Monitoring established Crohn's disease with pan-intestinal video capsule endoscopy in Europe: clinician consultation using the nominal group technique
Objective: Monitoring established Crohn's disease (CD) through a "treat-to-target" strategy aims to reduce and prevent long-term bowel damage and disability. Despite the availability of different monitoring techniques, there is a current lack of integrated evidence to guide optimal mo...
| Autores: | , , , , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Fecha de publicación: | 2021 |
| País: | España |
| Institución: | Universidad de Navarra |
| Repositorio: | Dadun. Depósito Académico Digital de la Universidad de Navarra |
| Idioma: | inglés |
| OAI Identifier: | oai:dadun.unav.edu:10171/110669 |
| Acceso en línea: | https://hdl.handle.net/10171/110669 |
| Access Level: | acceso abierto |
| Palabra clave: | Crohn’s disease monitoring Nominal group technique Pan-intestinal video capsule endoscopy |
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Monitoring established Crohn's disease with pan-intestinal video capsule endoscopy in Europe: clinician consultation using the nominal group techniqueCarretero-Ribón, C. (Cristina)|||/items/37f2d58e-655b-4c90-9b71-3df3c5034300Carbonnel, F. (Franck)|||/items/f83997aa-5875-45cc-848c-2a8001217636Ferrante, M. (Marc)|||/items/734e9416-43ec-4269-be32-783086d6325fKnudsen, T. (Torben)|||/items/d219bcce-5605-4d26-ad48-6a56c016f935Van-Lent, N. (Nancy)|||/items/78542eb2-e502-46d9-bd0a-124c1489f423Lobo, A.J. (Alan J.)|||/items/e5945acf-8ed6-43aa-9d2e-9719fd3eed55Negreanu, L. (Lucian)|||/items/dadadd62-59b2-43cf-8f17-3c487fee67a3Vojvodic, A. (Ana)|||/items/eab585ad-3aa7-49de-bfa8-d9a17da1b729Oliva, S. (Salvatore)|||/items/c7409b4b-9cb5-4892-a181-cc3d0c437b6aCrohn’s disease monitoringNominal group techniquePan-intestinal video capsule endoscopyObjective: Monitoring established Crohn's disease (CD) through a "treat-to-target" strategy aims to reduce and prevent long-term bowel damage and disability. Despite the availability of different monitoring techniques, there is a current lack of integrated evidence to guide optimal monitoring in terms of appropriate tools and timing. Pan-intestinal video capsule endoscopy (PCE) enables non-invasive and direct visualization of the entire intestinal tract with proven safety and efficacy. This study aims to generate insights on the value of PCE for monitoring established CD from the physician's perspective. Methods: The Nominal Group Technique (NGT) was used to create discussion around pre-defined research questions aimed at identifying target patient populations for PCE, benefits of PCE in terms of improving disease management, comparative benefits of PCE over standard of care, research priorities to ratify the use of PCE, and hurdles to PCE utilization. A NGT panel was held in Brussels, Belgium in October 2018 with 9 gastroenterology experts. Data were collected from multiple rankings of statements to the research questions and analyzed descriptively. Results: Consensus indicated that PCE is differentiated from other diagnostic tools, allowing for non-invasive and direct visualization of the luminal intestinal tract in one single procedure. Participants agreed that PCE is beneficial for mapping and grading established CD in all patients, enabling individual and tailored treatment decision-making. Time required to read PCE results was identified as the main utilization hurdle by participants. Well-designed studies are needed to confirm improved outcomes amongst patients with CD managed through a PCE-guided approach. Conclusions: This study, using the NGT, generated expert opinion on the value of PCE for monitoring established CD in terms of target patient populations and benefits compared to other diagnostic modalities. Participants perceived PCE to facilitate a "treat-to-target" strategy for CD management. Further research is needed to support this value perception.Taylor & Francis GroupDadun. Depósito Académico Digital Universidad de Navarra20212021-01-0120212021-01-01journal articlehttp://purl.org/coar/resource_type/c_6501info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/10171/110669reponame:Dadun. Depósito Académico Digital de la Universidad de Navarrainstname:Universidad de NavarraInglésengopen accesshttp://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccessoai:dadun.unav.edu:10171/1106692026-06-21T12:47:57Z |
