The EPAGE internet guideline as a decision support tool for determining the appropriateness of colonoscopy

Details

Serval ID
serval:BIB_05FB35FC32E6
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
The EPAGE internet guideline as a decision support tool for determining the appropriateness of colonoscopy
Journal
Digestion
Author(s)
Terraz  Olivier, Wietlisbach  Vincent, Jeannot  Jean-Gabriel, Burnand  Bernard, Froehlich  Florian, Gonvers  Jean-Jacques, Harris  Jennifer K., Vader  John-Paul
ISSN
0012-2823
Publication state
Published
Issued date
2005
Volume
71
Number
2
Pages
72-77
Notes
Réf. IUMSP: R 05/51
Type de document : Evaluation Studies
SAPHIRID:46614 --- Old url value: http://content.karger.com/ProdukteDB/produkte.asp?Aktion=ShowFulltext&ProduktNr=223838&Ausgabe=230826&ArtikelNr=84522
Abstract
Background: Few studies have examined how physicians perceive guidelines, much less their perceptions of an Internet presentation of such guidelines. This study assessed physicians' acceptance ofan Internet-based guideline on the appropriateness of colonoscopy. Methods: Gastroenterologists participating in an international observational study consulted an Internet-based guideline for consecutive patients referred for colonoscopy. The guideline was produced by the European Panel on the Appropriateness of Gastrointestinal Endoscopy (EPAGE), using a validated method (RAND). Through the use of questionnaires, physicians were asked their opinions and perspectives of the guideline and website. Results: There were 289 patients included in the study. The mean time for consulting the website was 1.8 min, and it was considered easy to use by 86% of physicians. The recommendations were easily located for 82% of patients and physicians agreed with the appropriateness in 86% of cases. According to the EPAGE criteria, colonoscopy was appropriate, uncertain, and inappropriate in 59, 28, and 13% of patients, respectively. Conclusions: The EPAGE guideline was considered acceptable and user-friendly and the use, usefulness and relevance of the website were considered acceptable. However, its actual use will depend on the removal of certain organizational and cultural obstacles. [Ed.]
Keywords
Colonoscopy , Decision Support Systems, Clinical , Guideline Adherence , Internet , Practice Guidelines as Topic
Pubmed
Web of science
Open Access
Yes
Create date
05/03/2008 9:30
Last modification date
20/08/2019 12:28
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