Triaging advanced GI endoscopy procedures during the COVID-19 pandemic: consensus recommendations using the Delphi method.
Identifieur interne : 000186 ( Main/Exploration ); précédent : 000185; suivant : 000187Triaging advanced GI endoscopy procedures during the COVID-19 pandemic: consensus recommendations using the Delphi method.
Auteurs : Mandeep S. Sawhney [États-Unis] ; Mohammad Bilal [États-Unis] ; Heiko Pohl [États-Unis] ; Vladimir M. Kushnir [États-Unis] ; Mouen A. Khashab [États-Unis] ; Allison R. Schulman [États-Unis] ; Tyler M. Berzin [États-Unis] ; Prabhleen Chahal [États-Unis] ; V Raman Muthusamy [États-Unis] ; Shyam Varadarajulu [États-Unis] ; Subhas Banerjee [États-Unis] ; Gregory G. Ginsberg [États-Unis] ; Gottumukkala S. Raju [États-Unis] ; Joseph D. Feuerstein [États-Unis]Source :
- Gastrointestinal endoscopy [ 1097-6779 ] ; 2020.
Descripteurs français
- KwdFr :
- Attitude du personnel soignant (MeSH), Betacoronavirus (MeSH), Consensus (MeSH), Endoscopie gastrointestinale (MeSH), Facteurs temps (MeSH), Humains (MeSH), Infections à coronavirus (prévention et contrôle), Infections à coronavirus (épidémiologie), Maladies gastro-intestinales (chirurgie), Maladies gastro-intestinales (diagnostic), Méthode Delphi (MeSH), Pandémies (prévention et contrôle), Pneumopathie virale (prévention et contrôle), Pneumopathie virale (épidémiologie), Sélection de patients (MeSH), Triage (MeSH).
- MESH :
- chirurgie : Maladies gastro-intestinales.
- diagnostic : Maladies gastro-intestinales.
- prévention et contrôle : Infections à coronavirus, Pandémies, Pneumopathie virale.
- épidémiologie : Infections à coronavirus, Pneumopathie virale.
- Attitude du personnel soignant, Betacoronavirus, Consensus, Endoscopie gastrointestinale, Facteurs temps, Humains, Méthode Delphi, Sélection de patients, Triage.
English descriptors
- KwdEn :
- Attitude of Health Personnel (MeSH), Betacoronavirus (MeSH), COVID-19 (MeSH), Consensus (MeSH), Coronavirus Infections (epidemiology), Coronavirus Infections (prevention & control), Delphi Technique (MeSH), Endoscopy, Gastrointestinal (MeSH), Gastrointestinal Diseases (diagnosis), Gastrointestinal Diseases (surgery), Humans (MeSH), Pandemics (prevention & control), Patient Selection (MeSH), Pneumonia, Viral (epidemiology), Pneumonia, Viral (prevention & control), SARS-CoV-2 (MeSH), Time Factors (MeSH), Triage (MeSH).
- MESH :
- diagnosis : Gastrointestinal Diseases.
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- prevention & control : Coronavirus Infections, Pandemics, Pneumonia, Viral.
- surgery : Gastrointestinal Diseases.
- Attitude of Health Personnel, Betacoronavirus, COVID-19, Consensus, Delphi Technique, Endoscopy, Gastrointestinal, Humans, Patient Selection, SARS-CoV-2, Time Factors, Triage.
Abstract
BACKGROUND AND AIMS
There is a lack of consensus on which GI endoscopic procedures should be performed during the COVID-19 pandemic, and which procedures could be safely deferred without having a significant impact on outcomes.
METHODS
We selected a panel of 14 expert endoscopists. We identified 41 common indications for advanced endoscopic procedures from the ASGE Appropriate Use of GI Endoscopy guidelines. Using a modified Delphi method, we first achieved consensus on the patient-important outcome for each procedural indication. Panelists prioritized consensus patient-important outcome when categorizing each indication into one of the following 3 procedural time periods: (1) time-sensitive emergent (schedule within 1 week), (2) time-sensitive urgent (schedule within 1 to 8 weeks), and (3) non-time sensitive (defer for >8 weeks and then reassess the timing). Three anonymous rounds of voting were allowed before attempts at consensus were abandoned.
RESULTS
All 14 invited experts agreed to participate in the study. The prespecified consensus threshold of 51% was achieved for assigning patient-important outcome(s) to each advanced endoscopy indication. The prespecified consensus threshold of 66.7% was achieved for 40 of 41 advanced endoscopy indications in stratifying them into 1 of 3 procedural time periods. For 12 of 41 indications, 100% consensus was achieved; for 20 of 41 indications, 75% to 99% consensus was achieved.
