Optimizing the classification of specific whole-nutrient food for special medical purposes based on clinical needs:a core outcome set study
Objective To provide a scientific basis for optimizing the registration and regulation,disease/medical states with a high clinical need for specific whole-nutrient foods for special medical purposes(FSMP-S)were identified.Methods A core outcome set construction method was used in this study.A systematic review was conducted to determine the list of diseases/medical states that could be supported by FSMP-S.Then,a list of diseases/medical states with high clinical demand for FSMP-S was selected through the Delphi method and face-to-face consensus meetings,and optimization suggestions for classifying the FSMP-S were proposed.Results A total of 27 studies were identified,and 103 diseases/medical states with FSMP-S intervention were obtained from 5,984 papers in Chinese and English.Forty-seven physicians and dietitians from 3A hospitals participated in two rounds of Delphi surveys,after which 23 diseases/medical states were recognized as having high clinical demand for FSMP-S.The consensus meeting narrowed the scope of the FSMP-S to a high clinical need of 11 diseases/medical states.Finally,a"1+1"optimization strategy was proposed to add nutritional metabolic characteristics to the classification method for FSMP-S.Conclusion The"1+1"strategy could optimize the classification of FSMP-S from the perspective of clinical application requirements;however,its feasibility remains undemonstrated.
Food for special medical purposesspecific whole-nutrient food for special medical purposessystematic reviewDelphi surveycore outcome set