DECIDE: Delphi Expert Consensus Statement on Inflammatory Bowel Disease Dysplasia Shared Management Decision-Making

Autor: Misha Kabir, Siwan Thomas-Gibson, Phil J Tozer, Janindra Warusavitarne, Omar Faiz, Ailsa Hart, Lisa Allison, Austin G Acheson, Semra Demirli Atici, Pearl Avery, Mantaj Brar, Michele Carvello, Matthew C Choy, Robin J Dart, Justin Davies, Anjan Dhar, Shahida Din, Bu'Hussain Hayee, Kesavan Kandiah, Konstantinos H Katsanos, Christopher Andrew Lamb, Jimmy K Limdi, Richard E Lovegrove, Pär Myrelid, Nurulamin Noor, Ioannis Papaconstantinou, Dafina Petrova, Polychronis Pavlidis, Thomas Pinkney, David Proud, Shellie Radford, Rohit Rao, Shaji Sebastian, Jonathan P Segal, Christian Selinger, Antonino Spinelli, Kathryn Thomas, Albert Wolthuis, Ana Wilson
Rok vydání: 2023
Předmět:
Zdroj: Kabir, M, Thomas-Gibson, S, Tozer, P J, Warusavitarne, J, Faiz, O, Hart, A, Allison, L, Acheson, A G, Atici, S D, Avery, P, Brar, M, Carvello, M, Choy, M C, Dart, R J, Davies, J, Dhar, A, Din, S, Hayee, B, Kandiah, K, Katsanos, K H, Lamb, C A, Limdi, J K, Lovegrove, R E, Myrelid, P, Noor, N, Papaconstantinou, I, Petrova, D, Pavlidis, P, Pinkney, T, Proud, D, Radford, S, Rao, R, Sebastian, S, Segal, J P, Selinger, C, Spinelli, A, Thomas, K, Wolthuis, A & Wilson, A 2023, ' DECIDE: Delphi Expert Consensus Statement on Inflammatory Bowel Disease Dysplasia Shared Management Decision-Making ', Journal of Crohn's and Colitis . https://doi.org/10.1093/ecco-jcc/jjad083
ISSN: 1876-4479
1873-9946
Popis: Background and Aims Inflammatory Bowel Disease colitis-associated dysplasia is managed with either enhanced surveillance and endoscopic resection or prophylactic surgery. The rate of progression to cancer after a dysplasia diagnosis remains uncertain in many cases and patients have high thresholds for accepting proctocolectomy. Individualised discussion of management options is encouraged to take place between patients and their multidisciplinary teams for best outcomes. We aimed to develop a toolkit to support a structured, multidisciplinary and shared decision-making approach to discussions about dysplasia management options between clinicians and their patients. Methods Evidence from systematic literature reviews, mixed-methods studies conducted with key stakeholders and decision-making expert recommendations were consolidated to draft consensus statements by the DECIDE steering group. These were then subjected to an international, multidisciplinary modified electronic Delphi process until an a priori threshold of 80% agreement was achieved to establish consensus for each statement. Results 31 members (15 gastroenterologists, 14 colorectal surgeons and two nurse specialists) from 9 countries formed the Delphi panel. We present the 18 consensus statements generated after two iterative rounds of anonymous voting. Conclusions By consolidating evidence for best practice using literature review, key stakeholder and decision-making expert consultation we have developed international consensus recommendations to support healthcare professionals counselling patients on the management of high cancer risk colitis-associated dysplasia. The final toolkit includes clinician and patient decision aids to facilitate shared decision-making.
Databáze: OpenAIRE
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