International Multi-Specialty Delphi Survey: Identification of Diagnostic Criteria for Hepatic and Renal Cyst Infection

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorLANTINGA, Marten A.
dc.contributor.authorDARDING, Alexander J. M.
dc.contributor.authorSEVAUX, Ruud G. L. de
dc.contributor.authorALAM, Ahsan
dc.contributor.authorBLEEKER-ROVERS, Chantal P.
dc.contributor.authorBOBOT, Mickael
dc.contributor.authorGALL, Emilie Cornec-Le
dc.contributor.authorGEVERS, Tom J. G.
dc.contributor.authorHASSOUN, Ziad
dc.contributor.authorMEIJER, Esther
dc.contributor.authorMRUG, Michal
dc.contributor.authorNEVENS, Frederik
dc.contributor.authorONUCHIC, Luiz F.
dc.contributor.authorPEI, York
dc.contributor.authorPICCOLI, Giorgina B.
dc.contributor.authorPIRSON, Yves
dc.contributor.authorRANGAN, Gopala K.
dc.contributor.authorTORRA, Roser
dc.contributor.authorVISSER, Folkert W.
dc.contributor.authorJOURET, Francois
dc.contributor.authorKANAAN, Nada
dc.contributor.authorOYEN, Wim J. G.
dc.contributor.authorSUWABE, Tatsuya
dc.contributor.authorTORRES, Vicente E.
dc.contributor.authorDRENTH, Joost P. H.
dc.contributor.groupauthorDelphi Collaborators
dc.date.accessioned2017-02-16T12:41:42Z
dc.date.available2017-02-16T12:41:42Z
dc.date.issued2016
dc.description.abstractBackground: Cyst infection is one of the complications of autosomal dominant polycystic kidney disease and polycystic liver disease. The diagnosis is typically made on a mix of clinical, laboratory and imaging abnormalities but the importance of individual items is uncertain. We aimed to perform a Delphi survey amongst physicians to achieve consensus on diagnostic criteria. Methods: We retrieved diagnostic items from the literature and conducted physician and patient interviews. All items were combined to create the online questionnaire. Participants rated each item during 3 consecutive rounds. Items were rated for diagnostic helpfulness for hepatic and renal cyst infection on a 9-point scale with anchors, from extremely unimportant (n = 1) to extremely important (n = 9). We determined consensus with the disagreement index. The median rating of each item was calculated and categorized into inappropriate (<= 3.4), uncertain (3.5-6.4) or appropriate (>= 6.5). By combining all items that reached an appropriate consensus rating, we developed a diagnostic algorithm based on expert consensus. Results: We invited 58 physicians to participate in the survey. In total, 35 (60%) responded to round 1 of which 91% (n = 32) and 86% (n = 30) responded to round 2 and 3, respectively. The final panel included 23 nephrologists, 5 hepatologists, a nuclear medicine specialist and an infectious disease physician from 11 countries (male 67%, mean age 47 +/- 11 years, median clinical experience 21 years). The panel rated the diagnostic helpfulness of 59 potential items. Ultimately, 22 hepatic and 26 renal items were rated appropriate, including positive blood cultures and fluorodeoxyglucose positron-emission CT imaging. Ultrasonography and absence of intracystic bleeding were amongst those deemed uncertain or inappropriate. Subsequently, by combining items rated appropriate, we developed a clinical tool to diagnose hepatic and renal cyst infection. Conclusions: We identified diagnostic items for hepatic and renal cyst infection and developed an expert-based diagnostic algorithm, which may aid physicians in the diagnostic work-up. A prospective study is necessary to validate this algorithm. (C) 2016 S. Karger AG, Basel
dc.description.indexMEDLINE
dc.description.sponsorshipNIDDK NIH HHS
dc.identifier.citationNEPHRON, v.134, n.4, p.205-214, 2016
dc.identifier.doi10.1159/000446664
dc.identifier.eissn2235-3186
dc.identifier.issn1660-8151
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/17832
dc.language.isoeng
dc.publisherKARGER
dc.relation.ispartofNephron
dc.rightsrestrictedAccess
dc.rights.holderCopyright KARGER
dc.subjectAutosomal dominant polycystic kidney disease
dc.subjectPolycystic kidney disease
dc.subjectDiagnosis
dc.subjectInfection
dc.subject.otherpolycystic kidney-disease
dc.subject.otherpositron-emission-tomography
