Attending Training Courses on Barrett’s Esophagus Improves Adherence to Guidelines: A Survey from the Italian Society of Digestive Endoscopy
| Autor: | Stefano Rabitti, Franco Bazzoli, Giuseppe Galloro, Leonardo Henry Eusebi, Rocco Maurizio Zagari, Matteo Neri, Luigi Pasquale |
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| Přispěvatelé: | Zagari R.M., Eusebi L.H., Galloro G., Rabitti S., Neri M., Pasquale L., Bazzoli F., Zagari Rocco, Maurizio, Eusebio Leonardo, Henry, Galloro, Giuseppe, Rabitti, Stefano, Neri, Matteo, Pasquale, Luigi, Bazzoli, Franco |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Barrett’s esophagu Physiology Training course Gastric fold Education Barrett Esophagus Chronic Disease Indicators 03 medical and health sciences Digestive endoscopy 0302 clinical medicine Diagnosis medicine Humans Barrett’s esophagus Endoscopy Digestive System Practice Patterns Physicians' Esophagus Societies Medical Surveillance medicine.diagnostic_test Practice patterns business.industry General surgery Gastroenterology Middle Aged medicine.disease Quality Improvement Endoscopy Treatment medicine.anatomical_structure Italy Dysplasia 030220 oncology & carcinogenesis Barrett's esophagus Practice Guidelines as Topic Female Original Article 030211 gastroenterology & hepatology Curriculum Guideline Adherence business Diagnosi |
| Zdroj: | Digestive Diseases and Sciences |
| Popis: | Background: Little is known on practice patterns of endoscopists for the management of Barrett’s esophagus (BE) over the last decade. Aims: Our aim was to assess practice patterns of endoscopists for the diagnosis, surveillance and treatment of BE. Methods: All members of the Italian Society of Digestive Endoscopy (SIED) were invited to participate to a questionnaire-based survey. The questionnaire included questions on demographic and professional characteristics, and on diagnosis and management strategies for BE. Results: Of the 883 SIED members, 259 (31.1%) completed the questionnaire. Of these, 73% were males, 42.9% had > 50years of age and 68.7% practiced in community hospitals. The majority (82.9%) of participants stated to use the Prague classification; however 34.5% did not use the top of gastric folds to identify the gastro-esophageal junction (GEJ); only 51.4% used advanced endoscopy imaging routinely. Almost all respondents practiced endoscopic surveillance for non-dysplastic BE, but 43.7% performed eradication in selected cases and 30% practiced surveillance every 1–2years. The majority of endoscopists managed low-grade dysplasia with surveillance (79.1%) and high-grade dysplasia with ablation (77.1%). Attending a training course on BE in the previous 5years was significantly associated with the use of the Prague classification (OR 4.8, 95%CI 1.9–12.1), the top of gastric folds as landmark for the GEJ (OR 2.45, 95%CI 1.27–4.74) and advanced imaging endoscopic techniques (OR 3.33, 95%CI 1.53–7.29). Conclusions: Practice patterns for management of BE among endoscopists are variable. Attending training courses on BE improves adherence to guidelines. |
| Databáze: | OpenAIRE |
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