How to Set Up a Successful Motility Lab

Yadlapati, Rena; Chen, Joan; Khan, Aneal

doi:10.1053/j.gastro.2020.01.030

Cited by 7 publications

(6 citation statements)

References 5 publications

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“…43 This also recognizes the facility, capital, and personnel costs of developing the motility laboratory needed to support anorectal manometry. 44 Our findings present a solution to the reality that most gastroenterology centers simply have no chance to comply with Rome IV, ESNM and AGA guidance which strongly advocate anorectal physiology evaluation-due to a lack of adequate diagnostic anorectal physiology equipment or expertise.…”

Section: Summary Statistic (95% Confidence Interval) P-value Summary Statistic (95% Confidence Interval) P-valuementioning

confidence: 81%

Anorectal manometry to diagnose dyssynergic defecation: Systematic review and meta‐analysis of diagnostic test accuracy

Ortengren

Ramkissoon

Chey

et al. 2021

Neurogastroenterology Motil

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Background: Chronic constipation is a common condition, and dyssynergic defecation underlies up to 40% of cases. Anorectal manometry is recommended to assess for dyssynergic defecation among chronically constipated patients but remains poorly standardized. We aimed to evaluate the diagnostic accuracy of anorectal manometry and determine optimal testing parameters. Methods:We performed a systematic review with meta-analysis of diagnostic test accuracy including cohort studies of chronically constipated patients and case-control studies of patients with dyssynergic defecation or healthy controls. Meta-analysis was performed to determine summary sensitivity, specificity, and area under the curve (AUC) with 95% confidence intervals (CI).

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Section: Summary Statistic (95% Confidence Interval) P-value Summary Statistic (95% Confidence Interval) P-valuementioning

confidence: 81%

Anorectal manometry to diagnose dyssynergic defecation: Systematic review and meta‐analysis of diagnostic test accuracy

Ortengren

Ramkissoon

Chey

et al. 2021

Neurogastroenterology Motil

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“…Developing a pediatric neurogastroenterology and motility (PNGM) program to address these needs requires substantial planning and institutional investment. Neurogastroenterology and motility (NGM) experts in adults have provided suggestions for establishing a successful NGM laboratory (6); however, there are currently no accepted guidelines outlining considerations and requirements when developing a successful PNGM program.…”

Section: Figurementioning

confidence: 99%

A Guide to Establishing a Pediatric Neurogastroenterology and Motility Program

Patel

Sood

Ambartsumyan

et al. 2022

J. pediatr. gastroenterol. nutr.

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The purpose of this document is to provide guidance for establishing a pediatric neurogastroenterology and motility (PNGM) program, including considerations for personnel, equipment, and physical space requirements, and business planning, from members of the neurogastroenterology and motility (NGM) Committee of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN) who have developed PNGM programs at various institutions. A business plan defining the needs for required personnel, dedicated physical space, procedures, clinical care, and equipment storage is a prerequisite. Thoughtful logistical planning should address provider schedules, clinical visits, procedure coordination, and prior authorization processes. A business-plan outlining equipment purchase with projected costs, revenue generation, and goals for future growth is desirable for obtaining institutional support, which is imperative to building a successful PNGM program.

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“…We recommend that physicians involved in the leadership of motility laboratories become familiar with methods to optimize reimbursement for the procedures performed. A recent review provided a comprehensive outline of Current Procedural Terminology codes for gastrointestinal physiology and motility procedures in the year 2020, along with important reimbursement suggestions ( 5 ). In addition, the ANMS commissioned a billing and coding update specific to esophageal function testing in 2018 ( 28 ).…”

Section: Billing For Motility Testing Relative To Covid-19mentioning

confidence: 99%

“…As of 2019, the United States has more than 120 motility laboratories ( 5 ). During the COVID-19 pandemic, motility laboratories temporarily shut down, which provided opportunities for protecting staff and patients from spreading COVID-19.…”

Section: Introductionmentioning

confidence: 99%

American Neurogastroenterology and Motility Society Task Force Recommendations for Resumption of Motility Laboratory Operations During the COVID-19 Pandemic

et al. 2020

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The American Neurogastroenterology and Motility Society Task Force recommends that gastrointestinal motility procedures should be performed in motility laboratories adhering to the strict recommendations and personal protective equipment (PPE) measures to protect patients, ancillary staff, and motility allied health professionals. When available and within constraints of institutional guidelines, it is preferable for patients scheduled for motility procedures to complete a coronavirus disease 2019 (COVID-19) test within 48 hours before their procedure, similar to the recommendations before endoscopy made by gastroenterology societies. COVID-19 test results must be documented before performing procedures. If procedures are to be performed without a COVID-19 test, full PPE use is recommended, along with all social distancing and infection control measures. Because patients with suspected motility disorders may require multiple procedures, sequential scheduling of procedures should be considered to minimize need for repeat COVID-19 testing. The strategies for and timing of procedure(s) should be adapted, taking into consideration local institutional standards, with the provision for screening without testing in low prevalence areas. If tested positive for COVID-19, subsequent negative testing may be required before scheduling a motility procedure (timing is variable). Specific recommendations for each motility procedure including triaging, indications, PPE use, and alternatives to motility procedures are detailed in the document. These recommendations may evolve as understanding of virus transmission and prevalence of COVID-19 infection in the community changes over the upcoming months.

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How to Set Up a Successful Motility Lab

Cited by 7 publications

References 5 publications

Anorectal manometry to diagnose dyssynergic defecation: Systematic review and meta‐analysis of diagnostic test accuracy

Anorectal manometry to diagnose dyssynergic defecation: Systematic review and meta‐analysis of diagnostic test accuracy

A Guide to Establishing a Pediatric Neurogastroenterology and Motility Program

American Neurogastroenterology and Motility Society Task Force Recommendations for Resumption of Motility Laboratory Operations During the COVID-19 Pandemic

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