ArticleWorld journal of gastrointestinal endoscopy2025
Impact of referral delays on dysphagia outcomes in a Saudi tertiary center.
Article in World journal of gastrointestinal endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundDysphagia requires prompt evaluation but data regarding referral-to-assessment intervals and its association with outcomes in tertiary care are scarce, especially in Saudi Arabia.
aimTo investigate the assessment and outcome of consecutive dysphagia referrals to a tertiary gastroenterology practice.
methodsThis retrospective single-center study analyzed 207 consecutive dysphagia referrals to King Saud Medical City (2022-2023). Data collection included referral timelines, diagnostic investigations, etiologies and outcomes. Statistical Package for the Social Sciences version 28.0, employing
resultsTotal 168 patients included in this study (mean age 45.7 ± 17.7 years, 50% male), referral delays > 2 weeks occurred in 44% for clinical assessment and 50% for endoscopy. Gastroesophageal reflux disease was most common (45.2%), followed by eosinophilic esophagitis (14.8%) and malignancy (6.5%). Patients receiving endoscopy within 2 weeks showed an 84.6% improvement, compared to 76.0% with delayed referral (
conclusionEarly endoscopy within 2 weeks provides significant benefit. Optimised management of dysphagia should consist of more direct referral pathways.
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