Spray Cryotherapy Esophageal Consortium Consensus Recommendations for Liquid Nitrogen Spray Cryotherapy in Barrett's Esophagus and Esophageal Cancer Using a Modified Delphi Process.

IF 7.6 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY
Tilak Shah, Zaid Ansari, Akram Ahmad, Walter Coyle, Bruce B Greenwald, Toufic Kachaamy, Shivangi Kothari, Neil Sharma, George Smallfield, Shyam Thakkar, Franklin Tsai, Han Zhang, Shai Friedland, Norio Fukami, Shaffer Mok, Alireza Sedarat, Michael Smith, John Vargo, Pankaj Vashi, Field Willingham, Alla Turshudzhyan, Vivek Kaul
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引用次数: 0

Abstract

Introduction: The study aimed to develop consensus recommendations for the safe and appropriate use of liquid nitrogen spray cryotherapy in Barrett's esophagus and esophageal cancer.

Methods: Statements were initially formulated and grouped into categories of indications, training, preprocedure, intraprocedure, and postprocedure recommendations, frequency/timing of repeat procedures, and contraindications. Two investigators assessed the strength of the evidence for each statement using Grading of Recommendations Assessment, Development, and Evaluation methodology. Nineteen experts were invited to participate in a modified Delphi process. For statements that received >80% agreement, minor iterative edits were performed until there was unanimous consensus. If a threshold of 80% agreement was not reached, the statement was modified based on feedback and included in the next Delphi round. Statements were rejected if no consensus was reached after 3 rounds.

Results: After 3 Delphi rounds, 41 of 42 statements were accepted either in their original version (n = 11) or after modification based on expert input (n = 30).

Discussion: Through a modified Delphi process, we developed expert and evidence-based consensus recommendations to guide safe and appropriate use of liquid nitrogen spray cryotherapy in Barrett's esophagus and esophageal cancer.

喷雾冷冻疗法食管癌协会(SPEC)一致推荐使用改进的德尔福过程液氮喷雾冷冻治疗巴雷特食管癌。
本研究旨在为巴雷特食管(BE)和食管癌(EC)安全、适当地使用液氮喷雾冷冻疗法(LNSC)制定共识建议。方法:初步制定陈述,并将其分为适应症、训练、术前、术中和术后建议、重复手术的频率/时间和禁忌症。两名研究者使用分级建议评估、发展和评价(GRADE)方法评估每个陈述的证据强度。19名专家被邀请参加一个改进的德尔菲程序。对于获得bbb80 %一致性的陈述,执行小的迭代编辑,直到达成一致的共识。如果没有达到80%的一致阈值,则根据反馈对声明进行修改,并将其纳入下一轮德尔菲轮。如果在三轮会议后仍未达成协商一致意见,发言将被拒绝。结果:经过3轮Delphi轮询,42个陈述中有41个被接受,或者是原始版本(n = 11),或者是根据专家意见修改后(n = 30)。讨论:通过改进的德尔菲过程,我们制定了专家和基于证据的共识建议,以指导在BE和EC中安全、适当地使用LNSC。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
American Journal of Gastroenterology
American Journal of Gastroenterology 医学-胃肠肝病学
CiteScore
11.40
自引率
5.10%
发文量
458
审稿时长
12 months
期刊介绍: Published on behalf of the American College of Gastroenterology (ACG), The American Journal of Gastroenterology (AJG) stands as the foremost clinical journal in the fields of gastroenterology and hepatology. AJG offers practical and professional support to clinicians addressing the most prevalent gastroenterological disorders in patients.
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