9. Appropriateness of Colonoscopy: Lower Abdominal Pain or Constipation 1

Bosset, V. De; Gonvers, J.-J.; Vader, J.-P.; Dubois, Robert W.; Burnand, Bernard; Froehlich, Florian

doi:10.1055/s-1999-69

Cited by 13 publications

(15 citation statements)

References 12 publications

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“…46 Previous studies on diagnostic colonoscopy for nonbleeding symptoms mostly have shown low yields, 47 but, again, very few studies have focused on young patients. 48 In a large, German study, the prevalence of advanced neoplasia was only 2.0% in the subset of patients aged !50 years. 16 However, this study, which included many patients with family histories of CRC, was based on an administrative database that did not contain details on each symptom.…”

Section: Discussionmentioning

confidence: 99%

Findings of diagnostic colonoscopy in young adults versus findings of screening colonoscopy in patients aged 50 to 54 years: a comparative study stratified by symptom category

Cha

Kozarek

Selva

et al. 2015

Gastrointestinal Endoscopy

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Section: Discussionmentioning

confidence: 99%

Findings of diagnostic colonoscopy in young adults versus findings of screening colonoscopy in patients aged 50 to 54 years: a comparative study stratified by symptom category

Cha

Kozarek

Selva

et al. 2015

Gastrointestinal Endoscopy

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“…Overall, our findings are still supportive and consistent with the ASGE guidelines, of moderate quality of evidence, for the role of endoscopy in constipation. That being, that GI endoscopy should not be performed in the initial evaluation of patients presenting with symptoms of chronic constipation in the absence of alarm features or suspicion of organic GI disease [1]. Also, when comparing EGD/Colonoscopy together with Colonoscopy alone, the diagnostic yield was higher for anatomic findings.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic Yield for Endoscopy in Patients with Altered Bowel Habits

Wood¹

2017

GHOA

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Background: Alterations in bowel habits is one of leading complaints among patients seen in the gastroenterology office. The increased volume of patient with complaints of chronic diarrhea, constipation or altered bowel habits continues to raise the question of the appropriateness and role for endoscopy as part of the diagnostic workup regarding these increasingly prevalent complaints. There is currently no clear evidence as to when endoscopy should be performed in evaluation of altered bowel habits. Many of the causative pathological processes resulting in altered bowel habits would not be detected on endoscopy or pathology and therefore the suspected diagnostic yield would be low. We suspect that the risk and cost associated with endoscopy relative to the low diagnostic yield should cause clinicians to focus efforts on other diagnostic measures prior to recommending or performing endoscopy for chronic diarrhea, chronic constipation, or altered bowel habits.

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“…Guidelines for gastroendotology were developed in line with international guidelines from [20][21][22][23][24][25][26][27]. The themes covered were chronic diarrhea, gastroesophageal reflux disease, abdominal pain, anemia/blood in feces, inflammatory bowel disease and colorectal cancer.…”

Section: The Hospital Casementioning

confidence: 99%

Clinical guidelines as decision support for referrals from primary care

Heimly

Nytrø

2011

2011 IEEE International Conference on Information Reuse &Amp; Integration

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This work describes the use of clinical guidelines in public health care for decision support in a primary care record system. The clinical guidelines were used for decision support in primary care in order to improve the quality of electronic referrals to a hospital. Guidelines were developed by the specialists at the hospital, but the design and the development of the system was done in collaboration with general practitioners working in primary care. This paper sums up the findings from a study six months after the introduction of the decision support system, and is based on interviews with users in primary care. The work processes differed between the practices; General practitioners who wrote the referrals after the patient had left the office did not find the system as useful as the ones who wrote them when the patient was present. The general practitioners were reluctant to use guidelines that resulted in an additional workload in terms of providing the hospital with more information than before, but found the system useful as a support for assuring that they made the right clinical decisions. The guidelines were also seen as useful as a support for refusing to refer the patient to specialized care.

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9. Appropriateness of Colonoscopy: Lower Abdominal Pain or Constipation 1

Cited by 13 publications

References 12 publications

Findings of diagnostic colonoscopy in young adults versus findings of screening colonoscopy in patients aged 50 to 54 years: a comparative study stratified by symptom category

Findings of diagnostic colonoscopy in young adults versus findings of screening colonoscopy in patients aged 50 to 54 years: a comparative study stratified by symptom category

Diagnostic Yield for Endoscopy in Patients with Altered Bowel Habits

Clinical guidelines as decision support for referrals from primary care

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