PittsburghV1, PascalFrancis, Curation, bibRecord, 001F77

Determinant-Based Classification of Acute Pancreatitis Severity: An International Multidisciplinary Consultation

Identifieur interne : 001F77 ( PascalFrancis/Curation ); précédent : 001F76; suivant : 001F78

Determinant-Based Classification of Acute Pancreatitis Severity: An International Multidisciplinary Consultation

Auteurs : E. Patchen Dellinger [États-Unis] ; Christopher E. Forsmark [États-Unis] ; Peter Layer [Allemagne] ; Philippe Levy [France] ; Enrique Maravi-Poma [Espagne] ; Maxim S. Petrov [Nouvelle-Zélande] ; Tooru Shimosegawa [Japon] ; Ajith K. Siriwardena [Royaume-Uni] ; Generoso Uomo [Italie] ; David C. Whitcomb [États-Unis] ; John A. Windsor [Nouvelle-Zélande]

Source :

Annals of surgery [ 0003-4932 ] ; 2012.

RBID : Pascal:13-0048933

Descripteurs français

Pascal (Inist)
- Pancréatite, Déterminant, Classification, Aigu, International, Monde, Multidisciplinaire, Consultation, Médecine, Chirurgie, Traitement.
Wicri :
- topic : Classification, Médecine, Chirurgie.

English descriptors

KwdEn :
- Acute, Classification, Consultation, Determinant, International, Medicine, Multidisciplinary, Pancreatitis, Surgery, Treatment, World.

Abstract

Objective: To develop a new international classification of acute pancreatitis severity on the basis of a sound conceptual framework, comprehensive review of published evidence, and worldwide consultation. Background: The Atlanta definitions of acute pancreatitis severity are ingrained in the lexicon of pancreatologists but suboptimal because these definitions are based on empiric description of occurrences that are merely associated with severity. Methods: A personal invitation to contribute to the development of a new international classification of acute pancreatitis severity was sent to all surgeons, gastroenterologists, internists, intensivists, and radiologists who are currently active in clinical research on acute pancreatitis. The invitation was not limited to members of certain associations or residents of certain countries. A global Web-based survey was conducted and a dedicated international symposium was organized to bring contributors from different disciplines together and discuss the concept and definitions. Result: The new international classification is based on the actual local and systemic determinants of severity, rather than description of events that are correlated with severity. The local determinant relates to whether there is (peri)pancreatic necrosis or not, and if present, whether it is sterile or infected. The systemic determinant relates to whether there is organ failure or not, and if present, whether it is transient or persistent. The presence of one determinant can modify the effect of another such that the presence of both infected (peri)pancreatic necrosis and persistent organ failure have a greater effect on severity than either determinant alone. The derivation of a classification based on the above principles results in 4 categories of severity-mild, moderate, severe, and critical. Conclusions: This classification is the result of a consultative process amongst pancreatologists from 49 countries spanning North America, South America, Europe, Asia, Oceania, and Africa. It provides a set of concise up-to-date definitions of all the main entities pertinent to classifying the severity of acute pancreatitis in clinical practice and research. This ensures that the determinant-based classification can be used in a uniform manner throughout the world.

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C01	`01`		`ENG`	@0 Objective: To develop a new international classification of acute pancreatitis severity on the basis of a sound conceptual framework, comprehensive review of published evidence, and worldwide consultation. Background: The Atlanta definitions of acute pancreatitis severity are ingrained in the lexicon of pancreatologists but suboptimal because these definitions are based on empiric description of occurrences that are merely associated with severity. Methods: A personal invitation to contribute to the development of a new international classification of acute pancreatitis severity was sent to all surgeons, gastroenterologists, internists, intensivists, and radiologists who are currently active in clinical research on acute pancreatitis. The invitation was not limited to members of certain associations or residents of certain countries. A global Web-based survey was conducted and a dedicated international symposium was organized to bring contributors from different disciplines together and discuss the concept and definitions. Result: The new international classification is based on the actual local and systemic determinants of severity, rather than description of events that are correlated with severity. The local determinant relates to whether there is (peri)pancreatic necrosis or not, and if present, whether it is sterile or infected. The systemic determinant relates to whether there is organ failure or not, and if present, whether it is transient or persistent. The presence of one determinant can modify the effect of another such that the presence of both infected (peri)pancreatic necrosis and persistent organ failure have a greater effect on severity than either determinant alone. The derivation of a classification based on the above principles results in 4 categories of severity-mild, moderate, severe, and critical. Conclusions: This classification is the result of a consultative process amongst pancreatologists from 49 countries spanning North America, South America, Europe, Asia, Oceania, and Africa. It provides a set of concise up-to-date definitions of all the main entities pertinent to classifying the severity of acute pancreatitis in clinical practice and research. This ensures that the determinant-based classification can be used in a uniform manner throughout the world.
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Le document en format XML

