Endoscopy in Barrett's oesophagus: adherence to standards and neoplasia detection in the community practice versus hospital setting.
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Endoscopy in Barrett's oesophagus: adherence to standards and neoplasia detection in the community practice versus hospital setting. / Pohl, H; Aschenbeck, J; Drossel, R; Schröder, A; Mayr, M; Koch, M; Rothe, K; Anders, M; Voderholzer, W; Hoffmann, J; Schulz, H-J; Liehr, R-M; Gottschalk, U; Wiedenmann, B; Rösch, Thomas.
In: J INTERN MED, Vol. 264, No. 4, 4, 2008, p. 370-378.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Endoscopy in Barrett's oesophagus: adherence to standards and neoplasia detection in the community practice versus hospital setting.
AU - Pohl, H
AU - Aschenbeck, J
AU - Drossel, R
AU - Schröder, A
AU - Mayr, M
AU - Koch, M
AU - Rothe, K
AU - Anders, M
AU - Voderholzer, W
AU - Hoffmann, J
AU - Schulz, H-J
AU - Liehr, R-M
AU - Gottschalk, U
AU - Wiedenmann, B
AU - Rösch, Thomas
PY - 2008
Y1 - 2008
N2 - OBJECTIVE: Potential process differences between hospital and community-based endoscopy for Barrett's oesophagus have not been examined. We aimed at comparing adherence to guidelines and neoplasia detection rates in medical centres (MC) and community practices (CP). DESIGN: Retrospective analysis. SETTING: All histologically confirmed Barrett cases seen over a 3-year period in six MC and 19 CP covering a third of all upper gastrointestinal endoscopies (n = 126,000) performed annually in Berlin, Germany. MAIN OUTCOME MEASURE: Rate of relevant neoplasia (high-grade intraepithelial neoplasia or more) in both settings in relation to adherence to standards. RESULTS: Of 1317 Barrett cases, 66% were seen in CP. CP patients had a shorter mean Barrett length (2.6 cm vs. 3.8 cm; P <0.001) with fewer biopsies taken during an examination (2.5 vs. 4.1 for Barrett length
AB - OBJECTIVE: Potential process differences between hospital and community-based endoscopy for Barrett's oesophagus have not been examined. We aimed at comparing adherence to guidelines and neoplasia detection rates in medical centres (MC) and community practices (CP). DESIGN: Retrospective analysis. SETTING: All histologically confirmed Barrett cases seen over a 3-year period in six MC and 19 CP covering a third of all upper gastrointestinal endoscopies (n = 126,000) performed annually in Berlin, Germany. MAIN OUTCOME MEASURE: Rate of relevant neoplasia (high-grade intraepithelial neoplasia or more) in both settings in relation to adherence to standards. RESULTS: Of 1317 Barrett cases, 66% were seen in CP. CP patients had a shorter mean Barrett length (2.6 cm vs. 3.8 cm; P <0.001) with fewer biopsies taken during an examination (2.5 vs. 4.1 for Barrett length
M3 - SCORING: Zeitschriftenaufsatz
VL - 264
SP - 370
EP - 378
JO - J INTERN MED
JF - J INTERN MED
SN - 0954-6820
IS - 4
M1 - 4
ER -