About: Triaging advanced GI endoscopy procedures during the COVID-19 Pandemic: consensus recommendations using the Delphi method

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About: Triaging advanced GI endoscopy procedures during the COVID-19 Pandemic: consensus recommendations using the Delphi method Goto Sponge NotDistinct Permalink

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Triaging advanced GI endoscopy procedures during the COVID-19 Pandemic: consensus recommendations using the Delphi method
Creator	Feuerstein, Joseph Israel, Beth Berzin, Tyler Bilal, Mohammad Ginsberg, Gregory Pohl, Heiko Raju, Gottumukkala Sawhney, Mandeep Khashab, Mouen Kushnir, Vladimir Banerjee, Subhas Chalal, Prabhleen Raman Muthusamy, V Schulman, Allison Varadarajulu, Shyam
source	Elsevier; Medline; PMC
abstract	Abstract Background and Aims There remains a lack of consensus on which gastrointestinal endoscopic procedures should be performed during the COVID-19 pandemic, and which procedures could be safely deferred without significantly impacting outcomes. Methods We selected a panel of 14 expert endoscopists. We identified 41 common indications for advanced endoscopic procedures from the ASGE Appropriate Use of GI Endoscopy guidelines. Using a modified Delphi method, we first achieved consensus on patient-important outcome for each procedural indication. Panelists prioritized consensus patient-important outcome when categorizing each indication into one of the following 3 procedural time periods: (1) time-sensitive emergent (schedule within 1 week), (2) time-sensitive urgent (schedule within 1 to 8 weeks), and (3) non-time sensitive (defer for >8 weeks and then reassess the timing). Three anonymous rounds of voting were allowed before attempts at consensus were abandoned. Results All 14 invited experts agreed to participate in the study. The prespecified consensus threshold of 51% was achieved for assigning patient-important outcome/s to each advanced endoscopy indication. The prespecified consensus threshold of 66.7% was achieved for 40 out of 41 advanced endoscopy indications in stratifying them into 1 of 3 procedural time periods. For 12 out of 41 indications 100% consensus, and for 20 out of 41 indications 75% to 99% consensus was achieved. Conclusions By using a Modified Delphi method that prioritized patient-important outcomes, we developed consensus recommendations on procedural timing for common indications for advanced endoscopy. These recommendations and the structured decision framework provided by our study can inform decision-making as endoscopy services are reopened.
has issue date	2020-05-16(xsd:dateTime)
bibo:doi	10.1016/j.gie.2020.05.014
bibo:pmid	32425235
has license	els-covid
sha1sum (hex)	cb1aa86e01417bcf3560a3fc5b5d8b624bd4e948
schema:url	https://doi.org/10.1016/j.gie.2020.05.014
resource representing a document's title	Triaging advanced GI endoscopy procedures during the COVID-19 Pandemic: consensus recommendations using the Delphi method
has PubMed Central identifier	PMC7229945
has PubMed identifier	32425235
schema:publication	Gastrointest Endosc
resource representing a document's body	covid:cb1aa86e01417bcf3560a3fc5b5d8b624bd4e948#body_text
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