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<front><div type="abstract" xml:lang="en">Objective: To develop a new international classification of acute pancreatitis severity on the basis of a sound conceptual framework, comprehensive review of published evidence, and worldwide consultation. Background: The Atlanta definitions of acute pancreatitis severity are ingrained in the lexicon of pancreatologists but suboptimal because these definitions are based on empiric description of occurrences that are merely associated with severity. Methods: A personal invitation to contribute to the development of a new international classification of acute pancreatitis severity was sent to all surgeons, gastroenterologists, internists, intensivists, and radiologists who are currently active in clinical research on acute pancreatitis. The invitation was not limited to members of certain associations or residents of certain countries. A global Web-based survey was conducted and a dedicated international symposium was organized to bring contributors from different disciplines together and discuss the concept and definitions. Result: The new international classification is based on the actual local and systemic determinants of severity, rather than description of events that are correlated with severity. The local determinant relates to whether there is (peri)pancreatic necrosis or not, and if present, whether it is sterile or infected. The systemic determinant relates to whether there is organ failure or not, and if present, whether it is transient or persistent. The presence of one determinant can modify the effect of another such that the presence of both infected (peri)pancreatic necrosis and persistent organ failure have a greater effect on severity than either determinant alone. The derivation of a classification based on the above principles results in 4 categories of severity-mild, moderate, severe, and critical. Conclusions: This classification is the result of a consultative process amongst pancreatologists from 49 countries spanning North America, South America, Europe, Asia, Oceania, and Africa. It provides a set of concise up-to-date definitions of all the main entities pertinent to classifying the severity of acute pancreatitis in clinical practice and research. This ensures that the determinant-based classification can be used in a uniform manner throughout the world.</div>
</front>
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<fA02 i1="01"><s0>ANSUA5</s0>
</fA02>
<fA03 i2="1"><s0>Ann. surg.</s0>
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<fA06><s2>6</s2>
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<fA08 i1="01" i2="1" l="ENG"><s1>Determinant-Based Classification of Acute Pancreatitis Severity: An International Multidisciplinary Consultation</s1>
</fA08>
<fA11 i1="01" i2="1"><s1>PATCHEN DELLINGER (E.)</s1>
</fA11>
<fA11 i1="02" i2="1"><s1>FORSMARK (Christopher E.)</s1>
</fA11>
<fA11 i1="03" i2="1"><s1>LAYER (Peter)</s1>
</fA11>
<fA11 i1="04" i2="1"><s1>LEVY (Philippe)</s1>
</fA11>
<fA11 i1="05" i2="1"><s1>MARAVI-POMA (Enrique)</s1>
</fA11>
<fA11 i1="06" i2="1"><s1>PETROV (Maxim S.)</s1>
</fA11>
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</fA11>
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</fA11>
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</fA11>
<fA11 i1="10" i2="1"><s1>WHITCOMB (David C.)</s1>
</fA11>
<fA11 i1="11" i2="1"><s1>WINDSOR (John A.)</s1>
</fA11>
<fA14 i1="01"><s1>Department of Surgery, University of Washington School of Medicine</s1>
<s2>Seattle</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
</fA14>
<fA14 i1="02"><s1>Division of Gastroenterology, Hepatology, and Nutrition, University of Florida College of Medicine</s1>
<s2>Gainesville</s2>
<s3>USA</s3>
<sZ>2 aut.</sZ>
</fA14>
<fA14 i1="03"><s1>Department of Internal Medicine, Israelitic Hospital</s1>
<s2>Hamburg</s2>
<s3>DEU</s3>
<sZ>3 aut.</sZ>
</fA14>
<fA14 i1="04"><s1>Pôle des Maladies de I'Appareil Digestif, Service de Gastroentérologie-Pancréatologie, Hôpital Beaujon</s1>
<s2>Clichy</s2>
<s3>FRA</s3>
<sZ>4 aut.</sZ>
</fA14>
