Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Evaluation of a new referral system for the management of dyspepsia in Hong Kong: Role of open-access upper endoscopy
Autore:
Wong, BCY; Chan, CK; Wong, KW; Wong, WM; Yuen, MF; Lai, KC; Hu, WH; Lau, GK; Lai, CL; Lam, SK;
Indirizzi:
Univ Hong Kong, Queen Mary Hosp, Dept Med, Hong Kong, Hong Kong, Peoples RChina Univ Hong Kong Hong Kong Hong Kong Peoples R China Kong, Peoples RChina
Titolo Testata:
JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY
fascicolo: 11, volume: 15, anno: 2000,
pagine: 1251 - 1256
SICI:
0815-9319(200011)15:11<1251:EOANRS>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
UPPER GASTROINTESTINAL ENDOSCOPY; FUNCTIONAL DYSPEPSIA; CLINICAL PRESENTATION; DISCRIMINANT VALUE; WORKING PARTY; GASTROSCOPY; SUBGROUPS; SYMPTOMS; SERVICE;
Keywords:
dyspepsia; open-access; upper endoscopy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
31
Recensione:
Indirizzi per estratti:
Indirizzo: Wong, BCY Univ Hong Kong, Queen Mary Hosp, Dept Med, Hong Kong, Hong Kong,Peoples RChina Univ Hong Kong Hong Kong Hong Kong Peoples R China ples RChina
Citazione:
B.C.Y. Wong et al., "Evaluation of a new referral system for the management of dyspepsia in Hong Kong: Role of open-access upper endoscopy", J GASTR HEP, 15(11), 2000, pp. 1251-1256

Abstract

Background: In the management of dyspepsia, upper endoscopy is an important component. In our locality, patients requiring upper endoscopy are conventionally referred to specialist clinics by family physicians. We have introduced the first open-access upper endoscopy service in Hong Kong, which hasallowed family physicians to arrange endoscopy without prior specialist consultation. A study on the outcome of open-access upper endoscopy in contrast with the conventional referral system was conducted. Methods: For patients presenting with dyspepsia, family physicians in our region were given the option to arrange upper endoscopy directly with our Medical Endoscopy Unit in addition to the conventional referral to specialist clinics. The results were compared with those from the specialist clinic. A detailed prospective follow up was performed from June to September 1997to evaluate the outcome and impact of open-access upper endoscopy. Results: From November 1996 to September 1999, 978 referrals for open-access upper endoscopy were received. The service significantly reduced the waiting time for the procedure by 16 weeks. Open-access upper endoscopy had similar detection rates for peptic ulcers and cancers compared with referralsfrom specialist clinics. Seventy-five percent of patients did not require further consultation with their family physicians within 2 months after endoscopy. It is a safe and effective procedure in establishing a definitive diagnosis. All family physicians were satisfied with the open-access upper endoscopy service. Conclusions: This is the first Asian report on this service. Open-access upper endoscopy reduced waiting time from the patient perspective, decreasedsubsequent consultations with family physicians and reduced referral to specialist clinics as well as increased patient and doctor satisfaction. Bothreferral systems for endoscopy were similar in terms of the diagnostic yield. (C) 2000 Blackwell Science Asia Pty Ltd.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/04/20 alle ore 17:35:24