CONCLUSIONS
By using a Modified Delphi method that prioritized patient-important outcomes, we developed consensus recommendations on procedural timing for common indications for advanced endoscopy. These recommendations and the structured decision framework provided by our study can inform decision making as endoscopy services are reopened.
DOI: 10.1016/j.gie.2020.05.014
PubMed: 32425235
PubMed Central: PMC7229945
Affiliations:
- États-Unis
- Californie, Floride, Maryland, Massachusetts, Michigan, Missouri (État), Ohio, Pennsylvanie, Texas, Vermont
Links toward previous steps (curation, corpus...)
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Triaging advanced GI endoscopy procedures during the COVID-19 pandemic: consensus recommendations using the Delphi method.</title><author><name sortKey="Sawhney, Mandeep S" sort="Sawhney, Mandeep S" uniqKey="Sawhney M" first="Mandeep S" last="Sawhney">Mandeep S. Sawhney</name><affiliation wicri:level="2"><nlm:affiliation>Division of Gastroenterology & Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Division of Gastroenterology & Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Bilal, Mohammad" sort="Bilal, Mohammad" uniqKey="Bilal M" first="Mohammad" last="Bilal">Mohammad Bilal</name><affiliation wicri:level="2"><nlm:affiliation>Division of Gastroenterology & Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Division of Gastroenterology & Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Pohl, Heiko" sort="Pohl, Heiko" uniqKey="Pohl H" first="Heiko" last="Pohl">Heiko Pohl</name><affiliation wicri:level="2"><nlm:affiliation>Dartmouth Geisel School of Medicine, Hanover, NH; Section of Gastroenterology and Hepatology, VA White River Junction, Vermont.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Vermont</region></placeName><wicri:cityArea>Dartmouth Geisel School of Medicine, Hanover, NH; Section of Gastroenterology and Hepatology, VA White River Junction</wicri:cityArea></affiliation></author><author><name sortKey="Kushnir, Vladimir M" sort="Kushnir, Vladimir M" uniqKey="Kushnir V" first="Vladimir M" last="Kushnir">Vladimir M. Kushnir</name><affiliation wicri:level="2"><nlm:affiliation>Division of Gastroenterology, John T. Milliken Department of Medicine, Washington University School of Medicine, St. Louis, Missouri.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Missouri (État)</region></placeName><wicri:cityArea>Division of Gastroenterology, John T. Milliken Department of Medicine, Washington University School of Medicine, St. Louis</wicri:cityArea></affiliation></author><author><name sortKey="Khashab, Mouen A" sort="Khashab, Mouen A" uniqKey="Khashab M" first="Mouen A" last="Khashab">Mouen A. Khashab</name><affiliation wicri:level="2"><nlm:affiliation>Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore</wicri:cityArea></affiliation></author><author><name sortKey="Schulman, Allison R" sort="Schulman, Allison R" uniqKey="Schulman A" first="Allison R" last="Schulman">Allison R. Schulman</name><affiliation wicri:level="2"><nlm:affiliation>Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Michigan</region></placeName><wicri:cityArea>Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor</wicri:cityArea></affiliation></author><author><name sortKey="Berzin, Tyler M" sort="Berzin, Tyler M" uniqKey="Berzin T" first="Tyler M" last="Berzin">Tyler M. Berzin</name><affiliation wicri:level="2"><nlm:affiliation>Division of Gastroenterology & Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Division of Gastroenterology & Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Chahal, Prabhleen" sort="Chahal, Prabhleen" uniqKey="Chahal P" first="Prabhleen" last="Chahal">Prabhleen Chahal</name><affiliation wicri:level="2"><nlm:affiliation>Department of Gastroenterology and Hepatology, Digestive Disease and Surgery Institute, Cleveland Clinic Foundation, Cleveland, Ohio.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Department of Gastroenterology and Hepatology, Digestive Disease and Surgery Institute, Cleveland Clinic Foundation, Cleveland</wicri:cityArea></affiliation></author><author><name sortKey="Muthusamy, V Raman" sort="Muthusamy, V Raman" uniqKey="Muthusamy V" first="V Raman" last="Muthusamy">V Raman Muthusamy</name><affiliation wicri:level="2"><nlm:affiliation>Vatche and Tamar Manoukian Division of Digestive Diseases, University of California, Los Angeles, California.</nlm:affiliation><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Vatche and Tamar Manoukian Division of Digestive Diseases, University of California, Los Angeles</wicri:cityArea></affiliation></author><author><name sortKey="Varadarajulu, Shyam" sort="Varadarajulu, Shyam" uniqKey="Varadarajulu S" first="Shyam" last="Varadarajulu">Shyam Varadarajulu</name><affiliation wicri:level="2"><nlm:affiliation>Center for Interventional Endoscopy, AdventHealth, Orlando, Florida.