dc.subject.othercomputed-tomography
dc.subject.otherliver-disease
dc.subject.otheradpkd
dc.subject.otherclassification
dc.subject.otherconsensus
dc.subject.otherfeatures
dc.subject.wosUrology & Nephrology
dc.titleInternational Multi-Specialty Delphi Survey: Identification of Diagnostic Criteria for Hepatic and Renal Cyst Infection
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.affiliation.countryFrança
hcfmusp.affiliation.countryJapão
hcfmusp.affiliation.countryAustrália
hcfmusp.affiliation.countryItália
hcfmusp.affiliation.countryEstados Unidos
hcfmusp.affiliation.countryBélgica
hcfmusp.affiliation.countryEspanha
hcfmusp.affiliation.countryCanadá
hcfmusp.affiliation.countryHolanda
hcfmusp.affiliation.countryisonl
hcfmusp.affiliation.countryisoca
hcfmusp.affiliation.countryisofr
hcfmusp.affiliation.countryisobe
hcfmusp.affiliation.countryisous
hcfmusp.affiliation.countryisoit
hcfmusp.affiliation.countryisoau
hcfmusp.affiliation.countryisoes
hcfmusp.affiliation.countryisojp
hcfmusp.author.externalLANTINGA, Marten A.:Radboud Univ Nijmegen, Med Ctr, Dept Gastroenterol & Hepatol, POB 9101, NL-6500 HB Nijmegen, Netherlands
hcfmusp.author.externalDARDING, Alexander J. M.:Radboud Univ Nijmegen, Med Ctr, Dept Gastroenterol & Hepatol, POB 9101, NL-6500 HB Nijmegen, Netherlands
hcfmusp.author.externalSEVAUX, Ruud G. L. de:Radboud Univ Nijmegen, Med Ctr, Dept Nephrol, Nijmegen, Netherlands
hcfmusp.author.externalALAM, Ahsan:McGill Univ, Ctr Hlth, Dept Nephrologists, Montreal, PQ, Canada
hcfmusp.author.externalBLEEKER-ROVERS, Chantal P.:Radboud Univ Nijmegen, Med Ctr, Dept Internal Med, Div Infect Dis, Nijmegen, Netherlands
hcfmusp.author.externalBOBOT, Mickael:Aix Marseille Univ, Dept Nephrol, Marseille, France
hcfmusp.author.externalGALL, Emilie Cornec-Le:Univ & Reg Hosp Ctr Brest, Dept Nephrol, Brest, France
hcfmusp.author.externalGEVERS, Tom J. G.:Radboud Univ Nijmegen, Med Ctr, Dept Gastroenterol & Hepatol, POB 9101, NL-6500 HB Nijmegen, Netherlands
hcfmusp.author.externalHASSOUN, Ziad:Catholic Univ Louvain, St Luc Acad Hosp, Dept Gastroenterol, Brussels, Belgium
hcfmusp.author.externalMEIJER, Esther:Univ Groningen, Univ Med Ctr Groningen, Dept Nephrol, Groningen, Netherlands
hcfmusp.author.externalMRUG, Michal:Univ Alabama Birmingham, Dept Nephrol, Birmingham, AL USA
hcfmusp.author.externalNEVENS, Frederik:Univ Hosp KU Leuven, Dept Hepatol, Leven, Belgium
hcfmusp.author.externalPEI, York:Univ Toronto, Dept Nephrol, Toronto, ON, Canada
hcfmusp.author.externalPICCOLI, Giorgina B.:Univ Turin, San Luigi Gonzaga Hosp, Dept Clin & Biol Sci, Turin, Italy
hcfmusp.author.externalPIRSON, Yves:Clin Univ St Luc, Dept Nephrol, Brussels, Belgium
hcfmusp.author.externalRANGAN, Gopala K.:Univ Sydney, Westmead Millennium Inst Med Res, Ctr Transplant & Renal Res, Sydney, NSW, Australia
hcfmusp.author.externalTORRA, Roser:Inst Invest Biomed St Pau, Dept Nephrol, Barcelona, Spain
hcfmusp.author.externalVISSER, Folkert W.:Univ Groningen, Univ Med Ctr Groningen, Dept Nephrol, Groningen, Netherlands
hcfmusp.author.externalJOURET, Francois:Univ Liege Hosp ULg, Dept Nephrol, CHU, Liege, Belgium
hcfmusp.author.externalKANAAN, Nada:Clin Univ St Luc, Dept Nephrol, Brussels, Belgium
hcfmusp.author.externalOYEN, Wim J. G.:Radboud Univ Nijmegen, Med Ctr, Dept Nucl Med, Nijmegen, Netherlands
hcfmusp.author.externalSUWABE, Tatsuya:Toranomon Gen Hosp, Dept Nephrol, Kawasaki, Kanagawa, Japan
hcfmusp.author.externalTORRES, Vicente E.:Mayo Clin, Dept Hypertens & Nephrol, Rochester, MN USA
hcfmusp.author.externalDRENTH, Joost P. H.:Radboud Univ Nijmegen, Med Ctr, Dept Gastroenterol & Hepatol, POB 9101, NL-6500 HB Nijmegen, Netherlands
hcfmusp.citation.scopus13
hcfmusp.contributor.author-fmusphcLUIZ FERNANDO ONUCHIC
hcfmusp.description.beginpage205
hcfmusp.description.endpage214
hcfmusp.description.issue4
hcfmusp.description.volume134
hcfmusp.origemWOS
hcfmusp.origem.pubmed27599120
hcfmusp.origem.scopus2-s2.0-84986579415
hcfmusp.origem.wosWOS:000389868900001
hcfmusp.publisher.cityBASEL
hcfmusp.publisher.countrySWITZERLAND
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