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New research · Geriatrics
Journal of plastic, reconstructive & aesthetic surgery : JPRAS · 23h
StudyJournal of plastic, reconstructive & aesthetic surgery : JPRAS · 2026

Research priorities in lower leg soft-tissue injuries in older adults: A modified Delphi study (PRIME).

Shiraz Q Shafi, Simon M Graham, David Metcalfe … Justin C R Wormald
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GeriatricsStudy

Eight key research questions were identified for lower leg soft-tissue injuries in older adults.

Research priorities in lower leg soft-tissue injuries in older adults: A modified Delphi study (PRIME).

Shiraz Q Shafi et al. · Journal of plastic, reconstructive & aesthetic surgery : JPRAS · 2026
Background

Lower leg soft-tissue injuries in older adults are common.

Purpose

This study aimed to establish a consensus-driven research agenda for lower leg soft-tissue injuries in older adults using a modified Delphi approach.

Methods

In Round 1, participants submitted open-text responses identifying challenges in assessment and management.

n = 1137 participants
8
Results
questions
key research questions identified for lower leg soft-tissue injuries in older adults
n = 1137 participants
More results

In Round 1137 participants generated 498 research items, which were refined into 30 research questions across 6 domains.

In Round 3168 respondents ranked these questions to establish research priorities.

More results

The final consensus highlighted research priorities relating to decision making between operative and non-operative management, comparative effects on wound healing and mortality, influence of comorbidities, prevention of operative complications, the role of standardised assessment and care pathways, impact of mobility and nutrition and optimal dressing selection.

“
Conclusion

The priorities identified highlight critical evidence gaps and provide a framework to inform future studies and the development of care pathways for this vulnerable patient population.

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