关键词: Atención Care Centers of excellence Centros de excelencia Colitis ulcerosa Consenso Consensus Crohn’s disease Enfermedad de Crohn Enfermedad inflamatoria intestinal Inflammatory bowel disease Ulcerative colitis

Mesh : Colitis, Ulcerative / diagnosis therapy Consensus Crohn Disease Humans Inflammatory Bowel Diseases Latin America Quality Indicators, Health Care

来  源:   DOI:10.1016/j.rgmxen.2021.05.013

Abstract:
BACKGROUND: Inflammatory bowel disease (IBD) is a chronic and incurable entity. The aim of the Pan American Crohn\'s and Colitis Organisation (PANCCO) is to create awareness of IBD, with special emphasis on Latin America, and the primary objective of the Spanish Working Group on Crohn\'s Disease and Ulcerative Colitis (GETECCU, the Spanish acronym) is to obtain the accreditation of the clinical and therapeutic criteria for the diagnosis and treatment of IBD.
OBJECTIVE: To carry out a consensus for evaluating the approval criteria that a Comprehensive Care Clinic for Latin American IBD patients must meet, to be considered a center of excellence.
METHODS: Fourteen clinical experts participated in the consensus. They were made up of specialists in gastroenterology, with broad clinical experience, spanning several years, in managing the care of a large number of patients with IBD, as well as advanced specialists in IBD. Thirteen of the participants came from 11 Latin American countries (Argentina, Brazil, Colombia, Dominican Republic, Ecuador, Guatemala, Mexico, Peru, Puerto Rico, Uruguay, and Venezuela) that have IBD clinics. An expert from Spain, representing the GETECCU, provided the methodologic support. The consensus consisted of 52 statements divided into three sections: 1) Structure indicators, 2) Process indicators, and 3) Result indicators. The Delphi panel method was applied.
RESULTS: The present Latin American consensus describes the quality indicators that a Comprehensive Care Clinic for IBD patients must meet, to be considered a center of excellence, taking into account the needs of our region.
CONCLUSIONS: This is the first Latin American consensus, jointly carried out by the PANCCO and GETECCU, to present accreditation standards for centers of excellence in the care of patients with IBD.
摘要:
背景:炎症性肠病(IBD)是一种慢性且无法治愈的实体。泛美克罗恩和结肠炎组织(PANCCO)的目的是建立对IBD的认识,特别强调拉丁美洲,和西班牙克罗恩病和溃疡性结肠炎工作组的主要目标(GETECCU,西班牙语首字母缩写词)是获得IBD诊断和治疗的临床和治疗标准的认证。
目的:为了达成共识,以评估拉丁美洲IBD患者综合护理诊所必须满足的批准标准,被认为是卓越中心。
方法:14位临床专家参与了共识。他们由胃肠病学专家组成,具有广泛的临床经验,跨越几年,在管理大量IBD患者的护理中,以及IBD的高级专家。13名与会者来自11个拉丁美洲国家(阿根廷,巴西,哥伦比亚,多米尼加共和国,厄瓜多尔,危地马拉,墨西哥,秘鲁,波多黎各,乌拉圭,和委内瑞拉)拥有IBD诊所。一位来自西班牙的专家,代表GETECCU,提供了方法学支持。共识包括52个声明,分为三个部分:1)结构指标,2)工艺指标,和3)结果指标。采用德尔菲面板法。
结果:目前的拉丁美洲共识描述了IBD患者综合护理诊所必须达到的质量指标,被认为是卓越中心,考虑到我们地区的需要。
结论:这是拉丁美洲的第一个共识,由PANCCO和GETECCU联合执行,提出IBD患者护理卓越中心的认证标准。
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