| dc.title.none.fl_str_mv |
Monitoring established Crohn's disease with pan-intestinal video capsule endoscopy in Europe: clinician consultation using the nominal group technique |
| title |
Monitoring established Crohn's disease with pan-intestinal video capsule endoscopy in Europe: clinician consultation using the nominal group technique |
| spellingShingle |
Monitoring established Crohn's disease with pan-intestinal video capsule endoscopy in Europe: clinician consultation using the nominal group technique Carretero-Ribón, C. (Cristina)|||/items/37f2d58e-655b-4c90-9b71-3df3c5034300 Crohn’s disease monitoring Nominal group technique Pan-intestinal video capsule endoscopy |
| title_short |
Monitoring established Crohn's disease with pan-intestinal video capsule endoscopy in Europe: clinician consultation using the nominal group technique |
| title_full |
Monitoring established Crohn's disease with pan-intestinal video capsule endoscopy in Europe: clinician consultation using the nominal group technique |
| title_fullStr |
Monitoring established Crohn's disease with pan-intestinal video capsule endoscopy in Europe: clinician consultation using the nominal group technique |
| title_full_unstemmed |
Monitoring established Crohn's disease with pan-intestinal video capsule endoscopy in Europe: clinician consultation using the nominal group technique |
| title_sort |
Monitoring established Crohn's disease with pan-intestinal video capsule endoscopy in Europe: clinician consultation using the nominal group technique |
| dc.creator.none.fl_str_mv |
Carretero-Ribón, C. (Cristina)|||/items/37f2d58e-655b-4c90-9b71-3df3c5034300 Carbonnel, F. (Franck)|||/items/f83997aa-5875-45cc-848c-2a8001217636 Ferrante, M. (Marc)|||/items/734e9416-43ec-4269-be32-783086d6325f Knudsen, T. (Torben)|||/items/d219bcce-5605-4d26-ad48-6a56c016f935 Van-Lent, N. (Nancy)|||/items/78542eb2-e502-46d9-bd0a-124c1489f423 Lobo, A.J. (Alan J.)|||/items/e5945acf-8ed6-43aa-9d2e-9719fd3eed55 Negreanu, L. (Lucian)|||/items/dadadd62-59b2-43cf-8f17-3c487fee67a3 Vojvodic, A. (Ana)|||/items/eab585ad-3aa7-49de-bfa8-d9a17da1b729 Oliva, S. (Salvatore)|||/items/c7409b4b-9cb5-4892-a181-cc3d0c437b6a |
| author |
Carretero-Ribón, C. (Cristina)|||/items/37f2d58e-655b-4c90-9b71-3df3c5034300 |
| author_facet |
Carretero-Ribón, C. (Cristina)|||/items/37f2d58e-655b-4c90-9b71-3df3c5034300 Carbonnel, F. (Franck)|||/items/f83997aa-5875-45cc-848c-2a8001217636 Ferrante, M. (Marc)|||/items/734e9416-43ec-4269-be32-783086d6325f Knudsen, T. (Torben)|||/items/d219bcce-5605-4d26-ad48-6a56c016f935 Van-Lent, N. (Nancy)|||/items/78542eb2-e502-46d9-bd0a-124c1489f423 Lobo, A.J. (Alan J.)|||/items/e5945acf-8ed6-43aa-9d2e-9719fd3eed55 Negreanu, L. (Lucian)|||/items/dadadd62-59b2-43cf-8f17-3c487fee67a3 Vojvodic, A. (Ana)|||/items/eab585ad-3aa7-49de-bfa8-d9a17da1b729 Oliva, S. (Salvatore)|||/items/c7409b4b-9cb5-4892-a181-cc3d0c437b6a |
| author_role |
author |
| author2 |
Carbonnel, F. (Franck)|||/items/f83997aa-5875-45cc-848c-2a8001217636 Ferrante, M. (Marc)|||/items/734e9416-43ec-4269-be32-783086d6325f Knudsen, T. (Torben)|||/items/d219bcce-5605-4d26-ad48-6a56c016f935 Van-Lent, N. (Nancy)|||/items/78542eb2-e502-46d9-bd0a-124c1489f423 Lobo, A.J. (Alan J.)|||/items/e5945acf-8ed6-43aa-9d2e-9719fd3eed55 Negreanu, L. (Lucian)|||/items/dadadd62-59b2-43cf-8f17-3c487fee67a3 Vojvodic, A. (Ana)|||/items/eab585ad-3aa7-49de-bfa8-d9a17da1b729 Oliva, S. (Salvatore)|||/items/c7409b4b-9cb5-4892-a181-cc3d0c437b6a |
| author2_role |
author author author author author author author author |
| dc.contributor.none.fl_str_mv |
