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内镜操作复杂程度分级:美国胃肠内镜学会工作组的研究结果。

Grading the complexity of endoscopic procedures: results of an ASGE working party.

机构信息

Digestive Disease Center, Medical University of South Carolina, Charleston, South Carolina 29425-2900, USA.

出版信息

Gastrointest Endosc. 2011 May;73(5):868-74. doi: 10.1016/j.gie.2010.12.036. Epub 2011 Mar 5.

DOI:10.1016/j.gie.2010.12.036
PMID:21377673
Abstract

BACKGROUND

Working parties of the American Society for Gastrointestinal Endoscopy (ASGE) Quality Committee recently published a proposed new lexicon for adverse events and a separate extensive review of risk factors. The complexity of procedures also affects outcomes.

OBJECTIVE

To establish a system for grading the complexity of endoscopic procedures.

DESIGN

Voting on levels 1 (easiest) to 4 (most difficult) on a list of possible procedures and contexts.

SETTING

Community and academic gastroenterologists in the United States, Canada, and Britain.

MAIN OUTCOME MEASUREMENTS

Median scores of votes cast.

RESULTS

Consensus list of levels 1 through 4 contexts and procedures.

LIMITATIONS

Eminence rather than evidence based.

CONCLUSIONS

A consensus list was developed for comments and testing to complement the proposed lexicons for adverse events and risk factors.

摘要

背景

美国胃肠内镜学会(ASGE)质量委员会的工作组最近发布了一个新的不良事件词汇表和一个单独的风险因素的广泛审查。手术的复杂性也会影响结果。

目的

建立一个分级内镜手术复杂性的系统。

设计

对一系列可能的手术和环境进行 1 级(最简单)到 4 级(最困难)的投票。

地点

美国、加拿大和英国的社区和学术胃肠病学家。

主要观察指标

投票的中位数分数。

结果

确定了 1 到 4 级环境和手术的共识清单。

局限性

基于权威而非证据。

结论

为了补充不良事件和风险因素的建议词汇表,制定了一个共识清单供评论和测试。

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