TY - JOUR
T1 - Patterns of endoscopy use in the United States
AU - Lieberman, David A.
AU - De Garmo, Patricia L.
AU - Fleischer, David E.
AU - Eisen, Glenn M.
AU - Helfand, Mark
N1 - Funding Information:
Supported by the American Digestive Health Foundation (ADHF) from unrestricted grants from Astra Pharmaceuticals and by Bard International.
PY - 2000
Y1 - 2000
N2 - Background and Aims: The aim of this study was to use a large national endoscopic database to determine why routine endoscopy is performed in diverse practice settings. Methods: A computerized endoscopic report generator was developed and disseminated to gastrointestinal (GI) specialists in diverse practice settings. After reports were generated, a data file was transmitted electronically to a central databank, where data were merged from multiple sites for analysis. Results: From April 1, 1997, to October 28, 1998, 276 physicians in 31 practice sites in 21 states provided 18,444 esophagogastroduodenoscopy (EGD) reports, 20,748 colonoscopy reports, and 9767 flexible sigmoidoscopy reports to the central databank. EGD was most commonly performed to evaluate dyspepsia and/or abdominal pain (23.7%), dysphagia (20%), symptoms of gastroesophageal reflux without dysphagia (17%), and suspected upper GI bleeding (16.3%). Colonoscopy was most often performed for surveillance of prior neoplasia (24%) and evaluation of hematochezia (19%) or positive fecal occult blood test (15%). Flexible sigmoidoscopy was most commonly performed for routine screening (40%) and evaluation of hematochezia (22%). There were significant differences between academic and nonacademic sites. Conclusions: The endoscopic database can be an important resource for future research in endoscopy by documenting current practice patterns and changes in practice over time.
AB - Background and Aims: The aim of this study was to use a large national endoscopic database to determine why routine endoscopy is performed in diverse practice settings. Methods: A computerized endoscopic report generator was developed and disseminated to gastrointestinal (GI) specialists in diverse practice settings. After reports were generated, a data file was transmitted electronically to a central databank, where data were merged from multiple sites for analysis. Results: From April 1, 1997, to October 28, 1998, 276 physicians in 31 practice sites in 21 states provided 18,444 esophagogastroduodenoscopy (EGD) reports, 20,748 colonoscopy reports, and 9767 flexible sigmoidoscopy reports to the central databank. EGD was most commonly performed to evaluate dyspepsia and/or abdominal pain (23.7%), dysphagia (20%), symptoms of gastroesophageal reflux without dysphagia (17%), and suspected upper GI bleeding (16.3%). Colonoscopy was most often performed for surveillance of prior neoplasia (24%) and evaluation of hematochezia (19%) or positive fecal occult blood test (15%). Flexible sigmoidoscopy was most commonly performed for routine screening (40%) and evaluation of hematochezia (22%). There were significant differences between academic and nonacademic sites. Conclusions: The endoscopic database can be an important resource for future research in endoscopy by documenting current practice patterns and changes in practice over time.
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U2 - 10.1016/S0016-5085(00)70269-1
DO - 10.1016/S0016-5085(00)70269-1
M3 - Article
C2 - 10702214
AN - SCOPUS:0034049534
SN - 0016-5085
VL - 118
SP - 619
EP - 624
JO - Gastroenterology
JF - Gastroenterology
IS - 3
ER -