EPACT II: Project and Methods

Vol. 76, No. 2, 2007

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Paper

EPACT II: Project and Methods
Pascal Juillerat^a, Florian Froehlich^{a, b}, Christian Felley^a, Valérie Pittet^c, Christian Mottet^a, Jean-Jacques Gonvers^a, Pierre Michetti^a, John-Paul Vader^c

^aDivision of Gastroenterology and Hepatology, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne,
^bGastrointestinal Department, University of Basle, Basle, and
^cHealthcare Evaluation Unit, Institute of Social and Preventive Medicine, University of Lausanne, Lausanne, Switzerland

Address of Corresponding Author

Digestion 2007;76:84-91 (DOI: 10.1159/000111021)

Key Words

RAND
Evidence-based medicine
Inflammatory bowel disease
Crohn's disease
Crohn's disease, treatment

Abstract

Building on the first European Panel on the Appropriateness of Crohn's Disease Treatment (EPACT I) which was held in Lausanne at the beginning of March 2004, a new panel will be convened in Switzerland (EPACT II, November to December 2007) to update this work. A combined evidence- and panel-based method (RAND) will be applied to assess the appropriateness of therapy for Crohn's disease (CD). In preparation for the meeting of experts, reviews of evidence-based literature were prepared for major clinical presentations of CD. During the meeting, an international multidis- ciplinary panel that includes gastroenterologists, surgeons and general practitioners weigh the strength of evidence and apply their clinical experience when assessing the appropriateness of therapy for 569 specific indications (clinical scenarios). This chapter describes in detail the process of updating the literature review and the systematic approach of the RAND Appropriateness Method used during the expert panel meeting.

Author Contacts

Pascal Juillerat, MD
Division of Gastroenterology and Hepatology
Centre Hospitalier Universitaire Vaudois, Rue du Bugnon 46
CH-1011 Lausanne (Switzerland)
Tel. +41 21 314 05 64, Fax +41 21 314 06 84, E-Mail pascal.juillerat@chuv.ch

Article Information

Published online: February 7, 2008
Number of Print Pages : 8
Number of Figures : 1, Number of Tables : 5, Number of References : 50

Medline Abstract (ID 18239398)

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