Defining standards for fluoroscopy in gastrointestinal endoscopy using Delphi methodology

<b>Background and study aims</b> Use of fluoroscopy in gastrointestinal endoscopy is an essential aid in advanced endoscopic interventions. However, it also raises concerns about radiation exposure. This study aimed to develop consensus-based statements for safe and effective use of fluoroscopy in gastrointestinal endoscopy, prioritizing the safety and well-being of healthcare workers and patients. <b>Methods</b> A modified Delphi approach was employed to achieve consensus over three rounds of surveys. Proposed statements were generated in Round 1. In the second round, panelists rated potential statements on a 5-point scale, with consensus defined as ≥80% agreement. Statements were subsequently prioritized in Round 3, using a 1 (lowest priority) to 10 (highest priority) scale. <b>Results</b> Forty-six experts participated, consisting of 34 therapeutic endoscopists and 12 endoscopy nurses from six continents, with an overall 45.6% female representation (n = 21). Forty-three item statements were generated in the first round. Of these, 31 statements achieved consensus after the second round. These statements were categorized into General Considerations (n = 6), Education (n = 10), Pregnancy (n = 4), Family Planning (n = 2), Patient Safety (n = 4), and Staff Safety (n = 5). In the third round, accepted statements received mean priority scores ranging from 7.28 to 9.36, with 87.2% of statements rated as very high priority (mean score ≥ 9). <b>Conclusions</b> This study presents consensus-based statements for safe and effective use of fluoroscopy in gastrointestinal endoscopy, addressing the well-being of healthcare workers and patients. These consensus-based statements aim to mitigate risks associated with radiation exposure while maintaining benefits of fluoroscopy, ultimately promoting a culture of safety in healthcare settings.

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Publication Details

Journal
Endoscopy International Open
Published
2024-10-07
DOI
https://doi.org/10.1055/a-2427-3893
Citations
4
Primary Topic
Esophageal and GI Pathology
Type
article
Field-Weighted Citation Impact
2.29

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article

Defining standards for fluoroscopy in gastrointestinal endoscopy using Delphi methodology

Natalia Causada Calo, Tony He, Rogier P. Voermans, Mariano Villarroel et al.
4 citations
Endoscopy International Open
Esophageal and GI Pathology
2.29
article

Defining standards for fluoroscopy in gastrointestinal endoscopy using Delphi methodology

Natalia Causada Calo, Tony He, Rogier P. Voermans, Mariano Villarroel, Christopher Teshima, Harry Martin, Asma Alkandari, Eduardo Guimarães Hourneaux de Moura, Arjun Kundra, Cesare Hassan, Alessandro Fugazza, Samir C. Grover, Daniel Tham, Cecilia Binda, Daniel von Renteln, Alessandro Repici, Yusuke Fujiyoshi, Douglas G. Adler, Ganiyat K. Oyeleke, Alan N. Barkun, Reza Gholami, Nauzer Forbes, Sunil Gupta, Michel Kahaleh, Raymond S. Tang, Robert Bechara, Amrita Sethi, Todd H. Baron, Nikko Gimpaya, Payal Saxena, Kareem Khalaf, Yen‐I Chen, Catharine M. Walsh, Jeffrey D. Mosko, W. Reyes, Silvia Carrara, Jeanin E. van Hooft, Ahmed Mokhtar, Marco Spadaccini, Katarzyna M. Pawlak, Reem Z. Sharaiha, Ming‐Yan Cai, Roberta Maselli, Tyler M. Berzin, Tricia Aberin, Dawn Banavage, Alexandra Myszko, Bret T. Petersen, Faina Weinstein, Chooi Peng Low, Krista Navarro, Sharan B. Malipatil, Jowell Akina Chen, Heather Drake, Jessica Redman, Gary R. May, Paul James, Caleb Na, Melanie Im
article en
4 citations

