Generic Portal

TY - JOUR

T1 - Setting up a regional expert panel for complex colorectal polyps

AU - Zwager, Liselotte W.

AU - Bastiaansen, Barbara A. J.

AU - Dekker, Evelien

AU - Fockens, Paul

AU - Expert Panel Group

AU - Appels, M. I. E.

AU - de Bruin, G. J.

AU - Depla, A. C. T. M.

AU - Huibregtse, I. L.

AU - Kuiper, T.

AU - Liberov, B. I.

AU - Mallant-Hent, R. Ch.

AU - Marsman, W. A.

AU - Ramsoekh, D.

AU - van der Spek, B. W.

AU - Vlug, M. S.

AU - van Weyenberg, S. J. B.

AU - Wientjes, C. A.

N1 - Funding Information: DISCLOSURE: The following authors disclosed financial relationships: B. A. J. Bastiaansen: Speaker for Olympus, Tillotts Pharma AG, and Ovesco Endoscopy. E. Dekker: Research support and equipment loan from FujiFilm; consultant for FujiFilm, Olympus, Tillotts Pharma AG, GI Supply, CPP-FAP, and PAION; speaker for Olympus, Roche, GI Supply, Ambu, and Ipsen. P. Fockens: Consultant for Cook, Ethicon, and Olympus; research support from Boston Scientific. All other authors disclosed no financial relationships. Publisher Copyright: © 2022 American Society for Gastrointestinal Endoscopy

PY - 2022/7

Y1 - 2022/7

N2 - Background and Aims: Advanced endoscopic resection techniques for complex colorectal polyps have evolved significantly over the past decade, leading to a management shift from surgical to endoscopic resection as the preferred treatment. However, in practice, interhospital consultation and appropriate referral management remain challenging, leading to unnecessary surgical resections. To support regional care for patients with complex colorectal polyps, facilitate peer consultations, and lower thresholds for referrals, an expert panel consultation platform was initiated in the northwestern region of the Netherlands. Methods: We initiated a regional expert panel in the northwestern region of the Netherlands for patients with complex colorectal polyps and studied the implementation, adaption, and clinical impact. All panel consultations between June 2019 and May 2021 were retrospectively analyzed, and user satisfaction among panel members was evaluated. Results: Eighty-eight patients with complex colorectal polyps from 11 of 15 participating centers (73.3%) were discussed in our panel. The most common reason for panel consultation was suspicion of invasive cancer in 36.4% (n = 32). After panel consultation, 43.2% of the consulting endoscopists (n = 38) changed their initial treatment strategy, and in 63.6% (n = 56) patients were referred to another endoscopy center. Of 26 cases submitted with a primary proposal for surgical treatment, surgery was avoided in 7 (26.9%). User satisfaction was rated high in most participating centers (91.7%). Conclusions: Our study shows that implementation of and consultation with a regional expert panel can be a valuable tool for endoscopists to guide and optimize treatment of complex colorectal polyps and facilitate interhospital referrals in a regional network.

AB - Background and Aims: Advanced endoscopic resection techniques for complex colorectal polyps have evolved significantly over the past decade, leading to a management shift from surgical to endoscopic resection as the preferred treatment. However, in practice, interhospital consultation and appropriate referral management remain challenging, leading to unnecessary surgical resections. To support regional care for patients with complex colorectal polyps, facilitate peer consultations, and lower thresholds for referrals, an expert panel consultation platform was initiated in the northwestern region of the Netherlands. Methods: We initiated a regional expert panel in the northwestern region of the Netherlands for patients with complex colorectal polyps and studied the implementation, adaption, and clinical impact. All panel consultations between June 2019 and May 2021 were retrospectively analyzed, and user satisfaction among panel members was evaluated. Results: Eighty-eight patients with complex colorectal polyps from 11 of 15 participating centers (73.3%) were discussed in our panel. The most common reason for panel consultation was suspicion of invasive cancer in 36.4% (n = 32). After panel consultation, 43.2% of the consulting endoscopists (n = 38) changed their initial treatment strategy, and in 63.6% (n = 56) patients were referred to another endoscopy center. Of 26 cases submitted with a primary proposal for surgical treatment, surgery was avoided in 7 (26.9%). User satisfaction was rated high in most participating centers (91.7%). Conclusions: Our study shows that implementation of and consultation with a regional expert panel can be a valuable tool for endoscopists to guide and optimize treatment of complex colorectal polyps and facilitate interhospital referrals in a regional network.

UR - http://www.scopus.com/inward/record.url?scp=85127648248&partnerID=8YFLogxK

U2 - 10.1016/j.gie.2022.02.003

DO - 10.1016/j.gie.2022.02.003

M3 - Article

C2 - 35150664

VL - 96

SP - 84-91.e2

JO - Gastrointestinal endoscopy

JF - Gastrointestinal endoscopy

SN - 0016-5107

IS - 1

ER -