Dadun. Depósito Académico Digital Universidad de Navarra |
| dc.subject.none.fl_str_mv |
Crohn’s disease monitoring Nominal group technique Pan-intestinal video capsule endoscopy |
| topic |
Crohn’s disease monitoring Nominal group technique Pan-intestinal video capsule endoscopy |
| description |
Objective: Monitoring established Crohn's disease (CD) through a "treat-to-target" strategy aims to reduce and prevent long-term bowel damage and disability. Despite the availability of different monitoring techniques, there is a current lack of integrated evidence to guide optimal monitoring in terms of appropriate tools and timing. Pan-intestinal video capsule endoscopy (PCE) enables non-invasive and direct visualization of the entire intestinal tract with proven safety and efficacy. This study aims to generate insights on the value of PCE for monitoring established CD from the physician's perspective. Methods: The Nominal Group Technique (NGT) was used to create discussion around pre-defined research questions aimed at identifying target patient populations for PCE, benefits of PCE in terms of improving disease management, comparative benefits of PCE over standard of care, research priorities to ratify the use of PCE, and hurdles to PCE utilization. A NGT panel was held in Brussels, Belgium in October 2018 with 9 gastroenterology experts. Data were collected from multiple rankings of statements to the research questions and analyzed descriptively. Results: Consensus indicated that PCE is differentiated from other diagnostic tools, allowing for non-invasive and direct visualization of the luminal intestinal tract in one single procedure. Participants agreed that PCE is beneficial for mapping and grading established CD in all patients, enabling individual and tailored treatment decision-making. Time required to read PCE results was identified as the main utilization hurdle by participants. Well-designed studies are needed to confirm improved outcomes amongst patients with CD managed through a PCE-guided approach. Conclusions: This study, using the NGT, generated expert opinion on the value of PCE for monitoring established CD in terms of target patient populations and benefits compared to other diagnostic modalities. Participants perceived PCE to facilitate a "treat-to-target" strategy for CD management. Further research is needed to support this value perception. |
| publishDate |
2021 |
| dc.date.none.fl_str_mv |
2021 2021-01-01 2021 2021-01-01 |
| dc.type.none.fl_str_mv |
journal article http://purl.org/coar/resource_type/c_6501 |
| dc.type.openaire.fl_str_mv |
info:eu-repo/semantics/article |
| format |
article |
| dc.identifier.none.fl_str_mv |
https://hdl.handle.net/10171/110669 |
| url |
https://hdl.handle.net/10171/110669 |
| dc.language.none.fl_str_mv |
Inglés eng |
| language_invalid_str_mv |
Inglés |
| language |
eng |
| dc.rights.none.fl_str_mv |
open access http://purl.org/coar/access_right/c_abf2 |
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info:eu-repo/semantics/openAccess |
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open access http://purl.org/coar/access_right/c_abf2 |
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openAccess |
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application/pdf |
| dc.publisher.none.fl_str_mv |
Taylor & Francis Group |
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Taylor & Francis Group |
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reponame:Dadun. Depósito Académico Digital de la Universidad de Navarra instname:Universidad de Navarra |
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Universidad de Navarra |
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Dadun. Depósito Académico Digital de la Universidad de Navarra |
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Dadun. Depósito Académico Digital de la Universidad de Navarra |
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1869412407367958528 |
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15,812455 |