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Center for Interventional Endoscopy, AdventHealth, Orlando</wicri:cityArea></affiliation></author><author><name sortKey="Banerjee, Subhas" sort="Banerjee, Subhas" uniqKey="Banerjee S" first="Subhas" last="Banerjee">Subhas Banerjee</name><affiliation wicri:level="2"><nlm:affiliation>Stanford University School of Medicine, Stanford, California.</nlm:affiliation><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Stanford University School of Medicine, Stanford</wicri:cityArea></affiliation></author><author><name sortKey="Ginsberg, Gregory G" sort="Ginsberg, Gregory G" uniqKey="Ginsberg G" first="Gregory G" last="Ginsberg">Gregory G. Ginsberg</name><affiliation wicri:level="2"><nlm:affiliation>Gastroenterology Division, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Gastroenterology Division, University of Pennsylvania Perelman School of Medicine, Philadelphia</wicri:cityArea></affiliation></author><author><name sortKey="Raju, Gottumukkala S" sort="Raju, Gottumukkala S" uniqKey="Raju G" first="Gottumukkala S" last="Raju">Gottumukkala S. Raju</name><affiliation wicri:level="2"><nlm:affiliation>The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>The University of Texas MD Anderson Cancer Center, Houston, Texas</wicri:regionArea><placeName><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Feuerstein, Joseph D" sort="Feuerstein, Joseph D" uniqKey="Feuerstein J" first="Joseph D" last="Feuerstein">Joseph D. Feuerstein</name><affiliation wicri:level="2"><nlm:affiliation>Division of Gastroenterology & Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Division of Gastroenterology & Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston</wicri:cityArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32425235</idno><idno type="pmid">32425235</idno><idno type="doi">10.1016/j.gie.2020.05.014</idno><idno type="pmc">PMC7229945</idno><idno type="wicri:Area/Main/Corpus">000707</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000707</idno><idno type="wicri:Area/Main/Curation">000707</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000707</idno><idno type="wicri:Area/Main/Exploration">000707</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Triaging advanced GI endoscopy procedures during the COVID-19 pandemic: consensus recommendations using the Delphi method.</title><author><name sortKey="Sawhney, Mandeep S" sort="Sawhney, Mandeep S" uniqKey="Sawhney M" first="Mandeep S" last="Sawhney">Mandeep S. Sawhney</name><affiliation wicri:level="2"><nlm:affiliation>Division of Gastroenterology & Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Division of Gastroenterology & Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Bilal, Mohammad" sort="Bilal, Mohammad" uniqKey="Bilal M" first="Mohammad" last="Bilal">Mohammad Bilal</name><affiliation wicri:level="2"><nlm:affiliation>Division of Gastroenterology & Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Division of Gastroenterology & Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Pohl, Heiko" sort="Pohl, Heiko" uniqKey="Pohl H" first="Heiko" last="Pohl">Heiko Pohl</name><affiliation wicri:level="2"><nlm:affiliation>Dartmouth Geisel School of Medicine, Hanover, NH; Section of Gastroenterology and Hepatology, VA White River Junction, Vermont.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Vermont</region></placeName><wicri:cityArea>Dartmouth Geisel School of Medicine, Hanover, NH; Section of Gastroenterology and Hepatology, VA White River Junction</wicri:cityArea></affiliation></author><author><name sortKey="Kushnir, Vladimir M" sort="Kushnir, Vladimir M" uniqKey="Kushnir V" first="Vladimir M" last="Kushnir">Vladimir M. Kushnir</name><affiliation wicri:level="2"><nlm:affiliation>Division of Gastroenterology, John T. Milliken Department of Medicine, Washington University School of Medicine, St. Louis, Missouri.