoscoPes (TULIP) tool. This is a first step in creating uniformity in this field of research to facilitate future comparison of outcomes of the functionality and handling of fURS.

AB - Objective: To develop a standardised tool to evaluate flexible ureterorenoscopes (fURS). Materials and Methods: A three-stage consensus building approach based on the modified Delphi technique was performed under guidance of a steering group. First, scope- and user-related parameters used to evaluate fURS were identified through a systematic scoping review. Then, the main categories and subcategories were defined, and the expert panel was selected. Finally, a two-step modified Delphi consensus project was conducted to firstly obtain consensus on the relevance and exact definition of each (sub)category necessary to evaluate fURS, and secondly on the evaluation method (setting, used tools and unit of outcome) of those (sub)categories. Consensus was reached at a predefined threshold of 80% high agreement. Results: The panel consisted of 30 experts in the field of endourology. The first step of the modified Delphi consensus project consisted of two questionnaires with a response rate of 97% (n = 29) for both. Consensus was reached for the relevance and definition of six main categories and 12 subcategories. The second step consisted of three questionnaires (response rate of 90%, 97% and 100%, respectively). Consensus was reached on the method of measurement for all (sub)categories. Conclusion: This modified Delphi consensus project reached consensus on a standardised grading tool for the evaluation of fURS – The Uniform grading tooL for flexIble ureterorenoscoPes (TULIP) tool. This is a first step in creating uniformity in this field of research to facilitate future comparison of outcomes of the functionality and handling of fURS.

KW - #EndoUrology

KW - #UroStone

KW - #Urology

KW - Delphi consensus

KW - endourology

KW - evaluation

KW - flexible ureterorenoscope

KW - quality assessment

KW - tool

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The Uniform grading tooL for flexIble ureterorenoscoPes (TULIP-tool): a Delphi consensus project on standardised evaluation of flexible ureterorenoscopes

Abstract

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Keywords

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