miércoles, 9 de mayo de 2018

A Consensus-Driven Agenda for Emergency Medicine Firearm Injury Prevention Research. - PubMed - NCBI

2017 Feb;69(2):227-240. doi: 10.1016/j.annemergmed.2016.08.454. Epub 2016 Dec 18.

A Consensus-Driven Agenda for Emergency Medicine Firearm Injury Prevention Research.

Ranney ML1, Fletcher J2, Alter H3, Barsotti C4, Bebarta VS5, Betz ME5, Carter PM6, Cerdá M7, Cunningham RM8, Crane P9, Fahimi J10, Miller MJ11, Rowhani-Rahbar A12, Vogel JA13, Wintemute GJ7, Waseem M14, Shah MN15; ACEP Technical Advisory Group on Firearm Injury Research, a Subcommittee of the ACEP Research Committee.

Abstract

STUDY OBJECTIVE:

To identify critical emergency medicine-focused firearm injury research questions and develop an evidence-based research agenda.

METHODS:

National content experts were recruited to a technical advisory group for the American College of Emergency Physicians Research Committee. Nominal group technique was used to identify research questions by consensus. The technical advisory group decided to focus on 5 widely accepted categorizations of firearm injury. Subgroups conducted literature reviews on each topic and developed preliminary lists of emergency medicine-relevant research questions. In-person meetings and conference calls were held to iteratively refine the extensive list of research questions, following nominal group technique guidelines. Feedback from external stakeholders was reviewed and integrated.

RESULTS:

Fifty-nine final emergency medicine-relevant research questions were identified, including questions that cut across all firearm injury topics and questions specific to self-directed violence (suicide and attempted suicide), intimate partner violence, peer (nonpartner) violence, mass violence, and unintentional ("accidental") injury. Some questions could be addressed through research conducted in emergency departments; others would require work in other settings.

CONCLUSION:

The technical advisory group identified key emergency medicine-relevant firearm injury research questions. Emergency medicine-specific data are limited for most of these questions. Funders and researchers should consider increasing their attention to firearm injury prevention and control, particularly to the questions identified here and in other recently developed research agendas.