The American Society for Gastrointestinal Endoscopy PIVI (Preservation and Incorporation of Valuable Endoscopic Innovations) on imaging in Barrett's Esophagus
The American Society for Gastrointestinal Endoscopy PIVI (Preservation and Incorporation of Valuable Endoscopic Innovations) on imaging in Barrett's Esophagus
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DOI：
10.1016/j.gie.2012.05.007
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发表时间：
2012-08-01
影响因子：
7.7
通讯作者：
Wolfsen, Herbert C.
中科院分区：
文献类型：
--
作者：
Sharma, Prateek;Savides, Thomas J.;Wolfsen, Herbert C.
PIVI（Preservation and Incorporation of Valuable Endoscopic Innovations）计划是一项ASGE计划，其目标是识别与内窥镜相关的重要临床问题，并为旨在解决这些临床问题的内窥镜技术建立先验诊断和/或治疗阈值。此外，PIVIs还可以概述证明满足既定阈值所需的数据和/或研究设计。一旦内窥镜技术达到既定的PIVI阈值，则这些技术适合纳入临床实践，前提是已完成内窥镜技术的适当培训。ASGE鼓励并支持符合其既定PIVI阈值的技术的适当使用。PIVI倡议主要是为了指导内窥镜技术的发展，以解决内窥镜检查中的重要临床问题。PIVI计划还旨在最大限度地减少由于缺乏利用而过早放弃潜在有价值的创新的可能性，并避免在进行临床研究证明其有效性之前广泛使用内窥镜技术。以下文件或PIVI是定义诊断或治疗阈值的一系列声明之一，该阈值必须满足技术或器械才能被认为适合纳入临床实践。它也是为了作为研究人员或那些寻求开发旨在改善消化健康结果的技术的指导。在现有ASGE技术和实践标准委员会主席的主持下，一个特设委员会开发PIVIs。该专题领域的一名专家担任该委员会主席，其他委员会成员则根据其个人专长挑选。在准备本文件时，采用了循证方法，使用MEDLINE和PubMed文献检索来识别该主题的相关临床研究。与所有技术和实践标准文件一样，PIVIs最终提交给ASGE管理委员会批准。本文件仅用于教育和信息目的，并支持将这些内窥镜技术纳入临床实践。它不应被解释为建立一个法律的护理标准。
The PIVI (Preservation and Incorporation of Valuable endoscopic Innovations) initiative is an ASGE program whose objectives are to identify important clinical questions related to endoscopy and to establish a priori diagnostic and/or therapeutic thresholds for endoscopic technologies designed to resolve these clinical questions. Additionally, PIVIs may also outline the data and or the research study design required for proving an established threshold is met. Once endoscopic technologies meet an established PIVI threshold, those technologies are appropriate to incorporate into clinical practice presuming the appropriate training in that endoscopic technology has been achieved. The ASGE encourages and supports the appropriate use of technologies that meet its established PIVI thresholds.The PIVI initiative was developed primarily to direct endoscopic technology development toward resolving important clinical issues in endoscopy. The PIVI initiative is also designed to minimize the possibility that potentially valuable innovations are prematurely abandoned due to lack of utilization and to avoid widespread use of an endoscopic technology before clinical studies documenting their effectiveness have been performed. The following document, or PIVI, is one of a series of statements defining the diagnostic or therapeutic threshold that must be met for a technique or device to become considered appropriate for incorporation into clinical practice. It is also meant to serve as a guide for researchers or those seeking to develop technologies that are designed to improve digestive health outcomes.An ad hoc committee under the auspices of the existing ASGE Technology and Standards of Practice Committees Chairs develops PIVIs. An expert in the subject area chairs the PIVI, with additional committee members chosen for their individual expertise. In preparing this document, evidence-based methodology was employed, using a MEDLINE and PubMed literature search to identify pertinent clinical studies on the topic. PIVIs are ultimately submitted to the ASGE Governing Board for approval, as is done for all Technology and Standards of Practice documents.This document is provided solely for educational and informational purposes and to support incorporating these endoscopic technologies into clinical practice. It should not be construed as establishing a legal standard of care.