Does attending a Delphi consensus conference impact surgeon attitudes? Survey results from the Americas HepatoPancreatoBiliary Association consensus conference on small asymptomatic pancreatic neuroendocrine tumors

Ajay V Maker; Thuy B Tran; Natalie Coburn; Zhi V Fong; Kenneth Cardona; Philippa Newell; Gareth Morris-Stiff; Kenneth Chavin; John Mansour; AHPBA Research Committee Consensus Conference members

doi:10.1016/j.hpb.2018.10.001

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Does attending a Delphi consensus conference impact surgeon attitudes? Survey results from the Americas HepatoPancreatoBiliary Association consensus conference on small asymptomatic pancreatic neuroendocrine tumors

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Does attending a Delphi consensus conference impact surgeon attitudes? Survey results from the Americas HepatoPancreatoBiliary Association consensus conference on small asymptomatic pancreatic neuroendocrine tumors

Ajay V Maker, Thuy B Tran, Natalie Coburn, Zhi V Fong, Kenneth Cardona, Philippa Newell, Gareth Morris-Stiff, Kenneth Chavin, John Mansour and AHPBA Research Committee Consensus Conference members

HPB (Oxford, England), Vol.21(5), pp.524-530

05/2019

DOI: 10.1016/j.hpb.2018.10.001

PMID: 30442562

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Abstract

Management of asymptomatic small well-differentiated (panNET) <2 cm remains controversial. A consensus conference was held on this topic. The impact of attending the conference and participating in the audience response survey on surgeon's clinical approach to pancreatic neuroendocrine tumors was assessed. Audience members were surveyed using a smartphone real-time response system at the beginning and end of the conference. The majority of 75 attendees underwent fellowship training, and 30% had >10 years experience as attending surgeons. Previously published consensus statements on the topic were considered insufficient to guide surgical practice by 82% of attendees, and over 96% desired additional data. After review of the data, consensus statements, and decision-making process, a significant number of participants changed their opinions regarding indications for tissue biopsy (p = 0.001), size thresholds for excision (p = 0.002), and regional lymph node dissection (p = 0.002) independent of whether a consensus was reached by the content-expert panel. This represented the first Delphi process consensus on the topic, and the survey confirmed the topic as well-chosen and timely. Attendees changed opinions on management of panNET regardless of whether formal consensus was reached. Therefore, statements of consensus combined with presentation of literature and live discussion served to impact attendees' approach to this disease.

Americas

Attitude of Health Personnel

Biopsy

Delphi Technique

Humans

Lymph Node Excision

Neuroectodermal Tumors, Primitive - surgery

Practice Patterns, Physicians' - statistics & numerical data

Details

Title: Subtitle: Does attending a Delphi consensus conference impact surgeon attitudes? Survey results from the Americas HepatoPancreatoBiliary Association consensus conference on small asymptomatic pancreatic neuroendocrine tumors
Creators: Ajay V Maker - University of Illinois Chicago
Thuy B Tran - University of Illinois Chicago
Natalie Coburn - Sunnybrook Health Science Centre
Zhi V Fong - Massachusetts General Hospital
Kenneth Cardona - Emory University
Philippa Newell - Providence Portland Medical Center
Gareth Morris-Stiff - Cleveland Clinic
Kenneth Chavin - University Hospitals of Cleveland
John Mansour - The University of Texas Southwestern Medical Center
AHPBA Research Committee Consensus Conference members
Contributors: James Howe (Contributor) - University of Iowa, Surgery
Resource Type: Journal article
Publication Details: HPB (Oxford, England), Vol.21(5), pp.524-530
DOI: 10.1016/j.hpb.2018.10.001
PMID: 30442562
NLM abbreviation: HPB (Oxford)
ISSN: 1365-182X
eISSN: 1477-2574
Language: English
Date published: 05/2019
Academic Unit: Surgery
Record Identifier: 9984322955002771

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