<fA14 i1="05"><s1>Servicio de Medicina Intensiva B, Complejo Hospitalario de Navarra</s1>
<s2>Pamplona</s2>
<s3>ESP</s3>
<sZ>5 aut.</sZ>
</fA14>
<fA14 i1="06"><s1>Department of Surgery, The University of Auckland</s1>
<s2>Auckland</s2>
<s3>NZL</s3>
<sZ>6 aut.</sZ>
<sZ>11 aut.</sZ>
</fA14>
<fA14 i1="07"><s1>Division of Gastroenterology, Tohoku University Graduate School of Medicine</s1>
<s2>Sendai</s2>
<s3>JPN</s3>
<sZ>7 aut.</sZ>
</fA14>
<fA14 i1="08"><s1>Department of Surgery, Manchester Royal Infirmary, University of Manchester</s1>
<s2>Manchester</s2>
<s3>GBR</s3>
<sZ>8 aut.</sZ>
</fA14>
<fA14 i1="09"><s1>Department of Internal Medicine, Cardarelli Hospital</s1>
<s2>Naples</s2>
<s3>ITA</s3>
<sZ>9 aut.</sZ>
</fA14>
<fA14 i1="10"><s1>Division of Gastroenterology, Hepatology and Nutrition, Department of Medicine, Department of Cell Biology and Molecular Physiology, and Department of Human Genetics, University of Pittsburgh</s1>
<s2>Pittsburgh, PA</s2>
<s3>USA</s3>
<sZ>10 aut.</sZ>
</fA14>
<fA17 i1="01" i2="1"><s1>Pancreatitis Across Nations Clinical Research and Education Alliance (PANCREA)</s1>
<s3>USA</s3>
</fA17>
<fA20><s1>875-880</s1>
</fA20>
<fA21><s1>2012</s1>
</fA21>
<fA23 i1="01"><s0>ENG</s0>
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<s1>© 2013 INIST-CNRS. All rights reserved.</s1>
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<fA64 i1="01" i2="1"><s0>Annals of surgery</s0>
</fA64>
<fA66 i1="01"><s0>USA</s0>
</fA66>
<fC01 i1="01" l="ENG"><s0>Objective: To develop a new international classification of acute pancreatitis severity on the basis of a sound conceptual framework, comprehensive review of published evidence, and worldwide consultation. Background: The Atlanta definitions of acute pancreatitis severity are ingrained in the lexicon of pancreatologists but suboptimal because these definitions are based on empiric description of occurrences that are merely associated with severity. Methods: A personal invitation to contribute to the development of a new international classification of acute pancreatitis severity was sent to all surgeons, gastroenterologists, internists, intensivists, and radiologists who are currently active in clinical research on acute pancreatitis. The invitation was not limited to members of certain associations or residents of certain countries. A global Web-based survey was conducted and a dedicated international symposium was organized to bring contributors from different disciplines together and discuss the concept and definitions. Result: The new international classification is based on the actual local and systemic determinants of severity, rather than description of events that are correlated with severity. The local determinant relates to whether there is (peri)pancreatic necrosis or not, and if present, whether it is sterile or infected. The systemic determinant relates to whether there is organ failure or not, and if present, whether it is transient or persistent. The presence of one determinant can modify the effect of another such that the presence of both infected (peri)pancreatic necrosis and persistent organ failure have a greater effect on severity than either determinant alone. The derivation of a classification based on the above principles results in 4 categories of severity-mild, moderate, severe, and critical. Conclusions: This classification is the result of a consultative process amongst pancreatologists from 49 countries spanning North America, South America, Europe, Asia, Oceania, and Africa. It provides a set of concise up-to-date definitions of all the main entities pertinent to classifying the severity of acute pancreatitis in clinical practice and research. This ensures that the determinant-based classification can be used in a uniform manner throughout the world.</s0>
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<fN21><s1>028</s1>
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Determinant-Based Classification of Acute Pancreatitis Severity: An International Multidisciplinary Consultation

Determinant-Based Classification of Acute Pancreatitis Severity: An International Multidisciplinary Consultation

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