Open access gastroscopy: too much to swallow?

Kerrigan, David; Brown, S. R.; Hutchinson, G. H.

doi:10.1136/bmj.300.6721.374

Cited by 60 publications

(31 citation statements)

References 4 publications

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“…However, evidence from open access endoscopy has consistently demonstrated that primary care physicians use such services appropriately [19,20] . Furthermore, a trial of open access echocardiography considered only 12% of referrals as 'inappropriate' [21] .…”

Section: Discussionmentioning

confidence: 99%

European survey of primary care physician perceptions on heart failure diagnosis and management (Euro-HF)

Hobbs

2000

European Heart Journal

136

108

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Section: Discussionmentioning

confidence: 99%

European survey of primary care physician perceptions on heart failure diagnosis and management (Euro-HF)

Hobbs

2000

European Heart Journal

136

108

View full text Add to dashboard Cite

“…8,12,113,149,[263][264][265][266][267][268][269][270][271][272][273][274][275][276][277] As the yield from endoscopy varied widely with case-mix in these studies, a range only was used for comparison. As later studies have shown lower rates of PUD and cancer, the aim for these was at the lower end of this range, and at the upper end of the range for oesophagitis.…”

Section: Validationmentioning

confidence: 99%

The management of dyspepsia: a systematic review.

Delaney

Moayyedi²,

Deeks³

et al. 2000

Health Technology Assessment

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“…Importantly, the yield for this new technology is comparable to that for existing endoscopic techniques. For all indications, gastroscopy and colonoscopy have reported yields of between 19.5% and 72% [16][17][18] and 5% and 65% [19][20][21][22] . The reported change in management after gastroscopy and colonoscopy of 7%-58% is also comparable to that for CE in this study [23][24][25][26].…”

Section: Discussionmentioning

confidence: 99%

“…Demand was highest in patients with OGB (iron deficiency anemia, n = 104 patients; overt bleeding, n = 55 patients) and suspected active Crohn's disease (n = 68 patients). The average number of investigations per patient prior to CE was 4.3 (range, [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17]. These investigations were in the form of upper gastrointestinal endoscopy, colonoscopy, push enteroscopy, small bowel studies, radionuclear scans, bone marrow aspirates, angiography, computed tomography, diagnostic laparoscopy, and even laparotomy.…”

Section: Indications For Capsule Endoscopymentioning

confidence: 99%

Capsule Endoscopy Changes Patient Management in Routine Clinical Practice

et al. 2007

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Our objective was to evaluate the diagnostic yield and effect of capsule endoscopy on patient management in routine clinical practice. Three hundred examinations were performed (176 females; mean age, 51 years), with a median follow-up of 17 months. Indications included overt bleeding (n=55), anemia (n=104), suspected Crohn's disease (n=68), celiac disease (n=35), suspected functional symptoms (n=23), polyposis (n=5), and miscellaneous (n=10). The overall diagnostic yield was 39%, but it was notably higher in overt bleeders, 66%, compared to 46% in the anemia group (P<0.025), 32% in the suspected Crohn's group (P<0.001), and 17% in the functional group (P<0.001). As a result of capsule endoscopy, management was altered in 26% of patients. This study shows that capsule endoscopy has both a high diagnostic yield and an impact on subsequent patient management. These data further support the role of capsule endoscopy in routine clinical practice.

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Open access gastroscopy: too much to swallow?

Abstract: 14 Horn M\EC, Dick MC, Frost B, et al. Neonatal screening for sickle cell diseases in Camberwcll: results and recommendations of a two year pilot study. BrMedJ 1986;292:737-40. 15 Rowley PT. Newborn screening for sickle cell disease. Benefits and burdens.

Cited by 60 publications

References 4 publications

European survey of primary care physician perceptions on heart failure diagnosis and management (Euro-HF)

European survey of primary care physician perceptions on heart failure diagnosis and management (Euro-HF)

The management of dyspepsia: a systematic review.

Capsule Endoscopy Changes Patient Management in Routine Clinical Practice

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