Endoscopy in Barrett’s oesophagus: adherence to standards and neoplasia detection in the community practice versus hospital setting
| Autor: | W. Voderholzer, Thomas Rösch, K. Rothe, Bertram Wiedenmann, H. Pohl, J Aschenbeck, R.-M. Liehr, Mario Anders, M Mayr, Martin Koch, J. Hoffmann, A Schröder, R Drossel, Hans-Joachim Schulz, U. Gottschalk |
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| Rok vydání: | 2008 |
| Předmět: |
Male
medicine.medical_specialty Esophageal Neoplasms Referral Adenocarcinoma Gastroenterology Barrett Esophagus Internal medicine Internal Medicine medicine Humans Community Health Services Stage (cooking) Aged Retrospective Studies Intraepithelial neoplasia medicine.diagnostic_test Esophagogastroduodenoscopy Esophageal disease business.industry Age Factors Middle Aged medicine.disease Hospitals Endoscopy Berlin Logistic Models Barrett's esophagus Community practice Female Esophagoscopy Guideline Adherence Family Practice business Precancerous Conditions Carcinoma in Situ |
| Zdroj: | Journal of Internal Medicine. 264:370-378 |
| ISSN: | 1365-2796 0954-6820 |
| DOI: | 10.1111/j.1365-2796.2008.01977.x |
| Popis: | Objective. Potential process differences between hospital and community-based endoscopy for Barrett’s oesophagus have not been examined. We aimed at comparing adherence to guidelines and neoplasia detection rates in medical centres (MC) and community practices (CP). Design. Retrospective analysis. Setting. All histologically confirmed Barrett cases seen over a 3-year period in six MC and 19 CP covering a third of all upper gastrointestinal endoscopies (n = 126 000) performed annually in Berlin, Germany. Main outcome measure. Rate of relevant neoplasia (high-grade intraepithelial neoplasia or more) in both settings in relation to adherence to standards. Results. Of 1317 Barrett cases, 66% were seen in CP. CP patients had a shorter mean Barrett length (2.6 cm vs. 3.8 cm; P |
| Databáze: | OpenAIRE |
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