Tuberc Respir Dis > Accepted Articles
DOI: https://doi.org/10.4046/trd.2021.0136    [Accepted]
Published online November 15, 2021.
Developing a diagnostic bundle for bronchiectasis in South Korea: A modified Delphi Consensus Study
Hayoung Choi1, Hyun Lee2, Seung Won Ra3, Jong Geol Jang4, Ji-Ho Lee5, Byung Woo Jhun6, Hye Yun Park6, Ji Ye Jung7, Seung Jun Lee8, Kyung-Wook Jo9, Chin Kook Rhee10, Changwhan Kim11, Sei Won Lee9, Kyung Hoon Min12, Yong-Soo Kwon13, Deog Kyeom Kim14, Jin Hwa Lee15, Yong Bum Park16, Eun Hee Chung17, Yae-Jean Kim18, Kwang Ha Yoo19, Yeon-Mok Oh9 
1Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Internal Medicine, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, South Korea
2Division of Pulmonary Medicine and Allergy, Department of Internal Medicine, Hanyang University College of Medicine, Seoul, South Korea
3Division of Pulmonary Medicine, Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, South Korea
4Division of Pulmonology and Allergy, Department of Internal Medicine, College of Medicine, Yeungnam University and Regional Center for Respiratory Diseases, Yeungnam University Medical Center, Daegu, South Korea
5Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, South Korea
6Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea
7Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea
8Department of Internal Medicine, Gyeongsang National University School of Medicine and Gyeongsang National University Hospital, Jinju, South Korea
9Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea
10Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea
11Department of Internal Medicine, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, South Korea
12Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Korea University Guro Hospital, Korea University College of Medicine, Seoul, South Korea
13Department of Internal Medicine, Chonnam National University Medical School, Chonnam National University Hospital, Gwangju, South Korea
14Department of Internal Medicine, Seoul National University College of Medicine, SMG-SNU Borame Medical Center, Seoul, South Korea
15Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, College of Medicine, Ewha Womans University, Seoul, South Korea
16Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Hallym University Kangdong Sacred Heart Hospital, Seoul, South Korea
17Department of Pediatrics, Chungnam National University, College of Medicine, Daejeon, South Korea
18Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea
19Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Konkuk University School of Medicine, Seoul, South Korea
Correspondence:  Yeon-Mok Oh, Tel: 82-2-3010-3136, Fax: 82-2-3010-6968, 
Email: yeonmok.oh@gmail.com
Received: 8 September 2021   • Revised: 19 October 2021   • Accepted: 7 November 2021
Abstract
Background
A diagnostic bundle for bronchiectasis in South Korea is necessary because the etiologies of bronchiectasis and related diseases vary significantly among different regions and ethnicities.
Methods
A modified Delphi method was used to develop expert consensus statements on a diagnostic bundle for bronchiectasis in South Korea. Initial statements proposed by a core panel, based on international bronchiectasis guidelines, were discussed over one online meeting and two email surveys by a panel of experts (≥70% agreement).
Results
Twenty-one experts participated in the study, and 30 statements on a diagnostic bundle for bronchiectasis were classified as recommended, conditional, or not recommended. The expert panel agreed that 1) a standardized diagnostic bundle is useful in clinical practice, 2) diagnostic tests for specific diseases, including immunodeficiency and allergic bronchopulmonary aspergillosis, are necessary when clinically suspected, 3) initial diagnostic tests, including sputum microbiology and spirometry, are essential in all bronchiectasis patients, and 4) patients should be referred to specialized centers when rare causes such as primary ciliary dyskinesia are suspected.
Conclusion
In this Delphi survey, expert consensus statements were generated on which specific diagnostic, laboratory, microbiologic, and pulmonary function tests to obtain when managing patients with bronchiectasis in South Korea.
Key Words: Bronchiectasis, Diagnosis, Consensus guideline, Korea, Survey
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ORCID iDs

Yeon-Mok Oh
https://orcid.org/0000-0003-0116-4683

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