{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T04:16:46Z","timestamp":1791346606867,"version":"4.3.1"},"reference-count":32,"publisher":"Georg Thieme Verlag KG","issue":"03","funder":[{"name":"NB Hershfield Chair in Therapeutic Endoscopy, University of Calgary"},{"name":"Pentax Medical Canada"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endoscopy"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:p>Background\u2002Post-endoscopic retrograde cholangiopancreatography (ERCP) adverse events (AEs) are common, as is unplanned healthcare utilization (UHU). We aimed to assess potential etiologic associations between intra-\/post-procedural patient-reported experience measures (PREMs) and post-ERCP AEs and UHU.<\/jats:p>\n                  <jats:p>Methods\u2002Prospective data from a multicenter collaborative were used. A 0\u201310 Likert-based PREM assessing intra- and post-procedural symptoms was applied to patients following ERCP, and follow-up was performed at 30 days to identify AEs and UHU for reasons not meeting the definitions of any AE. Multivariable logistic regression was conducted using PREM domains as exposures and AEs and UHU as outcomes, with a priori selected covariates. Odds ratios (ORs) and 95\u200a%CIs for each PREM domain were reported.<\/jats:p>\n                  <jats:p>Results\u2002From 2018 to 2023, 3434 patients were included. A post-procedural abdominal pain score &gt;\u200a3 was associated with pancreatitis (OR 3.71 [95\u200a%CI 2.37\u20135.73]), while a score &gt;\u200a6 was associated with perforation (OR 9.54 [95\u200a%CI 1.10\u201359.37]). Post-procedural pain was also associated with UHU within 30 days when used as a continuous exposure (OR 1.08 per point [95\u200a%CI 1.01\u20131.16]), and when partitioned at a score &gt;\u200a3 (OR 1.79 [95\u200a%CI 1.13\u20132.74]) and a score &gt;\u200a6 (OR 1.93 [95\u200a%CI 1.02\u20133.46]). No other intra- or post-procedural PREMs were associated with any AEs or UHU.<\/jats:p>\n                  <jats:p>Conclusions\u2002Patient-reported abdominal pain from a Likert-based PREM at the time of discharge from ERCP was associated with pancreatitis, perforation, and UHU within 30 days. Applying PREMs could potentially prevent UHU and\/or facilitate earlier management and improved outcomes for patients with post-ERCP AEs.<\/jats:p>","DOI":"10.1055\/a-2418-3540","type":"journal-article","created":{"date-parts":[[2024,9,19]],"date-time":"2024-09-19T18:59:23Z","timestamp":1726772363000},"page":"220-227","source":"Crossref","is-referenced-by-count":7,"title":["Intra- and post-procedural patient-reported experience measures and their correlation with post-ERCP adverse events and unplanned healthcare utilization"],"prefix":"10.1055","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-7624-4297","authenticated-orcid":false,"given":"Alessandra","family":"Ceccacci","sequence":"first","affiliation":[{"name":"Department of Medicine, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehul","family":"Gupta","sequence":"first","affiliation":[{"name":"Department of Medicine, University of Calgary, Calgary, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maximilian","family":"Eisele","sequence":"additional","affiliation":[{"name":"Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rishad","family":"Khan","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Besney","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, University of Calgary, Calgary, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Howard","family":"Guo","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, University of Calgary, Calgary, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Getanshu","family":"Malik","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, University of Calgary, Calgary, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Tsai","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, University of Calgary, Calgary, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arjun","family":"Kundra","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, University of Virginia Medical Center, University of Virginia School of Medicine, Charlottesville, Virginia, United 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