1999 ASGE endoscopic ultrasound survey

Thomas J. Savides, Allan H. Fisher, Frank G. Gress, Robert H. Hawes, Charles J. Lightdale, Charles Lightdale, Manoop Bhutani, J. Greg Carethers, Marc Catalano, Amitabh Chak, Ken Chang, Douglas Faigel, Hans Gerdes, Frank Gress, Michael Kochman, Thomas Savides, Peter Stevens, Jaques Van Dam, Maurits Wiersema

Research output: Contribution to journalArticle

29 Scopus citations

Abstract

Background: Gastrointestinal endoscopic ultrasound (EUS) has become an important imaging modality for the diagnosis and staging of gastrointestinal disorders. This study assessed current EUS practice, training, coding, and reimbursement in the United States. Methods: A direct mail survey was sent to members of the American Society for Gastrointestinal Endoscopy. Results: There were 115 American respondents. The median age was 39 years, 57% were in academic practice, and 84% performed endoscopic retrograde cholangiopancreatography. The median number of EUS procedures performed was 200. In the preceding year, the median number of upper EUS was 60, lower EUS 10, and EUS/fine-needle aspiration 3. The most common indication was evaluation of esophageal or gastric lesions. Forty-six (40%) trained an average of 0.4 advanced fellows in EUS during the prior year. Of endosonographers involved in training, 53% thought formal training was necessary, for a median of 6 months and 100 procedures; 82% did not know whether they were reimbursed for EUS. There was great variation in the use of current procedural terminology (CPT) codes for lower EUS and upper EUS/fine-needle aspiration. Conclusions: EUS in the United States in 1999 is performed mostly by young, academic, interventional endoscopists. Diagnostic upper EUS is most commonly performed. Few new endosonographers are being trained. There is great variability in CPT coding of lower EUS and EUS/fine-needie aspiration procedures.

Original languageEnglish (US)
Pages (from-to)745-750
Number of pages6
JournalGastrointestinal endoscopy
Volume52
Issue number6
DOIs
StatePublished - Jan 1 2000

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ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

Cite this

Savides, T. J., Fisher, A. H., Gress, F. G., Hawes, R. H., Lightdale, C. J., Lightdale, C., Bhutani, M., Carethers, J. G., Catalano, M., Chak, A., Chang, K., Faigel, D., Gerdes, H., Gress, F., Kochman, M., Savides, T., Stevens, P., Van Dam, J., & Wiersema, M. (2000). 1999 ASGE endoscopic ultrasound survey. Gastrointestinal endoscopy, 52(6), 745-750. https://doi.org/10.1067/mge.2000.109805