Evidence map›Paper›PMID 29507870›Full record

ArticleEndoscopy international open2018

Adherence to quality indicators and surveillance guidelines in the management of Barrett's esophagus: a retrospective analysis.

Donevan Westerveld, Vikas Khullar, Lazarus Mramba, Fares Ayoub, Tony Brar, Mitali Agarwal, Justin Forde, Joydeep Chakraborty, Michael Riverso, Yaseen B Perbtani and 4 more

Abstract read
In one paragraph

Article in Endoscopy international open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. AGA Clinical Practice Update on New Technology and Innovation for Surveillance and Screening in Barrett's Esophagus: Expert Review.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2022
    Guideline
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. High rate of missed Barrett's esophagus when screening with forceps biopsies.Esophagus : official journal of the Japan Esophageal Society · 2023
    Article
  9. Review
  10. Article
  11. Article
  12. Quality indicators in diagnostic upper gastrointestinal endoscopy.Therapeutic advances in gastroenterology · 2020
    Review
  13. Article
  14. Precision care for Barrett's esophagus.Translational gastroenterology and hepatology · 2018
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Donevan WesterveldDepartment of Internal Medicine, University of Florida, Gainesville, FL, USA.
Vikas KhullarDivision of Gastroenterology and Hepatology, University of Florida, Gainesville, FL, USA.
Lazarus MrambaStatistics, Department of Internal Medicine, University of Florida, Gainesville, FL, USA.
Fares AyoubDepartment of Internal Medicine, University of Florida, Gainesville, FL, USA.
Tony BrarDepartment of Internal Medicine, University of Florida, Gainesville, FL, USA.
Mitali AgarwalDepartment of Internal Medicine, University of Florida, Gainesville, FL, USA.
Justin FordeDepartment of Internal Medicine, University of Florida, Gainesville, FL, USA.
Joydeep ChakrabortyDepartment of Internal Medicine, University of Florida, Gainesville, FL, USA.
Michael RiversoDivision of Gastroenterology and Hepatology, University of Florida, Gainesville, FL, USA.
Yaseen B PerbtaniDivision of Gastroenterology and Hepatology, University of Florida, Gainesville, FL, USA.
Anand GupteDivision of Gastroenterology and Hepatology, University of Florida, Gainesville, FL, USA.
Chris E ForsmarkDivision of Gastroenterology and Hepatology, University of Florida, Gainesville, FL, USA.
Peter DraganovDivision of Gastroenterology and Hepatology, University of Florida, Gainesville, FL, USA.
Dennis YangDivision of Gastroenterology and Hepatology, University of Florida, Gainesville, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdherence to quality indicators and surveillance guidelines in the management of Barrett's esophagus (BE) promotes high-quality, cost-effective care. The aims of this study were (1) to evaluate adherence to standardized classification (Prague Criteria) and systematic (four-quadrant) biopsy protocol, (2) to identify predictors of practice patterns, and (3) to assess adherence to surveillance guidelines for non-dysplastic BE (NDBE).

methodsThis was a single-center retrospective study of esophagogastroduodenoscopy (EGD) performed for BE (June 2008 to December 2015). Patient demographics, procedure characteristics, and histology results were obtained from the procedure report-generating database and chart review. Adherence to Prague Criteria and systematic biopsies was based on operative report documentation. Multiple logistic regression analysis was performed to identify predictors of practice patterns. Guideline adherent surveillance EGD was defined as those performed within 6 months of the recommended 3- to 5-year interval.

resultsIn total, 397 patients (66.5 % male; mean age 60.1 ± 12.5 years) had an index EGD during the study period. Adherence to Prague Criteria and systematic biopsies was 27.4 % and 24.1 %, respectively. Endoscopists who performed therapeutic interventions for BE were more likely to use the Prague Criteria (OR: 3.16; 95 %CI: 1.47 - 6.82;

conclusionAdherence to quality indicators and surveillance guidelines in BE is low. Operator characteristics, including experience with endoscopic therapy for BE and time in practice predicted practice pattern. Future efforts are needed to reduce variability in practice and promote high-value care.

Identifiers

PMID29507870
PMCPMC5832463

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.