{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T11:32:34Z","timestamp":1789990354367,"version":"4.0.1"},"reference-count":195,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2023,5,12]],"date-time":"2023-05-12T00:00:00Z","timestamp":1683849600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Guts UK and Dr Falk","award":["FSpR2018-06"],"award-info":[{"award-number":["FSpR2018-06"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,11,8]]},"abstract":"Abstract<\/jats:title>\n \n Background and Aims<\/jats:title>\n Inflammatory bowel disease colitis-associated dysplasia is managed with either enhanced surveillance and endoscopic resection or prophylactic surgery. The rate of progression to cancer after a dysplasia diagnosis remains uncertain in many cases and patients have high thresholds for accepting proctocolectomy. Individualised discussion of management options is encouraged to take place between patients and their multidisciplinary teams for best outcomes. We aimed to develop a toolkit to support a structured, multidisciplinary and shared decision-making approach to discussions about dysplasia management options between clinicians and their patients.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Evidence from systematic literature reviews, mixed-methods studies conducted with key stakeholders, and decision-making expert recommendations were consolidated to draft consensus statements by the DECIDE steering group. These were then subjected to an international, multidisciplinary modified electronic Delphi process until an a priori threshold of 80% agreement was achieved to establish consensus for each statement.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n In all, 31 members [15 gastroenterologists, 14 colorectal surgeons and two nurse specialists] from nine countries formed the Delphi panel. We present the 18 consensus statements generated after two iterative rounds of anonymous voting.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n By consolidating evidence for best practice using literature review and key stakeholder and decision-making expert consultation, we have developed international consensus recommendations to support health care professionals counselling patients on the management of high cancer risk colitis-associated dysplasia. The final toolkit includes clinician and patient decision aids to facilitate shared decision-making.<\/jats:p>\n <\/jats:sec>","DOI":"10.1093\/ecco-jcc\/jjad083","type":"journal-article","created":{"date-parts":[[2023,5,12]],"date-time":"2023-05-12T12:28:34Z","timestamp":1683894514000},"page":"1652-1671","source":"Crossref","is-referenced-by-count":9,"title":["DECIDE: Delphi Expert Consensus Statement on Inflammatory Bowel Disease Dysplasia Shared Management Decision-Making"],"prefix":"10.1093","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3991-1015","authenticated-orcid":false,"given":"Misha","family":"Kabir","sequence":"first","affiliation":[{"name":"Division of GI Services, University College London Hospitals NHS Foundation Trust , London , UK"},{"name":"Department of Surgery and Cancer or Department of Metabolism, Digestion and Reproduction, Imperial College London , London , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8922-6249","authenticated-orcid":false,"given":"Siwan","family":"Thomas-Gibson","sequence":"additional","affiliation":[{"name":"Department of Surgery and Cancer or Department of Metabolism, Digestion and Reproduction, Imperial College London , London , UK"},{"name":"Department of Gastroenterology or Department of Colorectal Surgery, St Mark\u2019s Hospital , London , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2532-7267","authenticated-orcid":false,"given":"Phil J","family":"Tozer","sequence":"additional","affiliation":[{"name":"Department of Surgery and Cancer or Department of Metabolism, Digestion and Reproduction, Imperial College London , London , UK"},{"name":"Department of Gastroenterology or Department of Colorectal Surgery, St Mark\u2019s Hospital , London , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7950-2833","authenticated-orcid":false,"given":"Janindra","family":"Warusavitarne","sequence":"additional","affiliation":[{"name":"Department of Surgery and Cancer or Department of Metabolism, Digestion and Reproduction, Imperial College London , London , UK"},{"name":"Department of Gastroenterology or Department of Colorectal Surgery, St Mark\u2019s Hospital , London , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1117-1588","authenticated-orcid":false,"given":"Omar","family":"Faiz","sequence":"additional","affiliation":[{"name":"Department of Surgery and Cancer or Department of Metabolism, Digestion and Reproduction, Imperial College London , London , UK"},{"name":"Department of Gastroenterology or Department of Colorectal Surgery, St Mark\u2019s Hospital , London , 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H","family":"Katsanos","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Department of Internal Medicine, University of Ioannina School of Health Sciences , Ioannina , Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7271-4956","authenticated-orcid":false,"given":"Christopher Andrew","family":"Lamb","sequence":"additional","affiliation":[{"name":"Translational & Clinical Research Institute, Newcastle University , Newcastle upon Tyne , UK"},{"name":"Department of Gastroenterology, Royal Victoria Infirmary , Newcastle upon Tyne, Newcastle upon Tyne , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1039-6251","authenticated-orcid":false,"given":"Jimmy K","family":"Limdi","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Northern Care Alliance NHS Foundation Trust , Greater Manchester , UK"},{"name":"Department of 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