ArticleGastrointestinal endoscopy2020
Triaging advanced GI endoscopy procedures during the COVID-19 pandemic: consensus recommendations using the Delphi method.
Article in Gastrointestinal endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Time to Therapy May Not Impact Diagnosis Upstaging in Patients Referred for Management of Luminal Gastrointestinal Neoplasia.Digestive diseases and sciences · 2025Article
- COVID-19 and Sustainable Development Goals (SDGs): Scenario analysis through fuzzy cognitive map modeling.Gondwana research : international geoscience journal · 2023Article
- Characteristics of the endoscopic procedures performed in a hybrid tertiary-level hospital during the first year of the COVID-19 pandemic.Przeglad gastroenterologiczny · 2023Article
- COVID-19's impact on interest in gastrointestinal topics.Environmental science and pollution research international · 2022Article
- Organisation of cancer care in troubling times: A scoping review of expert guidelines and their implementation during the COVID-19 pandemic.Critical reviews in oncology/hematology · 2022Article
- The Effects of COVID-19 on Clinical Outcomes of Non-COVID-19 Patients Hospitalized for Upper Gastrointestinal Bleeding during the Pandemic.Journal of clinical medicine · 2022Article
- Preventive strategy of gastrointestinal endoscopy unit against COVID-19: A tertiary center experience in Taiwan.Journal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi · 2021Article
- Restarting elective endoscopy safely amidst an evolving pandemic and the impact of patient perception.BMC gastroenterology · 2021Article
- Delphi methodology in healthcare research: How to decide its appropriateness.World journal of methodology · 2021Review
- Gastrointestinal manifestations of human immunodeficiency virus and coronavirus disease 2019: Understanding the intersecting regions between the two epidemics.Arab journal of gastroenterology : the official publication of the Pan-Arab Association of Gastroenterology · 2021Review
- Resuming endoscopy during COVID-19 pandemic: ESGE, WEO and WGO Joint Cascade Guideline for Resource Limited Settings.Endoscopy international open · 2021Article
- Triage of General Gastrointestinal Endoscopic Procedures During the COVID-19 Pandemic: Results From a National Delphi Consensus Panel.Techniques and innovations in gastrointestinal endoscopy · 2021Article
- Gastrointestinal endoscopy during the coronavirus pandemic in the New York area: results from a multi-institutional survey.Endoscopy international open · 2020Article
- Gastrointestinal Endoscopy in the Era of COVID-19.Frontiers in medicine · 2020Review
- Prevalence, Mechanisms, and Implications of Gastrointestinal Symptoms in COVID-19.Frontiers in medicine · 2020Review
- Outcome of Conservative Therapy in Coronavirus disease-2019 Patients Presenting With Gastrointestinal Bleeding.Journal of clinical and experimental hepatologyArticle
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Authors and funding
14 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimsThere is a lack of consensus on which GI endoscopic procedures should be performed during the COVID-19 pandemic, and which procedures could be safely deferred without having a significant impact on outcomes.
methodsWe 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 the 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.
resultsAll 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 of 41 advanced endoscopy indications in stratifying them into 1 of 3 procedural time periods. For 12 of 41 indications, 100% consensus was achieved; for 20 of 41 indications, 75% to 99% consensus was achieved.
conclusionsBy 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.
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