British Society of Gastroenterology/Association of Coloproctologists of Great Britain and Ireland guidelines for the management of large non-pedunculated colorectal polyps
Gut
; 64(12)Dec. 2015.
Article
in English
| BIGG - GRADE guidelines
| ID: biblio-965097
Responsible library:
BR1.1
ABSTRACT
These guidelines provide an evidence-based framework for the management of patients with large non-pedunculated colorectal polyps (LNPCPs), in addition to identifying key performance indicators (KPIs) that permit the audit of quality outcomes. These are areas not previously covered by British Society of Gastroenterology (BSG) Guidelines.A National Institute of Health and Care Excellence (NICE) compliant BSG guideline development process was used throughout and the Appraisal of Guidelines for Research and Evaluation (AGREE II) tool was used to structure the guideline development process. A systematic review of literature was conducted for English language articles up to May 2014 concerning the assessment and management of LNPCPs. Quality of evaluated studies was assessed using the Scottish Intercollegiate Guidelines Network (SIGN) Methodology Checklist System. Proposed recommendation statements were evaluated by each member of the Guideline Development Group (GDG) on a scale from 1 (strongly agree) to 5 (strongly disagree) with >80% agreement required for consensus to be reached. Where consensus was not reached a modified Delphi process was used to re-evaluate and modify proposed statements until consensus was reached or the statement discarded. A round table meeting was subsequently held to finalise recommendations and to evaluate the strength of evidence discussed. The GRADE tool was used to assess the strength of evidence and strength of recommendation for finalised statements.KPIs, a training framework and potential research questions for the management of LNPCPs were also developed. It is hoped that these guidelines will improve the assessment and management of LNPCPs.
Full text:
Available
Collection:
Tematic databases
Database:
BIGG - GRADE guidelines
Main subject:
Rectal Diseases
/
Platelet Aggregation Inhibitors
/
Colonic Polyps
/
Endoscopy, Gastrointestinal
Type of study:
Practice guideline
/
Prognostic study
/
Risk factors
Language:
English
Journal:
Gut
Year:
2015
Document type:
Article
Institution/Affiliation country:
Cheltenham General Hospital/GB
/
Durham University/GB
/
Leeds General Infirmary/GB
/
Medway Maritime Hospital/GB
/
New Cross Hospital/GB
/
Queen Alexandra Hospital/GB
/
Queen Elizabeth Hospital/GB
/
Royal Victoria Hospital/GB
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St Mark's Hospital/GB
/
Torbay Hospital/GB