Abstract

<b>Background and study aims</b> Use of fluoroscopy in gastrointestinal endoscopy is an essential aid in advanced endoscopic interventions. However, it also raises concerns about radiation exposure. This study aimed to develop consensus-based statements for safe and effective use of fluoroscopy in gastrointestinal endoscopy, prioritizing the safety and well-being of healthcare workers and patients. <b>Methods</b> A modified Delphi approach was employed to achieve consensus over three rounds of surveys. Proposed statements were generated in Round 1. In the second round, panelists rated potential statements on a 5-point scale, with consensus defined as ≥80% agreement. Statements were subsequently prioritized in Round 3, using a 1 (lowest priority) to 10 (highest priority) scale. <b>Results</b> Forty-six experts participated, consisting of 34 therapeutic endoscopists and 12 endoscopy nurses from six continents, with an overall 45.6% female representation (n = 21). Forty-three item statements were generated in the first round. Of these, 31 statements achieved consensus after the second round. These statements were categorized into General Considerations (n = 6), Education (n = 10), Pregnancy (n = 4), Family Planning (n = 2), Patient Safety (n = 4), and Staff Safety (n = 5). In the third round, accepted statements received mean priority scores ranging from 7.28 to 9.36, with 87.2% of statements rated as very high priority (mean score ≥ 9). <b>Conclusions</b> This study presents consensus-based statements for safe and effective use of fluoroscopy in gastrointestinal endoscopy, addressing the well-being of healthcare workers and patients. These consensus-based statements aim to mitigate risks associated with radiation exposure while maintaining benefits of fluoroscopy, ultimately promoting a culture of safety in healthcare settings.

Endoscopy International OpenVol. 12(11)
Rutgers, The State University of New Jersey (US), University of North Carolina at Chapel Hill (US), SHOWA Medical University (JP), The University of Sydney (AU), St. Michael's Hospital (CA), Beth Israel Deaconess Medical Center (US), University Health Network (CA), Humanitas University (IT), University College London Hospitals NHS Foundation Trust (GB), Harvard University (US), University of Ottawa (CA), Sun Yat-sen University (CN), University of Calgary (CA), Chinese University of Hong Kong (HK), University of Toronto (CA), Cornell University (US), Fudan University (CN), Columbia University Irving Medical Center (US), Royal Prince Alfred Hospital (AU), Porter Adventist Hospital (US), Leiden University Medical Center (NL), Montreal General Hospital (CA), Ottawa Hospital (CA), Lagos University Teaching Hospital (NG), Jahra Hospital (KW), Royal London Hospital (GB), Hospital for Sick Children (CA), Hotel Dieu Hospital (CA), McGill University Health Centre (CA), Johnson University (US), Westmead Hospital (AU), St Vincent's Hospital Melbourne (AU), Portsmouth Hospitals NHS Trust (GB), Chris O’Brien Lifehouse (AU), Ospedale “M. Bufalini” di Cesena (IT), Ospedale G.B. Morgagni - L.Pierantoni (IT), Mayo Clinic in Arizona (US), Zhongshan Hospital (CN), The First Affiliated Hospital, Sun Yat-sen University (CN), University of Virginia Medical Center (US), Azienda-Unita' Sanitaria Locale Di Cesena (IT), Westmead Institute (AU), SickKids Foundation (CA), Centre Hospitalier de l’Université de Montréal (CA), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (BR), Koto Hospital (JP), Hospital Británico de Buenos Aires (AR), Amsterdam University Medical Centers (NL), Fondazione Humanitas per la Ricerca (IT), Istituti di Ricovero e Cura a Carattere Scientifico (IT), The Wilson Centre (CA), Kingston Health Sciences Centre (CA), IRCCS Humanitas Research Hospital (IT), Weill Cornell Medicine (US), SHOWA Medical University Koto Toyosu Hospital (JP), University College London (GB), McGill University (CA), University of Amsterdam (NL)
AstraZeneca, Sanofi, Boston Scientific Corporation, Cook Medical, Aboca S.p.A. Società Agricola
Good health and well-being
Openalex Percentile: Top 11%
Esophageal and GI Pathology
2.29
DOIOpen Access PDFOpenAlex
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