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Missouri (État)</region></placeName><wicri:cityArea>Division of Gastroenterology, John T. Milliken Department of Medicine, Washington University School of Medicine, St. Louis</wicri:cityArea></affiliation></author><author><name sortKey="Khashab, Mouen A" sort="Khashab, Mouen A" uniqKey="Khashab M" first="Mouen A" last="Khashab">Mouen A. Khashab</name><affiliation wicri:level="2"><nlm:affiliation>Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore</wicri:cityArea></affiliation></author><author><name sortKey="Schulman, Allison R" sort="Schulman, Allison R" uniqKey="Schulman A" first="Allison R" last="Schulman">Allison R. Schulman</name><affiliation wicri:level="2"><nlm:affiliation>Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Michigan</region></placeName><wicri:cityArea>Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor</wicri:cityArea></affiliation></author><author><name sortKey="Berzin, Tyler M" sort="Berzin, Tyler M" uniqKey="Berzin T" first="Tyler M" last="Berzin">Tyler M. Berzin</name><affiliation wicri:level="2"><nlm:affiliation>Division of Gastroenterology & Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Division of Gastroenterology & Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Chahal, Prabhleen" sort="Chahal, Prabhleen" uniqKey="Chahal P" first="Prabhleen" last="Chahal">Prabhleen Chahal</name><affiliation wicri:level="2"><nlm:affiliation>Department of Gastroenterology and Hepatology, Digestive Disease and Surgery Institute, Cleveland Clinic Foundation, Cleveland, Ohio.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Department of Gastroenterology and Hepatology, Digestive Disease and Surgery Institute, Cleveland Clinic Foundation, Cleveland</wicri:cityArea></affiliation></author><author><name sortKey="Muthusamy, V Raman" sort="Muthusamy, V Raman" uniqKey="Muthusamy V" first="V Raman" last="Muthusamy">V Raman Muthusamy</name><affiliation wicri:level="2"><nlm:affiliation>Vatche and Tamar Manoukian Division of Digestive Diseases, University of California, Los Angeles, California.</nlm:affiliation><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Vatche and Tamar Manoukian Division of Digestive Diseases, University of California, Los Angeles</wicri:cityArea></affiliation></author><author><name sortKey="Varadarajulu, Shyam" sort="Varadarajulu, Shyam" uniqKey="Varadarajulu S" first="Shyam" last="Varadarajulu">Shyam Varadarajulu</name><affiliation wicri:level="2"><nlm:affiliation>Center for Interventional Endoscopy, AdventHealth, Orlando, Florida.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Center for Interventional Endoscopy, AdventHealth, Orlando</wicri:cityArea></affiliation></author><author><name sortKey="Banerjee, Subhas" sort="Banerjee, Subhas" uniqKey="Banerjee S" first="Subhas" last="Banerjee">Subhas Banerjee</name><affiliation wicri:level="2"><nlm:affiliation>Stanford University School of Medicine, Stanford, California.</nlm:affiliation><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Stanford University School of Medicine, Stanford</wicri:cityArea></affiliation></author><author><name sortKey="Ginsberg, Gregory G" sort="Ginsberg, Gregory G" uniqKey="Ginsberg G" first="Gregory G" last="Ginsberg">Gregory G. Ginsberg</name><affiliation wicri:level="2"><nlm:affiliation>Gastroenterology Division, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Gastroenterology Division, University of Pennsylvania Perelman School of Medicine, Philadelphia</wicri:cityArea></affiliation></author><author><name sortKey="Raju, Gottumukkala S" sort="Raju, Gottumukkala S" uniqKey="Raju G" first="Gottumukkala S" last="Raju">Gottumukkala S. Raju</name><affiliation wicri:level="2"><nlm:affiliation>The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>The University of Texas MD Anderson Cancer Center, Houston, Texas</wicri:regionArea><placeName><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Feuerstein, Joseph D" sort="Feuerstein, Joseph D" uniqKey="Feuerstein J" first="Joseph D" last="Feuerstein">Joseph D. Feuerstein</name><affiliation wicri:level="2"><nlm:affiliation>Division of Gastroenterology & Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Division of Gastroenterology & Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston</wicri:cityArea></affiliation></author></analytic><series><title level="j">Gastrointestinal endoscopy</title><idno type="eISSN">1097-6779</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Attitude of Health Personnel (MeSH)</term><term>Betacoronavirus (MeSH)</term><term>COVID-19 (MeSH)</term><term>Consensus (MeSH)</term><term>Coronavirus Infections (epidemiology)</term><term>Coronavirus Infections (prevention & control)</term><term>Delphi Technique (MeSH)</term><term>Endoscopy, Gastrointestinal (MeSH)</term><term>Gastrointestinal Diseases (diagnosis)</term><term>Gastrointestinal Diseases (surgery)</term><term>Humans (MeSH)</term><term>Pandemics (prevention & control)</term><term>Patient Selection (MeSH)</term><term>Pneumonia, Viral (epidemiology)</term><term>Pneumonia, Viral (prevention & control)</term><term>SARS-CoV-2 (MeSH)</term><term>Time Factors (MeSH)</term><term>Triage (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Attitude du personnel soignant (MeSH)</term><term>Betacoronavirus (MeSH)</term><term>Consensus (MeSH)</term><term>Endoscopie gastrointestinale (MeSH)</term><term>Facteurs temps (MeSH)</term><term>Humains (MeSH)</term><term>Infections à coronavirus (prévention et contrôle)</term><term>Infections à coronavirus (épidémiologie)</term><term>Maladies gastro-intestinales (chirurgie)</term><term>Maladies gastro-intestinales (diagnostic)</term><term>Méthode Delphi (MeSH)</term><term>Pandémies (prévention et contrôle)</term><term>Pneumopathie virale (prévention et contrôle)</term><term>Pneumopathie virale (épidémiologie)</term><term>Sélection de patients (MeSH)</term><term>Triage (MeSH)</term></keywords><keywords scheme="MESH" qualifier="chirurgie" xml:lang="fr"><term>Maladies gastro-intestinales</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Gastrointestinal Diseases</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Maladies gastro-intestinales</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Coronavirus Infections</term><term>Pandemics</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Infections à coronavirus</term><term>Pandémies</term><term>Pneumopathie virale</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Gastrointestinal Diseases</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Infections à coronavirus</term><term>Pneumopathie virale</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Attitude of Health Personnel</term><term>Betacoronavirus</term><term>COVID-19</term><term>Consensus</term><term>Delphi Technique</term><term>Endoscopy, Gastrointestinal</term><term>Humans</term><term>Patient Selection</term><term>SARS-CoV-2</term><term>Time Factors</term><term>Triage</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Attitude du personnel soignant</term><term>Betacoronavirus</term><term>Consensus</term><term>Endoscopie gastrointestinale</term><term>Facteurs temps</term><term>Humains</term><term>Méthode Delphi</term><term>Sélection de patients</term><term>Triage</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND AND AIMS</b></p><p>There is a lack of consensus on which GI endoscopic procedures should be performed during the COVID-19 pandemic, and which procedures could be safely deferred without having a significant impact on outcomes.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>We selected a panel of 14 expert endoscopists. We identified 41 common indications for advanced endoscopic procedures from the ASGE Appropriate Use of GI Endoscopy guidelines. Using a modified Delphi method, we first achieved consensus on the patient-important outcome for each procedural indication. Panelists prioritized consensus patient-important outcome when categorizing each indication into one of the following 3 procedural time periods: (1) time-sensitive emergent (schedule within 1 week), (2) time-sensitive urgent (schedule within 1 to 8 weeks), and (3) non-time sensitive (defer for >8 weeks and then reassess the timing). Three anonymous rounds of voting were allowed before attempts at consensus were abandoned.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>All 14 invited experts agreed to participate in the study. The prespecified consensus threshold of 51% was achieved for assigning patient-important outcome(s) to each advanced endoscopy indication. The prespecified consensus threshold of 66.7% was achieved for 40 of 41 advanced endoscopy indications in stratifying them into 1 of 3 procedural time periods. For 12 of 41 indications, 100% consensus was achieved; for 20 of 41 indications, 75% to 99% consensus was achieved.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>By using a Modified Delphi method that prioritized patient-important outcomes, we developed consensus recommendations on procedural timing for common indications for advanced endoscopy. These recommendations and the structured decision framework provided by our study can inform decision making as endoscopy services are reopened.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32425235</PMID><DateCompleted><Year>2020</Year><Month>09</Month><Day>03</Day></DateCompleted><DateRevised><Year>2021</Year><Month>01</Month><Day>10</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1097-6779</ISSN><JournalIssue CitedMedium="Internet"><Volume>92</Volume><Issue>3</Issue><PubDate><Year>2020</Year><Month>09</Month></PubDate></JournalIssue><Title>Gastrointestinal endoscopy</Title><ISOAbbreviation>Gastrointest Endosc</ISOAbbreviation></Journal><ArticleTitle>Triaging advanced GI endoscopy procedures during the COVID-19 pandemic: consensus recommendations using the Delphi method.</ArticleTitle><Pagination><MedlinePgn>535-542</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0016-5107(20)34306-6</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.gie.2020.05.014</ELocationID><Abstract><AbstractText Label="BACKGROUND AND AIMS">There is a lack of consensus on which GI endoscopic procedures should be performed during the COVID-19 pandemic, and which procedures could be safely deferred without having a significant impact on outcomes.