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

被引：1

作者：

Kabir, Misha ^{[1
,2
,3
]}

Thomas-Gibson, Siwan ^{[2
,3
,4
,5
]}

Tozer, Phil J. ^{[2
,3
,4
,5
]}

Warusavitarne, Janindra ^{[2
,3
,4
,5
]}

Faiz, Omar ^{[2
,3
,4
,5
]}

Hart, Ailsa ^{[2
,3
,4
,5
]}

Allison, Lisa ^{[6
]}

Acheson, Austin G. ^{[7
]}

Atici, Semra Demirli ^{[8
]}

Avery, Pearl ^{[4
,5
]}

Brar, Mantaj ^{[9
]}

Carvello, Michele ^{[10
,11
]}

Choy, Matthew C. ^{[12
,13
]}

Dart, Robin J. ^{[14
,15
]}

Davies, Justin ^{[16
,17
]}

Dhar, Anjan ^{[18
,19
]}

Din, Shahida ^{[20
]}

Hayee, Bu'Hussain ^{[21
]}

Kandiah, Kesavan ^{[22
]}

Katsanos, Konstantinos H. ^{[23
]}

Lamb, Christopher Andrew ^{[24
,25
]}

Limdi, Jimmy K. ^{[26
,27
]}

Lovegrove, Richard E. ^{[28
]}

Myrelid, Par ^{[29
,30
]}

Noor, Nurulamin ^{[31
]}

Papaconstantinou, Ioannis ^{[32
]}

Petrova, Dafina ^{[33
,34
,35
]}

Pavlidis, Polychronis ^{[36
,37
]}

Pinkney, Thomas ^{[38
]}

Proud, David ^{[39
]}

Radford, Shellie ^{[7
]}

Rao, Rohit ^{[40
]}

Sebastian, Shaji ^{[41
]}

Segal, Jonathan P. ^{[42
]}

Selinger, Christian ^{[43
]}

Spinelli, Antonino ^{[10
,11
]}

Thomas, Kathryn ^{[44
]}

Wolthuis, Albert ^{[45
]}

Wilson, Ana ^{[2
,3
,4
,5
]}

机构：

[1] Univ Coll London Hosp NHS Fdn Trust, Div GI Serv, 235 Euston Rd, London NW1 2BU, England

[2] Imperial Coll London, Dept Surg & Canc, London, England

[3] Imperial Coll London, Dept Metab Digest & Reprod, London, England

[4] St Marks Hosp, Dept Gastroenterol, London, England

[5] St Marks Hosp, Dept Colorectal Surg, London, England

[6] Royal Free Hosp, Dept Gastroenterol, London, England

[7] Nottingham Univ Hosp NHS Trust, Dept Surg, Nottingham, England

[8] Univ Hlth Sci, Tepecik Training & Res Hosp, Dept Surg, Izmir, Turkiye

[9] Univ Toronto, Mt Sinai Hosp, Dept Surg, Toronto, ON, Canada

[10] Humanitas Univ, Dept Biomed Sci, Milan, Italy

[11] IRCCS Humanitas Res Hosp, Dept Surg, Milan, Italy

[12] Austin Hlth, Dept Gastroenterol, Melbourne, Vic, Australia

[13] Univ Melbourne, Austin Acad Ctr, Div Med Dent & Hlth Sci, Melbourne, Vic, Australia

[14] Guys & St Thomas NHS Fdn Trust, Dept Gastroenterol, London, England

[15] Kings Coll London, London, England

[16] Addenbrookes Hosp, Dept Gastroenterol, Cambridge, England

[17] Univ Cambridge, Dept Med, Cambridge, England

[18] Cty Durham & Darlington NHS Fdn Trust, Darlington Mem Hosp, Dept Gastroenterol, Darlington, England

[19] Teesside Univ, Dept Gastroenterol, Middlesbrough, England

[20] NHS Lothian, Western Gen Hosp, Edinburgh IBD Unit, Edinburgh, Scotland

[21] Kings Coll Hosp London, Dept Gastroenterol, London, England

[22] St Georges Univ Hosp NHS Fdn Trust, Dept Gastroenterol, London, England

[23] Univ Ioannina, Dept Internal Med, Div Gastroenterol, Sch Hlth Sci, Ioannina, Greece

[24] Newcastle Univ, Translat & Clin Res Inst, Newcastle Upon Tyne, Tyne & Wear, England

[25] Royal Victoria Infirm, Dept Gastroenterol, Newcastle Upon Tyne, Tyne & Wear, England

[26] Northern Care Alliance NHS Fdn Trust, Dept Gastroenterol, Manchester, Lancs, England

[27] Univ Manchester, Dept Gastroenterol, Manchester, Lancs, England

[28] Worcestershire Acute Hosp NHS Trust, Dept Surg, Worcester, England

[29] Linkoping Univ Hosp, Dept Surg, Linkoping, Sweden

[30] Linkoping Univ, Dept Biomed & Clin Sci, Linkoping, Sweden

[31] Addenbrookes Hosp, Cambridge Univ Hosp, Dept Gastroenterol, Cambridge, England

[32] Natl & Kapodistrian Univ Athens, Aretaieion Hosp, Dept Surg, Athens, Greece

[33] Inst Invest Biosanitaria IbsGRANADA, Granada, Spain

[34] Escuela Andaluza Salud Publ EASP, Granada, Spain

[35] CIBER Epidemiol & Publ Hlth CIBERESP, Madrid, Spain

[36] Guys & St Thomas NHS Fdn Trust, Dept Gastroenterol, London, England

[37] Kings Coll London, Fac Life Sci & Med, London, England

[38] Univ Hosp Birmingham, Dept Surg, Birmingham, W Midlands, England

[39] Austin Hlth, Dept Surg, Heidelberg, Vic, Australia

[40] Royal London Hosp, Barts Hlth NHS Trust, Dept Gastroenterol, London, England

[41] Hull Univ Teaching Hosp NHS Trust, Dept Gastroenterol, Kingston Upon Hull, Yorks, England

[42] Univ Melbourne, Northern Hosp Epping, Dept Gastroenterol, Melbourne, Vic, Australia

[43] Leeds Teaching Hosp NHS Trust, Dept Gastroenterol, Leeds, W Yorkshire, England

[44] Nottingham Univ Hosp, Dept Surg, Nottingham, England

[45] Univ Hosp Leuven, Dept Surg, Leuven, Netherlands

来源：

JOURNAL OF CROHNS & COLITIS | 2023年 / 17卷 / 10期

关键词：

Inflammatory bowel disease; dysplasia management; decision-making; POUCH-ANAL ANASTOMOSIS; QUALITY-OF-LIFE; LOW-GRADE DYSPLASIA; ULCERATIVE-COLITIS PATIENTS; ENDOSCOPIC SUBMUCOSAL DISSECTION; COLORECTAL-CANCER; SEXUAL FUNCTION; ILEORECTAL ANASTOMOSIS; RESTORATIVE PROCTOCOLECTOMY; FOLLOW-UP;

D O I：

10.1093/ecco-jcc/jjad083

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

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 In all, 31 members [15 gastroenterologists, 14 colorectal surgeons and two nurse specialists] from nine 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 and key stakeholder and decision-making expert consultation, we have developed international consensus recommendations to support health care 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.

引用

页码：1652 / 1671

页数：20

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