Patterns of endoscopy use in the United States

David Lieberman, Patricia L. De Garmo, David E. Fleischer, Glenn M. Eisen, Mark Helfand

Research output: Contribution to journalArticle

101 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)619-624
Number of pages6
JournalGastroenterology
Volume118
Issue number3
StatePublished - 2000

Fingerprint

Endoscopy
Databases
Digestive System Endoscopy
Sigmoidoscopy
Gastrointestinal Hemorrhage
Colonoscopy
Deglutition Disorders
Occult Blood
Dyspepsia
Information Storage and Retrieval
Hematologic Tests
Gastroesophageal Reflux
Abdominal Pain
Hemorrhage
Physicians
Neoplasms

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Lieberman, D., De Garmo, P. L., Fleischer, D. E., Eisen, G. M., & Helfand, M. (2000). Patterns of endoscopy use in the United States. Gastroenterology, 118(3), 619-624.

Patterns of endoscopy use in the United States. / Lieberman, David; De Garmo, Patricia L.; Fleischer, David E.; Eisen, Glenn M.; Helfand, Mark.

In: Gastroenterology, Vol. 118, No. 3, 2000, p. 619-624.

Research output: Contribution to journalArticle

Lieberman, D, De Garmo, PL, Fleischer, DE, Eisen, GM & Helfand, M 2000, 'Patterns of endoscopy use in the United States', Gastroenterology, vol. 118, no. 3, pp. 619-624.
Lieberman D, De Garmo PL, Fleischer DE, Eisen GM, Helfand M. Patterns of endoscopy use in the United States. Gastroenterology. 2000;118(3):619-624.
Lieberman, David ; De Garmo, Patricia L. ; Fleischer, David E. ; Eisen, Glenn M. ; Helfand, Mark. / Patterns of endoscopy use in the United States. In: Gastroenterology. 2000 ; Vol. 118, No. 3. pp. 619-624.
@article{68c425687ace4e61ad7270dc22a74b01,
title = "Patterns of endoscopy use in the United States",
abstract = "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.",
author = "David Lieberman and {De Garmo}, {Patricia L.} and Fleischer, {David E.} and Eisen, {Glenn M.} and Mark Helfand",
year = "2000",
language = "English (US)",
volume = "118",
pages = "619--624",
journal = "Gastroenterology",
issn = "0016-5085",
publisher = "W.B. Saunders Ltd",
number = "3",

}

TY - JOUR

T1 - Patterns of endoscopy use in the United States

AU - Lieberman, David

AU - De Garmo, Patricia L.

AU - Fleischer, David E.

AU - Eisen, Glenn M.

AU - Helfand, Mark

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.

UR - http://www.scopus.com/inward/record.url?scp=0034049534&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0034049534&partnerID=8YFLogxK

M3 - Article

C2 - 10702214

AN - SCOPUS:0034049534

VL - 118

SP - 619

EP - 624

JO - Gastroenterology

JF - Gastroenterology

SN - 0016-5085

IS - 3

ER -