</AbstractText><AbstractText Label="METHODS">We selected a panel of 14 expert endoscopists. We identified 41 common indications for advanced endoscopic procedures from the ASGE Appropriate Use of GI Endoscopy guidelines. Using a modified Delphi method, we first achieved consensus on the patient-important outcome for each procedural indication. Panelists prioritized consensus patient-important outcome when categorizing each indication into one of the following 3 procedural time periods: (1) time-sensitive emergent (schedule within 1 week), (2) time-sensitive urgent (schedule within 1 to 8 weeks), and (3) non-time sensitive (defer for >8 weeks and then reassess the timing). Three anonymous rounds of voting were allowed before attempts at consensus were abandoned.</AbstractText><AbstractText Label="RESULTS">All 14 invited experts agreed to participate in the study. The prespecified consensus threshold of 51% was achieved for assigning patient-important outcome(s) to each advanced endoscopy indication. The prespecified consensus threshold of 66.7% was achieved for 40 of 41 advanced endoscopy indications in stratifying them into 1 of 3 procedural time periods. For 12 of 41 indications, 100% consensus was achieved; for 20 of 41 indications, 75% to 99% consensus was achieved.</AbstractText><AbstractText Label="CONCLUSIONS">By using a Modified Delphi method that prioritized patient-important outcomes, we developed consensus recommendations on procedural timing for common indications for advanced endoscopy. These recommendations and the structured decision framework provided by our study can inform decision making as endoscopy services are reopened.</AbstractText><CopyrightInformation>Copyright © 2020 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Sawhney</LastName><ForeName>Mandeep S</ForeName><Initials>MS</Initials><AffiliationInfo><Affiliation>Division of Gastroenterology & Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bilal</LastName><ForeName>Mohammad</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Division of Gastroenterology & Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pohl</LastName><ForeName>Heiko</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Dartmouth Geisel School of Medicine, Hanover, NH; Section of Gastroenterology and Hepatology, VA White River Junction, Vermont.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kushnir</LastName><ForeName>Vladimir M</ForeName><Initials>VM</Initials><AffiliationInfo><Affiliation>Division of Gastroenterology, John T. Milliken Department of Medicine, Washington University School of Medicine, St. Louis, Missouri.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Khashab</LastName><ForeName>Mouen A</ForeName><Initials>MA</Initials><AffiliationInfo><Affiliation>Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Schulman</LastName><ForeName>Allison R</ForeName><Initials>AR</Initials><AffiliationInfo><Affiliation>Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Berzin</LastName><ForeName>Tyler M</ForeName><Initials>TM</Initials><AffiliationInfo><Affiliation>Division of Gastroenterology & Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chahal</LastName><ForeName>Prabhleen</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Gastroenterology and Hepatology, Digestive Disease and Surgery Institute, Cleveland Clinic Foundation, Cleveland, Ohio.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Muthusamy</LastName><ForeName>V Raman</ForeName><Initials>VR</Initials><AffiliationInfo><Affiliation>Vatche and Tamar Manoukian Division of Digestive Diseases, University of California, Los Angeles, California.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Varadarajulu</LastName><ForeName>Shyam</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Center for Interventional Endoscopy, AdventHealth, Orlando, Florida.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Banerjee</LastName><ForeName>Subhas</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Stanford University School of Medicine, Stanford, California.