关于安全使用LAMS的国际共识建议,用于标签上和标签外的指示,使用修改后的Delphi过程
Sebastian Stefanovic1,2, Douglas G Adler3, Alexander Arlt4
1Department of Gastroenterology, Ghent University Hospital, Ghent, Belgium.
The American journal of gastroenterology
|November 7, 2023
概括
国际专家制定了关于安全使用LAMS的共识建议. 这些指导方针涵盖LAMS程序的一般安全性,特定指示和不良事件管理.
科学领域:
- 胃肠病学 胃肠病学
- 干预性内镜检查是干预性的内镜检查.
背景情况:
- 灯光应用金属支架 (LAMS) 越来越多地用于各种胃肠道手术.
- 标准化的安全应用指南对于最佳的患者治疗结果至关重要.
研究的目的:
- 为安全使用LAMS建立国际共识建议.
- 针对LAMS放置的标签上和标签外的说明.
主要方法:
- 一个经过修改的Delphi过程,涉及国际LAMS专家.
- 使用GRADE方法论对陈述的制定和证据分级.
- 根据专家反来实现共识的声明的代改进.
主要成果:
- 60个表述中的93.3%被接受,在第一轮中达成58.3%的共识.
- 在最佳学习曲线,成像,安全措施和程序技术方面达成共识.
- 针对周胰腺液体收集,胆道/胆囊排水和胃肠静脉术制定了具体建议.
结论:
- 为安全使用LAMS制定了基于证据和经验的一般性和适应症特定的建议.
- 德尔菲进程促进了在LAMS应用的关键方面达成国际协议.
- 这些建议旨在提高LAMS程序的安全性和有效性.
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