Sharlene L D'Souza1, Michelle A Anderson2, Sheryl J Korsnes3, B Joseph Elmunzer4, Cyrus Piraka5, Stacy Menees6, Erik-Jan Wamsteker7, Richard S Kwon8, James M Scheiman9, Grace H Elta10. 1. Division of Gastroenterology, Department of Internal Medicine, Oregon Health & Science University, Portland Veterans Administration Healthcare System, 3710 SW U.S. Veterans Hospital Rd., P3GI, Portland, OR, 97230, USA. dsouzas@ohsu.edu. 2. Division of Gastroenterology, Department of Internal Medicine, University of Michigan Health System, 1500 E. Medical Center Drive, 3912 Taubman Center, Ann Arbor, MI, 48109-5362, USA. maaander@med.umich.edu. 3. Division of Gastroenterology, Department of Internal Medicine, University of Michigan Health System, 1500 E. Medical Center Drive, 3912 Taubman Center, Ann Arbor, MI, 48109-5362, USA. skorsnes@med.umich.edu. 4. Division of Gastroenterology, Department of Internal Medicine, University of Michigan Health System, 1500 E. Medical Center Drive, 3912 Taubman Center, Ann Arbor, MI, 48109-5362, USA. badihe@med.umich.edu. 5. Division of Gastroenterology, Department of Internal Medicine, Henry Ford Hospital, 2799 West Grand Blvd, K7, Detroit, MI, 48202, USA. cpiraka1@hfhs.org. 6. Division of Gastroenterology, Department of Internal Medicine, University of Michigan Health System, 1500 E. Medical Center Drive, 3912 Taubman Center, Ann Arbor, MI, 48109-5362, USA. sbartnik@med.umich.edu. 7. Division of Gastroenterology, Department of Internal Medicine, University of Michigan Health System, 1500 E. Medical Center Drive, 3912 Taubman Center, Ann Arbor, MI, 48109-5362, USA. ewamstek@med.umich.edu. 8. Division of Gastroenterology, Department of Internal Medicine, University of Michigan Health System, 1500 E. Medical Center Drive, 3912 Taubman Center, Ann Arbor, MI, 48109-5362, USA. rskwon@med.umich.edu. 9. Division of Gastroenterology, Department of Internal Medicine, University of Michigan Health System, 1500 E. Medical Center Drive, 3912 Taubman Center, Ann Arbor, MI, 48109-5362, USA. jscheima@med.umich.edu. 10. Division of Gastroenterology, Department of Internal Medicine, University of Michigan Health System, 1500 E. Medical Center Drive, 3912 Taubman Center, Ann Arbor, MI, 48109-5362, USA. gelta@med.umich.edu.
Abstract
OBJECTIVE: To compare the Rosemont criteria, which are graded features chosen by experts in 2007, versus the conventional criteria, which require ≥ 3-5 of the 9 features that are "counted as equal," for the diagnosis of chronic pancreatitis by EUS. METHODS: This is a retrospective cohort study. EUS examinations were scored using both criteria, and the following categories compared: 3-CC versus "consistent with" chronic pancreatitis by RC; 3-CC versus "consistent with" and "suggestive of" chronic pancreatitis by RC; 5-CC versus "consistent with" chronic pancreatitis by RC; and 5-CC versus "consistent with" and "suggestive of" chronic pancreatitis by RC. RESULTS: There was a statistically significant difference between 3-CC and RC, either "consistent with" alone or both "consistent with" and "suggestive of" (p < 0.0001). Comparing 5-CC and "consistent with" showed a statistical difference (p = 0.0014), but no difference comparing 5-CC to "consistent with" and "suggestive of." CONCLUSION: CC diagnose more cases of chronic pancreatitis than RC when using 3-CC or when comparing 5-CC to "consistent with" chronic pancreatitis by Rosemont, indicating that the Rosemont criteria are more stringent.
OBJECTIVE: To compare the Rosemont criteria, which are graded features chosen by experts in 2007, versus the conventional criteria, which require ≥ 3-5 of the 9 features that are "counted as equal," for the diagnosis of chronic pancreatitis by EUS. METHODS: This is a retrospective cohort study. EUS examinations were scored using both criteria, and the following categories compared: 3-CC versus "consistent with" chronic pancreatitis by RC; 3-CC versus "consistent with" and "suggestive of" chronic pancreatitis by RC; 5-CC versus "consistent with" chronic pancreatitis by RC; and 5-CC versus "consistent with" and "suggestive of" chronic pancreatitis by RC. RESULTS: There was a statistically significant difference between 3-CC and RC, either "consistent with" alone or both "consistent with" and "suggestive of" (p < 0.0001). Comparing 5-CC and "consistent with" showed a statistical difference (p = 0.0014), but no difference comparing 5-CC to "consistent with" and "suggestive of." CONCLUSION: CC diagnose more cases of chronic pancreatitis than RC when using 3-CC or when comparing 5-CC to "consistent with" chronic pancreatitis by Rosemont, indicating that the Rosemont criteria are more stringent.
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