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ginsberg</LastName><ForeName>Gregory G</ForeName><Initials>GG</Initials><AffiliationInfo><Affiliation>Gastroenterology Division, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Raju</LastName><ForeName>Gottumukkala S</ForeName><Initials>GS</Initials><AffiliationInfo><Affiliation>The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Feuerstein</LastName><ForeName>Joseph D</ForeName><Initials>JD</Initials><AffiliationInfo><Affiliation>Division of Gastroenterology & Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>05</Month><Day>16</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Gastrointest Endosc</MedlineTA><NlmUniqueID>0010505</NlmUniqueID><ISSNLinking>0016-5107</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D001291" MajorTopicYN="Y">Attitude of Health Personnel</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="Y">Betacoronavirus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000086382" MajorTopicYN="N">COVID-19</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D032921" MajorTopicYN="N">Consensus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003697" MajorTopicYN="N">Delphi Technique</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016099" MajorTopicYN="Y">Endoscopy, Gastrointestinal</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005767" MajorTopicYN="N">Gastrointestinal Diseases</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018579" MajorTopicYN="N">Patient Selection</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000086402" MajorTopicYN="N">SARS-CoV-2</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014218" MajorTopicYN="Y">Triage</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>04</Month><Day>26</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>05</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>5</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>9</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>5</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32425235</ArticleId><ArticleId IdType="doi">10.1016/j.gie.2020.05.014</ArticleId><ArticleId IdType="pii">S0016-5107(20)34306-6</ArticleId><ArticleId IdType="pmc">PMC7229945</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Clin Gastroenterol Hepatol. 2012 Oct;10(10):1157-61</Citation><ArticleIdList><ArticleId IdType="pubmed">22507875</ArticleId></ArticleIdList></Reference><Reference><Citation>Gastrointest Endosc. 2020 Apr;91(4):753-760.e4</Citation><ArticleIdList><ArticleId IdType="pubmed">31628955</ArticleId></ArticleIdList></Reference><Reference><Citation>Dig Dis Sci. 2011 Oct;56(10):3058-64</Citation><ArticleIdList><ArticleId IdType="pubmed">21487771</ArticleId></ArticleIdList></Reference><Reference><Citation>JAMA Surg. 2014 Oct;149(10):1008-13</Citation><ArticleIdList><ArticleId IdType="pubmed">25133326</ArticleId></ArticleIdList></Reference><Reference><Citation>Gastrointest Endosc Clin N Am. 2019 Apr;29(2):161-171</Citation><ArticleIdList><ArticleId IdType="pubmed">30846146</ArticleId></ArticleIdList></Reference><Reference><Citation>Ann Intensive Care. 2017 Dec;7(1):28</Citation><ArticleIdList><ArticleId IdType="pubmed">28271450</ArticleId></ArticleIdList></Reference><Reference><Citation>Dig Dis Sci. 2012 Sep;57(9):2446-50</Citation><ArticleIdList><ArticleId IdType="pubmed">22573343</ArticleId></ArticleIdList></Reference><Reference><Citation>Gastroenterology. 2020 Aug;159(2):739-758.e4</Citation><ArticleIdList><ArticleId IdType="pubmed">32247018</ArticleId></ArticleIdList></Reference><Reference><Citation>Am J Gastroenterol. 2020 Jun;115(6):801-804</Citation><ArticleIdList><ArticleId IdType="pubmed">32427684</ArticleId></ArticleIdList></Reference><Reference><Citation>Endoscopy. 2018 Sep;50(9):910-930</Citation><ArticleIdList><ArticleId IdType="pubmed">30086596</ArticleId></ArticleIdList></Reference><Reference><Citation>JAMA. 2008 Jun 4;299(21):2543-9</Citation><ArticleIdList><ArticleId IdType="pubmed">18523223</ArticleId></ArticleIdList></Reference><Reference><Citation>Br J Anaesth. 2019 Apr;122(4):408-410</Citation><ArticleIdList><ArticleId IdType="pubmed">30857595</ArticleId></ArticleIdList></Reference><Reference><Citation>J Clin Epidemiol. 2017 Jan;81:3-12</Citation><ArticleIdList><ArticleId IdType="pubmed">27555080</ArticleId></ArticleIdList></Reference><Reference><Citation>Dig Dis Sci. 2013 Jun;58(6):1703-9</Citation><ArticleIdList><ArticleId IdType="pubmed">23633158</ArticleId></ArticleIdList></Reference><Reference><Citation>Gastroenterology. 2019 Oct;157(4):977-984.e3</Citation><ArticleIdList><ArticleId IdType="pubmed">30885778</ArticleId></ArticleIdList></Reference><Reference><Citation>Surg Endosc. 2017 Mar;31(3):1336-1341</Citation><ArticleIdList><ArticleId IdType="pubmed">27444824</ArticleId></ArticleIdList></Reference><Reference><Citation>Gastroenterology. 2017 Sep;153(3):732-742.e1</Citation><ArticleIdList><ArticleId IdType="pubmed">28583826</ArticleId></ArticleIdList></Reference><Reference><Citation>Endoscopy. 2009 Dec;41(12):1095-8</Citation><ArticleIdList><ArticleId IdType="pubmed">19904701</ArticleId></ArticleIdList></Reference><Reference><Citation>Gastroenterology. 