Recovery of endoscopy services in the era of COVID-19: recommendations from an international Delphi consensus
Standard
Recovery of endoscopy services in the era of COVID-19: recommendations from an international Delphi consensus. / Bhandari, Pradeep; Subramaniam, Sharmila; Bourke, Michael J; Alkandari, Asma; Chiu, Philip Wai Yan; Brown, James F; Keswani, Rajesh N; Bisschops, Raf; Hassan, Cesare; Raju, Gottumukkala S; Muthusamy, V Raman; Sethi, Amrita; May, Gary R; Albéniz, Eduardo; Bruno, Marco; Kaminski, Michal Filip; Alkhatry, Maryam; Almadi, Majid; Ibrahim, Mostafa; Emura, Fabian; Moura, Eduardo; Navarrete, Claudio; Wulfson, Adolfo; Khor, Christopher; Ponnudurai, Ryan; Inoue, Haruhiro; Saito, Yutaka; Yahagi, Naohisa; Kashin, Sergey; Nikonov, Evgeniy; Yu, Honggang; Maydeo, Amit P; Reddy, D Nageshwar; Wallace, Michael B; Pochapin, Mark Bennett; Rösch, Thomas; Sharma, Prateek; Repici, Alessandro.
In: GUT, Vol. 69, No. 11, 11.2020, p. 1915-1924.Research output: SCORING: Contribution to journal › SCORING: Review article › Research
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Recovery of endoscopy services in the era of COVID-19: recommendations from an international Delphi consensus
AU - Bhandari, Pradeep
AU - Subramaniam, Sharmila
AU - Bourke, Michael J
AU - Alkandari, Asma
AU - Chiu, Philip Wai Yan
AU - Brown, James F
AU - Keswani, Rajesh N
AU - Bisschops, Raf
AU - Hassan, Cesare
AU - Raju, Gottumukkala S
AU - Muthusamy, V Raman
AU - Sethi, Amrita
AU - May, Gary R
AU - Albéniz, Eduardo
AU - Bruno, Marco
AU - Kaminski, Michal Filip
AU - Alkhatry, Maryam
AU - Almadi, Majid
AU - Ibrahim, Mostafa
AU - Emura, Fabian
AU - Moura, Eduardo
AU - Navarrete, Claudio
AU - Wulfson, Adolfo
AU - Khor, Christopher
AU - Ponnudurai, Ryan
AU - Inoue, Haruhiro
AU - Saito, Yutaka
AU - Yahagi, Naohisa
AU - Kashin, Sergey
AU - Nikonov, Evgeniy
AU - Yu, Honggang
AU - Maydeo, Amit P
AU - Reddy, D Nageshwar
AU - Wallace, Michael B
AU - Pochapin, Mark Bennett
AU - Rösch, Thomas
AU - Sharma, Prateek
AU - Repici, Alessandro
N1 - © Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.
PY - 2020/11
Y1 - 2020/11
N2 - The COVID-19 pandemic has had a profound impact on provision of endoscopy services globally as staff and real estate were repurposed. As we begin to recover from the pandemic, a cohesive international approach is needed, and guidance on how to resume endoscopy services safely to avoid unintended harm from diagnostic delays. The aim of these guidelines is to provide consensus recommendations that clinicians can use to facilitate the swift and safe resumption of endoscopy services. An evidence-based literature review was carried out on the various strategies used globally to manage endoscopy during the COVID-19 pandemic and control infection. A modified Delphi process involving international endoscopy experts was used to agree on the consensus statements. A threshold of 80% agreement was used to establish consensus for each statement. 27 of 30 statements achieved consensus after two rounds of voting by 34 experts. The statements were categorised as pre-endoscopy, during endoscopy and postendoscopy addressing relevant areas of practice, such as screening, personal protective equipment, appropriate environments for endoscopy and infection control precautions, particularly in areas of high disease prevalence. Recommendations for testing of patients and for healthcare workers, appropriate locations of donning and doffing areas and social distancing measures before endoscopy are unique and not dealt with by any other guidelines. This international consensus using a modified Delphi method to produce a series of best practice recommendations to aid the safe resumption of endoscopy services globally in the era of COVID-19.
AB - The COVID-19 pandemic has had a profound impact on provision of endoscopy services globally as staff and real estate were repurposed. As we begin to recover from the pandemic, a cohesive international approach is needed, and guidance on how to resume endoscopy services safely to avoid unintended harm from diagnostic delays. The aim of these guidelines is to provide consensus recommendations that clinicians can use to facilitate the swift and safe resumption of endoscopy services. An evidence-based literature review was carried out on the various strategies used globally to manage endoscopy during the COVID-19 pandemic and control infection. A modified Delphi process involving international endoscopy experts was used to agree on the consensus statements. A threshold of 80% agreement was used to establish consensus for each statement. 27 of 30 statements achieved consensus after two rounds of voting by 34 experts. The statements were categorised as pre-endoscopy, during endoscopy and postendoscopy addressing relevant areas of practice, such as screening, personal protective equipment, appropriate environments for endoscopy and infection control precautions, particularly in areas of high disease prevalence. Recommendations for testing of patients and for healthcare workers, appropriate locations of donning and doffing areas and social distancing measures before endoscopy are unique and not dealt with by any other guidelines. This international consensus using a modified Delphi method to produce a series of best practice recommendations to aid the safe resumption of endoscopy services globally in the era of COVID-19.
KW - COVID-19
KW - Consensus
KW - Coronavirus Infections/epidemiology
KW - Cross Infection/prevention & control
KW - Delphi Technique
KW - Endoscopy, Digestive System/methods
KW - Female
KW - Follow-Up Studies
KW - Humans
KW - Incidence
KW - Internationality
KW - Male
KW - Occupational Health
KW - Pandemics/prevention & control
KW - Patient Safety
KW - Pneumonia, Viral/epidemiology
KW - Practice Guidelines as Topic
KW - Risk Assessment
KW - Time Factors
KW - United States
U2 - 10.1136/gutjnl-2020-322329
DO - 10.1136/gutjnl-2020-322329
M3 - SCORING: Review article
C2 - 32816921
VL - 69
SP - 1915
EP - 1924
JO - GUT
JF - GUT
SN - 0017-5749
IS - 11
ER -
