Consensus on the definition of colorectal anastomotic leakage: A modified Delphi study

World Journal of Gastroenterology : WJG
Claire Pm van HelsdingenJoep Pm Derikx

Abstract

Despite the emerging knowledge about colorectal anastomotic leakage (CAL) through the increasing number of clinical and experimental studies, there is no generally accepted definition of CAL. Because of the wide variety of definitions used in literature, comparison of study outcomes and quality of care is complicated. To reach consensus on the definition of CAL using a modified Delphi method. The RAND/UCLA appropriateness method was used. The expert panel consisted of international colorectal surgeons and researchers who had published three or more articles about CAL. The consensus process consisted of two online distributed questionnaires and a third round with a recommendation. In the questionnaires participants were asked to rate the appropriateness of statements using a 1-9 Likert scale. Consensus was defined as a panel median between 1-3 or 7-9 without disagreement. In the final round a recommendation was formed regarding the definition of CAL and the expert panel was asked if they agreed or disagreed. Twenty-three authors participated in the first round and twenty-one finished the second round. After two rounds consensus was reached on 37 items (80%) in nine different categories. The International Study Group of Rectal Ca...Continue Reading

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Citations

Jun 27, 2021·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Yongbo AnRoel Hompes
Jul 21, 2021·Clinical Radiology·A PallanS Ashraf
Aug 30, 2021·International Journal of Colorectal Disease·Flavius Şandra-PetrescuFlorian Herrle

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