2020 Jul;159(1):119-128.e2</Citation><ArticleIdList><ArticleId IdType="pubmed">32173478</ArticleId></ArticleIdList></Reference><Reference><Citation>Gastrointest Endosc. 2012 Jun;75(6):1127-31</Citation><ArticleIdList><ArticleId IdType="pubmed">22624807</ArticleId></ArticleIdList></Reference><Reference><Citation>World J Gastrointest Endosc. 2018 Jan 16;10(1):45-50</Citation><ArticleIdList><ArticleId IdType="pubmed">29375741</ArticleId></ArticleIdList></Reference><Reference><Citation>J Clin Gastroenterol. 2014 Sep;48(8):e67-70</Citation><ArticleIdList><ArticleId IdType="pubmed">24045275</ArticleId></ArticleIdList></Reference><Reference><Citation>AJR Am J Roentgenol. 2004 Apr;182(4):897-903</Citation><ArticleIdList><ArticleId IdType="pubmed">15039161</ArticleId></ArticleIdList></Reference><Reference><Citation>Am J Gastroenterol. 2016 Jan;111(1):30-50; quiz 51</Citation><ArticleIdList><ArticleId IdType="pubmed">26526079</ArticleId></ArticleIdList></Reference><Reference><Citation>Cancer Res. 2013 Feb 1;73(3):1086-96</Citation><ArticleIdList><ArticleId IdType="pubmed">23054397</ArticleId></ArticleIdList></Reference><Reference><Citation>Endosc Int Open. 2020 May;8(5):E693-E698</Citation><ArticleIdList><ArticleId IdType="pubmed">32355889</ArticleId></ArticleIdList></Reference><Reference><Citation>Gastroenterology. 2020 Mar;158(4):1095-1129</Citation><ArticleIdList><ArticleId IdType="pubmed">32122632</ArticleId></ArticleIdList></Reference><Reference><Citation>J Gastroenterol. 2020 Jan;55(1):78-85</Citation><ArticleIdList><ArticleId IdType="pubmed">31473828</ArticleId></ArticleIdList></Reference><Reference><Citation>Jpn J Clin Oncol. 2002 Oct;32(10):407-11</Citation><ArticleIdList><ArticleId IdType="pubmed">12451037</ArticleId></ArticleIdList></Reference><Reference><Citation>Gastrointest Endosc. 2013 Jul;78(1):73-80</Citation><ArticleIdList><ArticleId IdType="pubmed">23523302</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Californie</li><li>Floride</li><li>Maryland</li><li>Massachusetts</li><li>Michigan</li><li>Missouri (État)</li><li>Ohio</li><li>Pennsylvanie</li><li>Texas</li><li>Vermont</li></region></list><tree><country name="États-Unis"><region name="Massachusetts"><name sortKey="Sawhney, Mandeep S" sort="Sawhney, Mandeep S" uniqKey="Sawhney M" first="Mandeep S" last="Sawhney">Mandeep S. Sawhney</name></region><name sortKey="Banerjee, Subhas" sort="Banerjee, Subhas" uniqKey="Banerjee S" first="Subhas" last="Banerjee">Subhas Banerjee</name><name sortKey="Berzin, Tyler M" sort="Berzin, Tyler M" uniqKey="Berzin T" first="Tyler M" last="Berzin">Tyler M. Berzin</name><name sortKey="Bilal, Mohammad" sort="Bilal, Mohammad" uniqKey="Bilal M" first="Mohammad" last="Bilal">Mohammad Bilal</name><name sortKey="Chahal, Prabhleen" sort="Chahal, Prabhleen" uniqKey="Chahal P" first="Prabhleen" last="Chahal">Prabhleen Chahal</name><name sortKey="Feuerstein, Joseph D" sort="Feuerstein, Joseph D" uniqKey="Feuerstein J" first="Joseph D" last="Feuerstein">Joseph D. Feuerstein</name><name sortKey="Ginsberg, Gregory G" sort="Ginsberg, Gregory G" uniqKey="Ginsberg G" first="Gregory G" last="Ginsberg">Gregory G. Ginsberg</name><name sortKey="Khashab, Mouen A" sort="Khashab, Mouen A" uniqKey="Khashab M" first="Mouen A" last="Khashab">Mouen A. Khashab</name><name sortKey="Kushnir, Vladimir M" sort="Kushnir, Vladimir M" uniqKey="Kushnir V" first="Vladimir M" last="Kushnir">Vladimir M. Kushnir</name><name sortKey="Muthusamy, V Raman" sort="Muthusamy, V Raman" uniqKey="Muthusamy V" first="V Raman" last="Muthusamy">V Raman Muthusamy</name><name sortKey="Pohl, Heiko" sort="Pohl, Heiko" uniqKey="Pohl H" first="Heiko" last="Pohl">Heiko Pohl</name><name sortKey="Raju, Gottumukkala S" sort="Raju, Gottumukkala S" uniqKey="Raju G" first="Gottumukkala S" last="Raju">Gottumukkala S. Raju</name><name sortKey="Schulman, Allison R" sort="Schulman, Allison R" uniqKey="Schulman A" first="Allison R" last="Schulman">Allison R. Schulman</name><name sortKey="Varadarajulu, Shyam" sort="Varadarajulu, Shyam" uniqKey="Varadarajulu S" first="Shyam" last="Varadarajulu">Shyam Varadarajulu</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Sante/explor/CovidStanfordV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000186 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000186 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Sante
|area= CovidStanfordV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= pubmed:32425235
|texte= Triaging advanced GI endoscopy procedures during the COVID-19 pandemic: consensus recommendations using the Delphi method.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:32425235" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a CovidStanfordV1
| This area was generated with Dilib version V0.6.38. |  |