Screening for colorectal cancer with flexible sigmoidoscopy by nonphysician endoscopists

Wallace, Michael B.; Kemp, James Alan; Meyer, Frank; Horton, Kimberly; Reffel, Angela; Christiansen, Cindy L.; Farraye, Francis A.

doi:10.1016/s0002-9343(99)00225-9

Cited by 80 publications

(37 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Strengths and weaknesses in relation to other studies These findings reinforce results of single centre studies suggesting that nurses can safely and effectively carry out flexible sigmoidoscopy. [5][6][7][8] We have confirmed that quality of life improves after endoscopy by both doctors and nurses. 23 This reflects the value of endoscopy even when no abnormality is found.…”

Section: Strengths and Weaknesses Of Trialsupporting

confidence: 62%

Effectiveness of nurse delivered endoscopy: findings from randomised multi-institution nurse endoscopy trial (MINuET)

Williams

Russell

Durai

et al. 2009

BMJ

View full text Add to dashboard Cite

Objective To compare the clinical effectiveness of doctors and nurses in undertaking upper and lower gastrointestinal endoscopy. Design Pragmatic trial with Zelen's randomisation before consent to minimise distortion of existing practice. Setting 23 hospitals in the United Kingdom. In six hospitals, nurses undertook both upper and lower gastrointestinal endoscopy, yielding a total of 29 centres. Participants 67 doctors and 30 nurses. Of 4964 potentially eligible patients, we randomised 4128 (83%) and recruited 1888 (38%) from July 2002 to June 2003. Interventions Diagnostic upper gastrointestinal endoscopy and flexible sigmoidoscopy, undertaken with or without sedation, with the standard preparation, techniques, and protocols of participating hospitals. After referral for either procedure, patients were randomised between doctors and nurses. Main outcome measures Gastrointestinal symptom rating questionnaire (primary outcome), gastrointestinal endoscopy satisfaction questionnaire and state-trait anxiety inventory (all analysed by intention to treat); immediate and delayed complications; quality of examination and corresponding report; patients' preferences for operator; and new diagnoses at one year (all analysed according to who carried out the procedure). Results There was no significant difference between groups in outcome at one day, one month, or one year after endoscopy, except that patients were more satisfied with nurses after one day. Nurses were also more thorough than doctors in examining the stomach and oesophagus. While quality of life scores were slightly better in patients the doctor group, this was not statistically significant. Conclusions Diagnostic endoscopy can be undertaken safely and effectively by nurses. Trial registration International standard RCT 8276570

show abstract

Section: Strengths and Weaknesses Of Trialsupporting

confidence: 62%

Effectiveness of nurse delivered endoscopy: findings from randomised multi-institution nurse endoscopy trial (MINuET)

Williams

Russell

Durai

et al. 2009

BMJ

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

“…In conjunction to this is the setup of one-stop clinics where consultation and initial investigations, such as¯exible sigmoidoscopy, take place at the same sitting [16]. This will require the training of more specialists to perform such procedures [9,16]. Current training guidelines state that a trainee needs to be supervised for about 100 patient based procedures before being allowed to practice independently [4].…”

Section: Discussionmentioning

confidence: 99%

The PreOp flexible sigmoidoscopy trainer

Datta¹,

Mandalia²,

Mackay³

et al. 2002

Surgical Endoscopy

View full text Add to dashboard Cite

show abstract

“…7,8 Several single-centre studies confirmed that trained nurse endoscopists could perform screening FSs safely and accurately. 9,10 A single-centre randomised trial demonstrated no significant differences in polyp detection rates or complications between nurses and doctors 11 and a further single-centre study showed no clinically significant differences in patient satisfaction. 12 The first UK study on nurse practitioner FS training and an evaluation of their prospective performance in symptomatic patients was published in 1998.…”

Section: Recommendations For Researchmentioning

confidence: 99%

What are the clinical outcome and cost-effectiveness of endoscopy undertaken by nurses when compared with doctors? A Multi-Institution Nurse Endoscopy Trial (MINuET)

Williams¹,

Russell²,

Durai³

et al. 2006

Health Technol Assess

View full text Add to dashboard Cite

Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. Contact Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to Direct Mail Works Ltd and drawn on a bank with a UK address. Paying by credit cardThe following cards are accepted by phone, fax, post or via the website ordering pages: Delta, Eurocard, Mastercard, Solo, Switch and Visa. We advise against sending credit card details in a plain email. Paying by official purchase orderYou can post or fax these, but they must be from public bodies (i.e. NHS or universities) within the UK.We cannot at present accept purchase orders from commercial companies or from outside the UK. How do I get a copy of HTA on CD?Please use the form on the HTA website (www.hta.ac.uk/htacd.htm). Or contact Direct Mail Works (see contact details above) by email, post, fax or phone. HTA on CD is currently free of charge worldwide.The website also provides information about the HTA Programme and lists the membership of the various committees. HTA NHS R&D HTA ProgrammeT he research findings from the NHS R&D Health Technology Assessment (HTA) Programme directly influence key decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC) who rely on HTA outputs to help raise standards of care. HTA findings also help to improve the quality of the service in the NHS indirectly in that they form a key component of the 'National Knowledge Service' that is being developed to improve the evidence of clinical practice throughout the NHS.The HTA Programme was set up in 1993. Its role is to ensure that high-quality research information on the costs, effectiveness and broader impact of health technologies is produced in the most efficient way for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined to include all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care, rather than settings of care.The HTA Programme commissions research only on topics where it has identified key gaps in the evidence needed by the NHS. Suggestions for topics are actively sought from people working in the NHS, the public, service-users groups and professional bodies such as Royal Colleges and NHS Trusts.Research suggestions are carefully considered by panels of independent experts (including service users) whose advice results in a ranked list of recommended research priorities. The HTA Programme then commissions the research team best suited to und...

show abstract

Screening for colorectal cancer with flexible sigmoidoscopy by nonphysician endoscopists

Cited by 80 publications

References 16 publications

Effectiveness of nurse delivered endoscopy: findings from randomised multi-institution nurse endoscopy trial (MINuET)

Effectiveness of nurse delivered endoscopy: findings from randomised multi-institution nurse endoscopy trial (MINuET)

The PreOp flexible sigmoidoscopy trainer

What are the clinical outcome and cost-effectiveness of endoscopy undertaken by nurses when compared with doctors? A Multi-Institution Nurse Endoscopy Trial (MINuET)

Contact Info

Product

Resources

About