Evidence map›Paper›PMID 39225794›Full record

ArticleSurgical endoscopy2024

Not just a BLiP: early experience with a novel multidisciplinary case conference for benign hepatopancreatobiliary disease at a tertiary Canadian healthcare center.

Sydney Selznick, Nicholas Mitrou, David Peck, David Hocking, Michael Sey, Brian M Yan, Ephraim Tang, Ken Leslie, Jeff Hawel

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Article in Surgical endoscopy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Sydney SelznickDivision of General Surgery, Western University, London, ON, Canada.ORCID 0009-0007-7448-0923
Nicholas MitrouDivision of General Surgery, Western University, London, ON, Canada.
David PeckDepartment of Medical Imaging, Western University, London, ON, Canada.
David HockingDepartment of Medical Imaging, Western University, London, ON, Canada.
Michael SeyLawson Health Research Institute, London Health Sciences Centre, London, ON, Canada.
Brian M YanLawson Health Research Institute, London Health Sciences Centre, London, ON, Canada.
Ephraim TangDivision of General Surgery, Western University, London, ON, Canada.
Ken LeslieDivision of General Surgery, Western University, London, ON, Canada.
Jeff HawelDivision of General Surgery, Western University, London, ON, Canada. jeff.hawel@lhsc.on.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBenign Liver and Pancreas (BLiPs) rounds, implemented in 2022 at our Canadian tertiary care center, are a novel concept of a multidisciplinary case conference (MCC) for discussion of benign hepatopancreatobiliary (HPB) disease. BLiPs Rounds are a monthly virtual meeting of surgeons, gastroenterologists, and interventional radiologists experienced in biliary and pancreatic disease.

methodsThis case series was completed to review the patient cases discussed over the first year of BLiPs rounds, and to evaluate the effect of the multidisciplinary discussion on patient management plans. Meeting minutes were reviewed for BLiPs rounds between May 2022 and July 2023. Data were collected retrospectively on all discussed patients by review of the electronic medical record, and analyzed using frequencies and means with standard deviations.

resultsBetween May 2022 and July 2023, 56 cases were discussed at 12 case conferences. 68% of cases concerned pancreatic pathology, 25% concerned biliary pathology, the remainder liver or duodenal pathology. 49 cases (88%) were presented to discuss therapeutic options, and 7 presented as diagnostic challenges. Cases were usually presented once, but 7 patients were discussed at multiple conferences due to complex issues or ongoing symptomatology. 40 patients (71%) had undergone previous endoscopic, percutaneous, or surgical interventions prior to discussion. Endoscopic intervention was recommended in 32% of cases, percutaneous interventional approach in 13%, a combined endoscopic and percutaneous approach in 9%, and surgery in 18%. Repeat imaging or observation was recommended in 29% of cases. Discussion at rounds led to a change or adjustment in the proposed management in 46 cases (82%). The plan recommended by the MCC was carried out in 71% of cases.

conclusionBLiPs case conference provides a valuable venue to discuss cases, encourage interdisciplinary collaboration, and refine treatment approaches, leading to a change in proposed management plan in over three-quarters of cases presented.

Indexed as

Biliary Tract DiseasesLiver DiseasesPancreatic DiseasesTertiary Care CentersAdultAgedAged, 80 and overCanadaFemaleHumansInterdisciplinary CommunicationMaleMiddle AgedPatient Care TeamRetrospective StudiesTeaching RoundsBenign hepatobiliary diseaseERCPEUSMultidisciplinary case conferencePancreatitisTherapeutic endoscopy

Identifiers

PMID39225794

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.