RT Journal Article T1 Establishment of a clinician-led guideline on the diagnosis and treatment of Hirayama disease using a modified Delphi technique. A1 Lyu, Feizhou A1 Zheng, Chaojun A1 Wang, Hongli A1 Nie, Cong A1 Ma, Xiaosheng A1 Xia, Xinlei A1 Zhu, Wei A1 Jin, Xiang A1 Hu, Yongcheng A1 Sun, Yu A1 Zhu, Yu A1 Kuwabara, Satoshi A1 Cortese, Rosa A1 Maqbool Hassan, Kaukab A1 Takai, Keisuke A1 Paredes, Igor A1 Webere, Robert A1 Turk, Margaret A1 Kimura, Jun A1 Jiang, Jianyuan K1 Clinician-led guideline K1 Delphi technique K1 Diagnosis K1 Hirayama disease K1 Treatment AB To establish a clinician-led guideline for the diagnosis and treatment of Hirayama disease (HD) using a modified Delphi technique. Based on a combination of a systematic review and opinion of ten experts, a protocol for the consensus of the diagnosis, treatment and follow-up assessment of HD was established. A modified 3-round Delphi survey was then performed by more than 40 panelists from various countries of the world. Both levels of evidence and levels of agreement were derived in all statements of finial guideline. A total of 47 experts from 6 countries were enrolled in the expert panel in this study. Highly consistent results were achieved during the three Delphi rounds. An expert-led guideline finally constructed includes 24 statements related to diagnosis, treatment and follow-up assessment of HD. The modified Delphi technique used in this study resulted in an expert-led guideline concerning several clinical aspects of HD. This clinician-led guideline may provide a helpful direction for clinical practice with regard to the diagnosis and treatment of HD. YR 2020 FD 2020-03-16 LK https://hdl.handle.net/10668/25346 UL https://hdl.handle.net/10668/25346 LA en DS RISalud RD Apr 17, 2025