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  • Leenhardt, R.Paris-Sorbonne University (författare)

A guide for assessing the clinical relevance of findings in small bowel capsule endoscopy : analysis of 8064 answers of international experts to an illustrated script questionnaire

  • Artikel/kapitelEngelska2021

Förlag, utgivningsår, omfång ...

  • Elsevier BV,2021

Nummerbeteckningar

  • LIBRIS-ID:oai:lup.lub.lu.se:35078d75-b357-4668-b430-ae9762cfce0f
  • https://lup.lub.lu.se/record/35078d75-b357-4668-b430-ae9762cfce0fURI
  • https://doi.org/10.1016/j.clinre.2021.101637DOI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:art swepub-publicationtype
  • Ämneskategori:ref swepub-contenttype

Anmärkningar

  • Background and aim: Although recommended, the P-score used for assessing the pertinence / relevance of findings seen in small bowel (SB) capsule endoscopy (CE) is based on a low level of knowledge. The aim of this study was to evaluate the clinical relevance of the most frequent SBCE findings through an illustrated script questionnaire. Materials and Methods: Sixteen types of SBCE findings were illustrated four times each in three different settings (occult and overt obscure gastrointestinal bleeding and suspected Crohn's disease), and with a variable number (n = 1/n = 2–5/n ≥ 6), thus providing a questionnaire with 192 scenarios and 576 illustrated questions. Fifteen international experts were asked to rate the finding's relevance for each question as very unlikely (−2) / unlikely (−1) / doubtful (0) / likely (+1) / very likely (+2). The median score (≤−0.75, between -0.75 and 0.75, or ≥0.75) obtained for each scenario determined a low (P0), intermediate (P1) or high (P2) relevance, respectively. Results: 8064 answers were analyzed. Participation and completion rates were 93% and 100%, respectively. In overt or occult OGIB, resultant P2 findings were 'typical angiectasia', 'deep ulceration', 'stenosis', and'blood', whatever their numbers, and 'superficial ulcerations' when multiple. While in suspected CD, consensus P2 lesions were 'deep ulceration' and 'stenosis' whatever their numbers, and 'aphthoid erosions' and 'superficial ulcerations' when multiple. Conclusion: This study establishes a guide for the evaluation of relevance of SBCE findings. It represents a step forward for SB-CE interpretation and is intended to be used as a tool for teaching and academic research.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Koulaouzidis, A.Royal Infirmary of Edinburgh(Swepub:lu)med-aku (författare)
  • McNamara, D.Tallaght University Hospital (författare)
  • Keuchel, M. (författare)
  • Sidhu, R.Royal Hallamshire Hospital (författare)
  • McAlindon, M. E.Royal Hallamshire Hospital (författare)
  • Saurin, J. C.Hôpital Edouard Herriot (författare)
  • Eliakim, R. (författare)
  • Fernandez-Urien Sainz, I.Hospital of Navarra, Pamplona (författare)
  • Plevris, J. N.Royal Infirmary of Edinburgh (författare)
  • Rahmi, G.Paris Diderot University (författare)
  • Rondonotti, E.Valduce Hospital (författare)
  • Rosa, B.University of Minho (författare)
  • Spada, C.Catholic University of the Sacred Heart, Rome (författare)
  • Toth, E.Lund University,Lunds universitet,Gastroenterologi,Forskargrupper vid Lunds universitet,Gastroenterology,Lund University Research Groups,Skåne University Hospital(Swepub:lu)ront-eto (författare)
  • Houdeville, C.Paris-Sorbonne University (författare)
  • Li, C.Paris-Sorbonne University,Drexel University (författare)
  • Robaszkiewicz, M.University Hospital of Brest (författare)
  • Marteau, P.Paris-Sorbonne University (författare)
  • Dray, X.Paris-Sorbonne University (författare)
  • Paris-Sorbonne UniversityRoyal Infirmary of Edinburgh (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Clinics and Research in Hepatology and Gastroenterology: Elsevier BV45:62210-7401

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