TY - JOUR
T1 - Consensus-based development of a causal attribution system for post-ERCP adverse events
AU - Forbes, Nauzer
AU - Elmunzer, B. Joseph
AU - Keswani, Rajesh N.
AU - Hilsden, Robert J.
AU - Hall, Matt
AU - Anderson, John T.
AU - Arvanitakis, Marianna
AU - Chen, Yen I.
AU - Duloy, Anna
AU - Elta, Grace H.
AU - Maranki, Jennifer L.
AU - Mergener, Klaus
AU - Petersen, Bret T.
AU - Sethi, Amrita
AU - Siersema, Peter D.
AU - Smith, Zachary L.
AU - Telford, Jennifer J.
AU - Tse, Frances
AU - Cotton, Peter B.
AU - Wani, Sachin
N1 - Publisher Copyright:
©.
PY - 2022/10/1
Y1 - 2022/10/1
N2 - No tool currently exists to help practitioners and researchers attribute causality of adverse events (AEs) to antecedent endoscopic retrograde cholangiopancreatography (ERCP) procedures. After three rounds of iterative feedback from 15 international ERCP experts using the RAND/University of California, Los Angeles Appropriateness Method, definitions and relatedness criteria were drafted for pancreatitis, bleeding, perforation, cholangitis, cholecystitis, abdominal pain and non-gastrointestinal AEs. Inter-panellist agreement was high for all definitions and criteria at the end of the third round. Possible outcomes for relatedness were definite, probable, possible, unlikely, unrelated or unclassifiable. This novel system bridges the gap in attributing causality to an antecedent AE and will serve as a schema for clinical quality assurance and for outcomes-based research.
AB - No tool currently exists to help practitioners and researchers attribute causality of adverse events (AEs) to antecedent endoscopic retrograde cholangiopancreatography (ERCP) procedures. After three rounds of iterative feedback from 15 international ERCP experts using the RAND/University of California, Los Angeles Appropriateness Method, definitions and relatedness criteria were drafted for pancreatitis, bleeding, perforation, cholangitis, cholecystitis, abdominal pain and non-gastrointestinal AEs. Inter-panellist agreement was high for all definitions and criteria at the end of the third round. Possible outcomes for relatedness were definite, probable, possible, unlikely, unrelated or unclassifiable. This novel system bridges the gap in attributing causality to an antecedent AE and will serve as a schema for clinical quality assurance and for outcomes-based research.
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U2 - 10.1136/gutjnl-2022-328059
DO - 10.1136/gutjnl-2022-328059
M3 - Article
C2 - 35817552
AN - SCOPUS:85138182417
SN - 0017-5749
VL - 71
SP - 1963
EP - 1966
JO - Gut
JF - Gut
IS - 10
ER -