PMID- 29451169
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220408
IS  - 2303-9027 (Print)
IS  - 2226-7190 (Electronic)
IS  - 2226-7190 (Linking)
VI  - 7
IP  - 1
DP  - 2018 Jan-Feb
TI  - Patient perception and preference of EUS-guided drainage over percutaneous 
      drainage when endoscopic transpapillary biliary drainage fails: An international 
      multicenter survey.
PG  - 48-55
LID - 10.4103/eus.eus_100_17 [doi]
AB  - BACKGROUND AND OBJECTIVES: EUS-guided biliary drainage (EUS-BD) is a feasible 
      procedure when ERCP fails, as is percutaneous transhepatic BD (PTBD). However, 
      little is known about patient perception and preference of EUS-BD and PTBD. 
      PATIENTS AND METHODS: An international multicenter survey was conducted in seven 
      tertiary referral centers. In total, 327 patients, scheduled to undergo ERCP for 
      suspected malignant biliary obstruction, were enrolled in the study. Patients 
      received decision aids with visual representation regarding the techniques, 
      benefits, and adverse events (AEs) of EUS-BD and PTBD. Patients were then asked 
      the choice between the two simulated scenarios (EUS-BD or PTBD) after failed 
      ERCP, the reasons for their preference, and whether altering AE rates would 
      influence their prior choice. RESULTS: In total, 313 patients (95.7%) responded 
      to the questionnaire and 251 patients (80.2%) preferred EUS-BD. The preference of 
      EUS-BD was 85.7% (186/217) with EUS-BD expertise, compared to 67.7% (65/96) 
      without EUS-BD expertise (P < 0.001). The main reason for choosing EUS-BD was the 
      possibility of internal drainage (78.1%). In multivariate analysis, the 
      availability of EUS-BD expertise was the single independent factor that 
      influenced patient preference (odds ratio: 3.168; 95% of confidence interval, 
      1.714-5.856; P < 0.001). The preference of EUS-BD increased as AE rates decreased 
      (P < 0.001). CONCLUSIONS: In this simulated scenario, approximately 80% of 
      patients preferred EUS-BD over PTBD after failed ERCP. However, preference of 
      EUS-BD declined as its AE rates increased. Further technical innovations and 
      improved proficiency in EUS-BD for reducing AEs may encourage the use of this 
      procedure as a routine clinical practice when ERCP fails.
FAU - Nam, Kwangwoo
AU  - Nam K
AD  - Department of Internal Medicine, Dankook University College of Medicine, Cheonan, 
      South Korea.
FAU - Kim, Dong Uk
AU  - Kim DU
AD  - Division of Gastroenterology, Department of Internal Medicine, Biomedical 
      Institute, Pusan National University Hospital, Pusan National University School 
      of Medicine, Busan, South Korea.
FAU - Lee, Tae Hoon
AU  - Lee TH
AD  - Department of Internal Medicine, Soonchunhyang University School of Medicine, 
      Cheonan, South Korea.
FAU - Iwashita, Takuji
AU  - Iwashita T
AD  - First Department of Internal Medicine, Gifu University Hospital, Gifu, Japan.
FAU - Nakai, Yousuke
AU  - Nakai Y
AD  - Department of Gastroenterology, Graduate School of Medicine, The University of 
      Tokyo, Tokyo, Japan.
FAU - Bolkhir, Ahmed
AU  - Bolkhir A
AD  - Department of Medicine, Washington University School of Medicine, St. Louis, MO, 
      USA.
FAU - Castro, Lara Aguilera
AU  - Castro LA
AD  - Department of Gastroenterology and Hepatology, IRYCIS, University Hospital Ramon 
      y Cajal, Mostoles, Madrid, Spain.
FAU - Vazquez-Sequeiros, Enrique
AU  - Vazquez-Sequeiros E
AD  - Department of Gastroenterology and Hepatology, IRYCIS, University Hospital Ramon 
      y Cajal, Mostoles, Madrid, Spain.
FAU - de la Serna, Carlos
AU  - de la Serna C
AD  - Department of Gastroenterology and Hepatology, Rio Hortega University Hospital, 
      Valladolid, Spain.
FAU - Perez-Miranda, Manuel
AU  - Perez-Miranda M
AD  - Department of Gastroenterology and Hepatology, Rio Hortega University Hospital, 
      Valladolid, Spain.
FAU - Lee, John G
AU  - Lee JG
AD  - Division of Gastroenterology and Hepatology, The University of California Irvine 
      Health, Orange, CA, USA.
FAU - Lee, Sang Soo
AU  - Lee SS
AD  - Department of Internal Medicine, Division of Gastroenterology, Asan Medical 
      Center, University of Ulsan College of Medicine, Seoul, South Korea.
FAU - Seo, Dong-Wan
AU  - Seo DW
AD  - Department of Internal Medicine, Division of Gastroenterology, Asan Medical 
      Center, University of Ulsan College of Medicine, Seoul, South Korea.
FAU - Lee, Sung Koo
AU  - Lee SK
AD  - Department of Internal Medicine, Division of Gastroenterology, Asan Medical 
      Center, University of Ulsan College of Medicine, Seoul, South Korea.
FAU - Kim, Myung-Hwan
AU  - Kim MH
AD  - Department of Internal Medicine, Division of Gastroenterology, Asan Medical 
      Center, University of Ulsan College of Medicine, Seoul, South Korea.
FAU - Park, Do Hyun
AU  - Park DH
AD  - Department of Internal Medicine, Division of Gastroenterology, Asan Medical 
      Center, University of Ulsan College of Medicine, Seoul, South Korea.
LA  - eng
PT  - Journal Article
PL  - China
TA  - Endosc Ultrasound
JT  - Endoscopic ultrasound
JID - 101622292
PMC - PMC5838728
OTO - NOTNLM
OT  - Drainage
OT  - endosonography
OT  - patient preference
OT  - surveys and questionnaires
COIS- There are no conflicts of interest.
EDAT- 2018/02/17 06:00
MHDA- 2018/02/17 06:01
PMCR- 2018/01/01
CRDT- 2018/02/17 06:00
PHST- 2018/02/17 06:00 [entrez]
PHST- 2018/02/17 06:00 [pubmed]
PHST- 2018/02/17 06:01 [medline]
PHST- 2018/01/01 00:00 [pmc-release]
AID - EndoscUltrasound_2018_7_1_48_225421 [pii]
AID - EUS-7-48 [pii]
AID - 10.4103/eus.eus_100_17 [doi]
PST - ppublish
SO  - Endosc Ultrasound. 2018 Jan-Feb;7(1):48-55. doi: 10.4103/eus.eus_100_17.