Appropriateness and diagnostic yield of upper gastrointestinal endoscopy in an open-access endoscopy unit.

Details

Serval ID
serval:BIB_5269
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Appropriateness and diagnostic yield of upper gastrointestinal endoscopy in an open-access endoscopy unit.
Journal
Endoscopy
Author(s)
Gonvers J.J., Burnand B., Froehlich F., Pache I., Thorens J., Fried M., Kosecoff J., Vader J.P., Brook R.H.
ISSN
0013-726X
ISSN-L
0013-726X
Publication state
Published
Issued date
1996
Peer-reviewed
Oui
Volume
28
Number
8
Pages
661-666
Language
english
Abstract
BACKGROUND AND STUDY AIMS: This prospective study tested the appropriateness of referrals for upper gastrointestinal endoscopy in an open-access endoscopy unit, using the criteria of the American Society for Gastrointestinal Endoscopy. It also examined whether there was any relationship between appropriateness of use and the presence of significant lesions detected by endoscopy. METHODS: Four hundred fifty consecutive upper gastrointestinal endoscopies were studied prospectively. The referral indication was recorded by the endoscopist before the procedure was performed, and was compared with the current criteria of the American Society for Gastrointestinal Endoscopy and with endoscopic findings. RESULTS: The appropriateness of referral was assessed in 442 consecutive endoscopies. Of these, 252 (57%) were judged to be appropriate. In 168 (88%) of the 190 endoscopies rated as inappropriate, the reason was that the patient had not undergone empirical anti-ulcer therapy before endoscopy. The probability of finding a significant lesion did not differ between the endoscopies judged to be appropriate (50%) and those judged to be inappropriate (46%) CONCLUSIONS: Upper gastrointestinal endoscopy was frequently used for inappropriate indications. The main reason for inappropriate use was insufficient treatment, or no treatment, of dyspeptic symptoms prior to endoscopy. In this study, the criteria for appropriateness did not predict the probability of finding a significant endoscopic lesion.
Keywords
Adult, Aged, Endoscopy, Gastrointestinal, Female, Hospital Departments, Humans, Male, Medical Audit, Middle Aged, Outpatient Clinics, Hospital, Practice Guidelines as Topic, Prospective Studies, Referral and Consultation
Pubmed
Web of science
Create date
19/11/2007 12:41
Last modification date
20/08/2019 14:07
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