Use of Gastroscopy in a Community: A Population-Based Study in Olmsted County, Minnesota

Mangan, Thomas F.; Larson, David E.; Melton, L. Joseph; Zinsmeister, Alan R.

doi:10.1016/s0025-6196(12)62608-1

Cited by 6 publications

(3 citation statements)

References 20 publications

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“…The strength of this study lies in the use of the Rochester Epidemiology Project, 13 a unique community data resource that has been used multiple times to estimate utilization rates and potential national needs for various procedures. [27][28][29][30] A related liability of this study is its potential generalizability. However, the demographics of the Olmsted County population are similar to those of the US white population with the exception that a greater proportion of the working population are employed in health care.…”

Section: Commentmentioning

confidence: 99%

Breast Biopsy Utilization

Ghosh

Melton²,

Suman³

et al. 2005

Arch Intern Med

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This population-based study provides much-needed data regarding the frequency of breast biopsies and benign results of breast biopsies in a community population. The utilization rate of breast biopsies remained fairly constant throughout the study period despite the introduction of the image-guided, core-needle biopsy procedure in 1992. A multidisciplinary breast practice, along with established guidelines for breast biopsy, can ensure appropriate use of new technology and thereby improve patient care.

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Section: Commentmentioning

confidence: 99%

Breast Biopsy Utilization

Ghosh

Melton²,

Suman³

et al. 2005

Arch Intern Med

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“…Esophagogastroduodenoscopy (EGD) is a commonly performed gastrointestinal (GI) procedure that is usually performed under sedation. [ 1 ] Although EGD under sedation may result in GI and non-GI complications, only a few studies have reported non-GI complications associated with EGD. [ 2 , 3 ] In the Clinical Outcomes Research Initiative database, [ 2 ] upper GI procedures were associated with a cardiopulmonary event rate of 1/170 and a mortality rate of 1/10,000.…”

Section: Introductionmentioning

confidence: 99%

“…Esophagogastroduodenoscopy (EGD) is a commonly performed gastrointestinal (GI) procedure that is usually performed under sedation [1] . Although EGD under sedation may result in GI and non-GI complications, only a few studies have reported non-GI complications associated with EGD [2,3] .…”

Section: Introductionmentioning

confidence: 99%

Gastrointestinal and non-gastrointestinal complication rates associated with diagnostic esophagogastroduodenoscopy under sedation

et al. 2022

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Esophagogastroduodenoscopy (EGD) under sedation may result in gastrointestinal (GI) and non-GI complications. However, no previous studies have reported 30-day GI and non-GI complications after diagnostic EGD under sedation.We conducted a retrospective, observational study of 30-day GI and non-GI complication rates after outpatient diagnostic EGD under sedation in subjects ≥18 years between January 2012 and December 2017 based on a common data model database. Thirty-day complication rates were compared with EGD under sedation or not, type of sedation drugs (midazolam only vs midazolam/propofol) and age groups (18-64 year vs ≥65 year) for GI (bleeding and perforation) and non-GI complications (pneumonia, acute myocardial infarction, congestive heart failure and cerebral stroke).In total, 39,910 were performed with sedation (midazolam only, n = 16,033 and midazolam/propofol, n = 23,864) and 22,894 were performed without sedation. Elderly patients significantly favored EGD without sedation (P < .01). GI and non-GI complication rates were similar between EGD under sedation and without sedation (all P > .1) except for acute myocardial infarction rate, which was significantly higher in EGD without sedation than EGD under sedation (1.7/10,000 vs 0.3/10,000 persons, P = .043). All GI and non-GI complications were also similar between the midazolam/propofol and midazolam only groups as well as between young and old patients (all P > .1).Outpatient diagnostic EGD under sedation has an excellent safety profile. In addition, it can be safely performed with midazolam only or midazolam/propofol and in young and old patients.

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Type B Gastritis, Aging, and Campylobacter pylori

Blaser

1988

Arch Intern Med

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Use of Gastroscopy in a Community: A Population-Based Study in Olmsted County, Minnesota

Cited by 6 publications

References 20 publications

Breast Biopsy Utilization

Breast Biopsy Utilization

Gastrointestinal and non-gastrointestinal complication rates associated with diagnostic esophagogastroduodenoscopy under sedation

Type B Gastritis, Aging, and Campylobacter pylori

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