Document Detail


Quality of Barrett's surveillance in The Netherlands: a standardized review of endoscopy and pathology reports.
MedLine Citation:
PMID:  18679060     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The quality of Barrett's surveillance relies on an adequate endoscopic inspection, obtaining a sufficient number of biopsy specimens, good communication of the endoscopic findings to the pathologist, and an accurate description of the histological findings by the pathologist. The aim of this study was to assess the quality of Barrett's surveillance in daily practice in The Netherlands. MATERIALS AND METHODS: A structured scoring list was developed to evaluate systematically the quality of endoscopy and pathology reports. From 15 hospitals, endoscopy reports and corresponding pathology reports were selected randomly and evaluated by two observers. In case of disagreement, the observers re-evaluated the reports in a consensus meeting. RESULTS: One hundred and fifty cases were evaluated. The adherence to current standard biopsy protocols (four quadrant biopsies every 2 cm) decreased with increasing Barrett's length: 0-5 cm: 79%; 5-10 cm: 50%; 10-15 cm: 30%. The indication for the endoscopy was mentioned in 28% of the pathology reports, in 4% the presence/absence of oesophagitis was communicated, and in 19% the location and/or aetiology of biopsies was described. The presence/absence of dysplasia was mentioned in 93% of pathology reports. CONCLUSION: Endoscopy reports and pathology reports in current practice do not include all relevant information for an adequate Barrett's surveillance. In short Barrett's oesophagus, the adherence to current standard biopsy protocols is acceptable, but in longer segments (with a higher risk for neoplastic progression) this is clearly insufficient. The communication between endoscopists and pathologist is suboptimal.
Authors:
Wouter L Curvers; Femke P Peters; Brenda Elzer; Annet J C M Schaap; Lubbertus C Baak; Arnoud van Oijen; Rosalie M Mallant-Hent; Fiebo Ten Kate; Kausilia K Krishnadath; Jacques J G H M Bergman
Publication Detail:
Type:  Evaluation Studies; Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  European journal of gastroenterology & hepatology     Volume:  20     ISSN:  0954-691X     ISO Abbreviation:  Eur J Gastroenterol Hepatol     Publication Date:  2008 Jul 
Date Detail:
Created Date:  2008-08-05     Completed Date:  2009-03-16     Revised Date:  2009-10-16    
Medline Journal Info:
Nlm Unique ID:  9000874     Medline TA:  Eur J Gastroenterol Hepatol     Country:  England    
Other Details:
Languages:  eng     Pagination:  601-7     Citation Subset:  IM    
Affiliation:
Amsterdam Gastroenterological Association, Academic Medical Centre, Amsterdam, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Adenocarcinoma / pathology*
Barrett Esophagus / pathology*
Biopsy
Communication
Esophageal Neoplasms / pathology*
Esophagoscopy / standards
Female
Health Services Research / methods
Humans
Interprofessional Relations
Male
Medical Records / standards
Middle Aged
Netherlands
Population Surveillance / methods*
Precancerous Conditions / pathology*
Quality of Health Care*
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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