Priority and appropriateness of upper endoscopy out-patient referrals: Two-period comparison in an open-access unit

Evaluation of endoscopy requests in the resumption of activity during the SARS-CoV-2 pandemic: denial of nonindicated requests and prioritization of accepted requests

“…The difference was significantly greater in specialties other than the Digestive Diseases Service. However, some studies have found that other specialties make more referrals (20,23), while others have not found differences (9,13,24).…”

AEG-SEED position paper for the resumption of endoscopic activity after the peak phase of the COVID-19 pandemic

“…The factors that correlated with a higher proportion of clinically relevant lesions (cancer, peptic disease, oesophageal varices, coeliac disease, Barrett’s oesophagus or dysplasia in atrophic gastritis) were the preferential request, adequate follow-up of guidelines and agreement on the level of priority between primary and specialist care. 19 …”

“…There is little available evidence on specific management systems regarding the prioritisation of endoscopic activity. In an Italian study, the working teams comprising GPs, gastroenterology specialists and the head of department for the given speciality initially showed a low level of agreement in the assignment of priority levels 22 when the so-called homogeneous delay groups (HDG) were created, but this improved over time 19 . These HDGs assign a priority level and a maximum waiting time per category to each request, regardless of whether the request is for a gastroscopy or a colonoscopy.…”

Gastritis: An Update in 2020

“…Advances in this area relate to an etiology-based diagnosis, already reflected in the new International Classification of Diseases (ICD-11), and to the clinical priority of gastritis staging in the long-term personalized management of gastritis patients. Relying on essential information about the etiology and staging of a case of gastritis, clinicians can safely proceed with the most appropriate therapy, and decide whether and what type of follow-up is required [49,50].…”