(Non-)Compliance with Guidelines for the Management of Severe Acute Pancreatitis among German Surgeons

Abstract Background: Implementation of guidelines for the therapy of acute pancreatitis (e.g. those of the International Association of Pancreatology, IAP) into clinical practice has been assumed but not been evaluated. Aim: To verify the knowledge and acceptance of guidelines for the management of...

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Bibliographic Details
Published in:Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] 2007-01, Vol.7 (1), p.80-85
Main Authors: Foitzik, T, Klar, E
Format: Article
Language:English
Subjects:
Acute Disease
Brief Report
Endocrinology & Metabolism
Gastroenterology and Hepatology
German surgeons, guidelines compliance
Germany
Guideline Adherence
Humans
Pancreatitis - diagnosis
Pancreatitis - surgery
Pancreatitis, acute
Physicians - standards
Practice Guidelines as Topic
Surveys and Questionnaires
Treatment guidelines, compliance
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Summary:Abstract Background: Implementation of guidelines for the therapy of acute pancreatitis (e.g. those of the International Association of Pancreatology, IAP) into clinical practice has been assumed but not been evaluated. Aim: To verify the knowledge and acceptance of guidelines for the management of severe acute pancreatitis among German surgeons. Methods: A questionnaire consisting of five short questions concerning key points in the management of severe acute pancreatitis was sent to the chairmen of the departments of general and visceral surgery of 39 university and 316 non-university hospitals in Germany. An additional, more detailed questionnaire accompanied theaudit of the university chairmen. Results: The response rate was 62%. 11% stated that they strictly followed all guidelines (IAP recommendations No. 2–6), 31% followed all but one recommendation, 31% did not follow 2 or more of the guidelines, and the answers of 27% suggested that their treatment differed substantially from the guideline recommendations. For example, fine needle aspiration biopsy, recommended to differentiate between infected and sterile necrosis in patients with signs of sepsis, was not performed by 55%, and prophylactic antibiotics, recommended to prevent secondary infection of pancreatic necrosis, were not given by 20%. Conclusion: German surgeons know the IAP recommendations for the management of severe acute pancreatitis and have implemented these guidelines in clinical practice. This, however, does not mean that all guideline concepts are Strictly followed.
ISSN:1424-3903
1424-3911
DOI:10.1159/000101882