{"id":11832,"date":"2022-05-12T13:40:12","date_gmt":"2022-05-12T13:40:12","guid":{"rendered":"https:\/\/www.welphi.com\/como-e-que-o-metodo-delphi-pode-ajudar-os-medicos-a-fazer-recomendacoes-terapeuticas-para-os-doentes-com-hemofilia-a\/"},"modified":"2025-04-21T07:26:15","modified_gmt":"2025-04-21T07:26:15","slug":"como-e-que-o-metodo-delphi-pode-ajudar-os-medicos-a-fazer-recomendacoes-terapeuticas-para-os-doentes-com-hemofilia-a","status":"publish","type":"post","link":"https:\/\/www.welphi.com\/pt-pt\/como-e-que-o-metodo-delphi-pode-ajudar-os-medicos-a-fazer-recomendacoes-terapeuticas-para-os-doentes-com-hemofilia-a\/","title":{"rendered":"Como \u00e9 que o m\u00e9todo Delphi pode ajudar os m\u00e9dicos a fazer recomenda\u00e7\u00f5es terap\u00eauticas para os doentes com hemofilia A?"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"11832\" class=\"elementor elementor-11832 elementor-5561\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-63d0127c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"63d0127c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-275319e6\" data-id=\"275319e6\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-47cdd02 elementor-widget elementor-widget-text-editor\" data-id=\"47cdd02\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"font-weight: 400;\">O m\u00e9todo Delphi \u00e9 uma t\u00e9cnica de refer\u00eancia para chegar a um consenso de grupo. Nos cuidados de sa\u00fade, quando n\u00e3o existem protocolos de tratamento ou n\u00e3o est\u00e3o dispon\u00edveis provas s\u00f3lidas, o m\u00e9todo Delphi pode desempenhar um papel vital na facilita\u00e7\u00e3o da tomada de decis\u00f5es. <\/p><p style=\"font-weight: 400;\">Um grupo de investigadores do PRECISIONheor, sediado nos EUA, teve como objetivo identificar \u00e1reas de consenso e desacordo entre hematologistas relativamente a op\u00e7\u00f5es terap\u00eauticas para doentes com hemofilia A grave.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0620a84 elementor-widget elementor-widget-hub_fancy_heading\" data-id=\"0620a84\" data-element_type=\"widget\" data-widget_type=\"hub_fancy_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n\t\t<div id=\"ld-fancy-heading-69e373d14606f\" class=\"ld-fancy-heading pos-rel\">\n\t\t\t<h4 class=\"ld-fh-element d-inline-block pos-rel  elementor-heading-title lqd-highlight-classic lqd-highlight-grow-left h4\"  > <div><\/div>Como \u00e9 que o estudo foi feito?<\/h4>\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8f8a84c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8f8a84c\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-30a0406\" data-id=\"30a0406\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bde9f4a elementor-widget elementor-widget-text-editor\" data-id=\"bde9f4a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"font-weight: 400;\">Veeranki e colegas (2021) reuniram um grupo de hematologistas para obter uma compreens\u00e3o mais ampla das pr\u00e1ticas de gest\u00e3o da hemofilia A grave de dif\u00edcil tratamento sem inibidores.<\/p><p style=\"font-weight: 400;\">Em primeiro lugar, realizaram uma extensa revis\u00e3o da literatura para identificar os tratamentos dispon\u00edveis, as vantagens e as necessidades n\u00e3o satisfeitas, bem como os desafios percebidos pelos m\u00e9dicos que tratam pacientes com hemofilia A grave sem inibidores.<\/p><p style=\"font-weight: 400;\">Em seguida, a equipa de estudo utilizou o Welphi, a nossa plataforma de inqu\u00e9ritos em linha que implementa o m\u00e9todo Delphi num ambiente virtual, para realizar um processo Delphi de 3 rondas baseado na Web.<\/p><p style=\"font-weight: 400;\">Na primeira ronda, 13 peritos cl\u00ednicos analisaram diferentes cen\u00e1rios cl\u00ednicos concebidos para revelar as suas prefer\u00eancias por uma determinada op\u00e7\u00e3o de tratamento utilizando uma escala de 1-100, em que 1 era considerado uma op\u00e7\u00e3o de tratamento altamente indesej\u00e1vel e 100 era considerado uma op\u00e7\u00e3o altamente recomendada. Tamb\u00e9m classificaram os factores que afectam a tomada de decis\u00f5es de tratamento. Na segunda ronda, os peritos participaram numa discuss\u00e3o online ass\u00edncrona na plataforma Welphi para debater e rever os resultados da primeira ronda. Finalmente, na terceira ronda, foi pedido aos peritos que respondessem novamente \u00e0s perguntas iniciais da primeira ronda \u00e0 luz das respostas da ronda anterior.   <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-84cde56 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"84cde56\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-558e76b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"558e76b\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-38cc146\" data-id=\"38cc146\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8057677 elementor-widget elementor-widget-hub_fancy_heading\" data-id=\"8057677\" data-element_type=\"widget\" data-widget_type=\"hub_fancy_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n\t\t<div id=\"ld-fancy-heading-69e373d146f90\" class=\"ld-fancy-heading pos-rel\">\n\t\t\t<h4 class=\"ld-fh-element d-inline-block pos-rel  elementor-heading-title lqd-highlight-classic lqd-highlight-grow-left h4\"  > Resultados<\/h4>\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2e2cb09 elementor-widget elementor-widget-text-editor\" data-id=\"2e2cb09\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"font-weight: 400;\">Os peritos chegaram a um consenso sobre a utiliza\u00e7\u00e3o da terapia de substitui\u00e7\u00e3o do fator VIII (FVIII) em combina\u00e7\u00e3o com o emicizumab, uma profilaxia de anticorpos no tratamento de doentes com hemofilia de alto risco.  <\/p><p style=\"font-weight: 400;\">Isto inclui a utiliza\u00e7\u00e3o adequada de FVIII em combina\u00e7\u00e3o com emicizumab durante e imediatamente ap\u00f3s a cirurgia para doentes com cirurgia electiva e FVIII epis\u00f3dico seguido de emicizumab para rec\u00e9m-nascidos com hemorragia p\u00f3s-circuncis\u00e3o.<\/p><p style=\"font-weight: 400;\">A maioria dos membros do painel preferiu o FVIII ao emicizumab devido \u00e0 evid\u00eancia estabelecida sobre seguran\u00e7a e efic\u00e1cia.<\/p><p style=\"font-weight: 400;\">Estas recomenda\u00e7\u00f5es complementam as diretrizes de tratamento existentes e apoiam os m\u00e9dicos na gest\u00e3o de doentes com hemofilia A sem inibidores.<\/p><p style=\"font-weight: 400;\">Para mais detalhes, podes <a href=\"https:\/\/www.dovepress.com\/a-delphi-consensus-approach-for-difficult-to-treat-patients-with-sever-peer-reviewed-fulltext-article-JBM\" target=\"_blank\" rel=\"noopener\">aceder \u00e0 publica\u00e7\u00e3o do estudo aqui<\/a>. Para saber mais sobre a nossa Plataforma Welphi, <a href=\"https:\/\/www.welphi.com\/en\/Home.html\">visita o nosso website<\/a> ou <a href=\"https:\/\/www.welphi.com\/en\/contact.html\">envia-nos uma mensagem<\/a>! <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-02d1806 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"02d1806\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2278bb2\" data-id=\"2278bb2\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-dd0899e elementor-widget elementor-widget-ld_fancy_image\" data-id=\"dd0899e\" data-element_type=\"widget\" data-widget_type=\"ld_fancy_image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n\t\t<div class=\"lqd-imggrp-single d-block pos-rel \">\n\t\t\t<div class=\"lqd-imggrp-img-container d-inline-flex pos-rel align-items-center justify-content-center \">\n\t\t\t\t\t\t\t\t<figure class=\"w-100 pos-rel\">\n\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"640\" height=\"360\" src=\"https:\/\/www.welphi.com\/wp-content\/uploads\/2021\/06\/Welphi-therapeutic-recomendations-hemophilia-patients.jpg\" class=\"attachment-full size-full wp-image-10028\" alt=\"\" srcset=\"https:\/\/www.welphi.com\/wp-content\/uploads\/2021\/06\/Welphi-therapeutic-recomendations-hemophilia-patients.jpg 640w, https:\/\/www.welphi.com\/wp-content\/uploads\/2021\/06\/Welphi-therapeutic-recomendations-hemophilia-patients-300x169.jpg 300w\" sizes=\"(max-width: 640px) 100vw, 640px\" itemprop=\"image\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5faffdd elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5faffdd\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b1c70ed\" data-id=\"b1c70ed\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-91577f4 elementor-widget elementor-widget-hub_fancy_heading\" data-id=\"91577f4\" data-element_type=\"widget\" data-widget_type=\"hub_fancy_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n\t\t<div id=\"ld-fancy-heading-69e373d14970b\" class=\"ld-fancy-heading pos-rel\">\n\t\t\t<h4 class=\"ld-fh-element d-inline-block pos-rel  elementor-heading-title lqd-highlight-classic lqd-highlight-grow-left h4\"  > Refer\u00eancias<\/h4>\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c8d587d elementor-widget elementor-widget-text-editor\" data-id=\"c8d587d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Veeranki SP, Pednekar P, Graf M, Tuly R, Recht M, Batt K. A Delphi Consensus Approach for difficult-to-treat Patients with Severe Hemophilia A without Inhibitors. J Blood Med. 2021 Oct 21;12:913-928. doi: 10.2147\/JBM.S334852. PMID: 34707422; PMCID: PMC8544791.   <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Os peritos chegaram a um consenso sobre a utiliza\u00e7\u00e3o da terapia de substitui\u00e7\u00e3o do fator VIII (FVIII) em combina\u00e7\u00e3o com o emicizumab, uma profilaxia de anticorpos no tratamento de doentes com hemofilia de alto risco.  <\/p>\n","protected":false},"author":1,"featured_media":10030,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[61],"tags":[62,58],"class_list":["post-11832","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog-pt-pt","tag-delphi-pt-pt","tag-welphi-pt-pt"],"_links":{"self":[{"href":"https:\/\/www.welphi.com\/pt-pt\/wp-json\/wp\/v2\/posts\/11832","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.welphi.com\/pt-pt\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.welphi.com\/pt-pt\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.welphi.com\/pt-pt\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.welphi.com\/pt-pt\/wp-json\/wp\/v2\/comments?post=11832"}],"version-history":[{"count":1,"href":"https:\/\/www.welphi.com\/pt-pt\/wp-json\/wp\/v2\/posts\/11832\/revisions"}],"predecessor-version":[{"id":11833,"href":"https:\/\/www.welphi.com\/pt-pt\/wp-json\/wp\/v2\/posts\/11832\/revisions\/11833"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.welphi.com\/pt-pt\/wp-json\/wp\/v2\/media\/10030"}],"wp:attachment":[{"href":"https:\/\/www.welphi.com\/pt-pt\/wp-json\/wp\/v2\/media?parent=11832"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.welphi.com\/pt-pt\/wp-json\/wp\/v2\/categories?post=11832"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.welphi.com\/pt-pt\/wp-json\/wp\/v2\/tags?post=11832"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}