PT  - JOURNAL ARTICLE
AU  - E A Scott
AU  - N Black
TI  - Appropriateness of cholecystectomy in the United Kingdom--a consensus panel approach.
AID  - 10.1136/gut.32.9.1066
DP  - 1991 Sep 01
TA  - Gut
PG  - 1066--1070
VI  - 32
IP  - 9
4099  - http://gut.bmj.com/content/32/9/1066.short
4100  - http://gut.bmj.com/content/32/9/1066.full
SO  - Gut1991 Sep 01; 32
AB  - A consensus development approach was used to assess the extent to which doctors in the UK agreed about the appropriate indications for cholecystectomy. Two panels, one composed entirely of surgeons and one containing a mix of relevant specialists, were asked to rate a series of possible indications. A consensus was achieved for 61% (surgical panel) and 67% (mixed panel) of indications considered. The surgical panel considered more indications as being appropriate for cholecystectomy (29% v 13%) and fewer indications as being inappropriate (27% v 50%) than the mixed panel. For between one third and a half of all indications, the panels were unable to reach agreement, partly as a result of differences in views as to the role of endoscopic sphincterotomy.