Literature DB >> 15775674

The EPAGE internet guideline as a decision support tool for determining the appropriateness of colonoscopy.

Olivier Terraz1, Vincent Wietlisbach, Jean-Gabriel Jeannot, Bernard Burnand, Florian Froehlich, Jean-Jacques Gonvers, Jennifer K Harris, John-Paul Vader.   

Abstract

BACKGROUND: Few studies have examined how physicians perceive guidelines, much less their perceptions of an Internet presentation of such guidelines. This study assessed physicians' acceptance ofan Internet-based guideline on the appropriateness of colonoscopy.
METHODS: Gastroenterologists participating in an international observational study consulted an Internet-based guideline for consecutive patients referred for colonoscopy. The guideline was produced by the European Panel on the Appropriateness of Gastrointestinal Endoscopy (EPAGE), using a validated method (RAND). Through the use of questionnaires, physicians were asked their opinions and perspectives of the guideline and website.
RESULTS: There were 289 patients included in the study. The mean time for consulting the website was 1.8 min, and it was considered easy to use by 86% of physicians. The recommendations were easily located for 82% of patients and physicians agreed with the appropriateness in 86% of cases. According to the EPAGE criteria, colonoscopy was appropriate, uncertain, and inappropriate in 59, 28, and 13% of patients, respectively.
CONCLUSIONS: The EPAGE guideline was considered acceptable and user-friendly and the use, usefulness and relevance of the website were considered acceptable. However, its actual use will depend on the removal of certain organizational and cultural obstacles. Copyright 2005 S. Karger AG, Basel.

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Mesh:

Year:  2005        PMID: 15775674     DOI: 10.1159/000084522

Source DB:  PubMed          Journal:  Digestion        ISSN: 0012-2823            Impact factor:   3.216


  10 in total

1.  Quality indicators for colonoscopy.

Authors:  Douglas K Rex; Philip S Schoenfeld; Jonathan Cohen; Irving M Pike; Douglas G Adler; M Brian Fennerty; John G Lieb; Walter G Park; Maged K Rizk; Mandeep S Sawhney; Nicholas J Shaheen; Sachin Wani; David S Weinberg
Journal:  Am J Gastroenterol       Date:  2014-12-02       Impact factor: 10.864

2.  Clinical validation of the European Panel on the Appropriateness of Gastrointestinal Endoscopy (EPAGE) II criteria in an open-access unit: a prospective study.

Authors:  A Z Gimeno García; Y González; E Quintero; D Nicolás-Pérez; Z Adrián; R Romero; O Alarcón Fernández; M Hernández; M Carrillo; V Felipe; J Díaz; L Ramos; M Moreno; A Jiménez-Sosa
Journal:  Endoscopy       Date:  2011-11-22       Impact factor: 10.093

Review 3.  Colorectal cancer diagnosis: Pitfalls and opportunities.

Authors:  Pablo Vega; Fátima Valentín; Joaquín Cubiella
Journal:  World J Gastrointest Oncol       Date:  2015-12-15

4.  Quality indicators for colorectal cancer screening for colonoscopy.

Authors:  Philip S Schoenfeld; Jonathan Cohen
Journal:  Tech Gastrointest Endosc       Date:  2013-04

5.  "Appropriateness of colonoscopy according to EPAGE II in a low resource setting: a cross sectional study from Sri Lanka".

Authors:  Yasara Samarakoon; Nalika Gunawardena; Aloka Pathirana; Sumudu Hewage
Journal:  BMC Gastroenterol       Date:  2018-05-29       Impact factor: 3.067

Review 6.  Reasons For Physicians Not Adopting Clinical Decision Support Systems: Critical Analysis.

Authors:  Saif Khairat; David Marc; William Crosby; Ali Al Sanousi
Journal:  JMIR Med Inform       Date:  2018-04-18

Review 7.  Artificial Intelligence: A Shifting Paradigm in Cardio-Cerebrovascular Medicine.

Authors:  Vida Abedi; Seyed-Mostafa Razavi; Ayesha Khan; Venkatesh Avula; Aparna Tompe; Asma Poursoroush; Alireza Vafaei Sadr; Jiang Li; Ramin Zand
Journal:  J Clin Med       Date:  2021-12-06       Impact factor: 4.241

8.  A cross-sectional study of the appropriateness of colonoscopy requests in the Spanish region of Catalonia.

Authors:  Diana Puente; Francesc Xavier Cantero; Maria Llagostera; Pilar Piñeiro; Raquel Nieto; Rosa Saladich; Juanjo Mascort; Mercè Marzo; Jesús Almeda; Manel Segarra
Journal:  BMJ Open       Date:  2012-11-30       Impact factor: 2.692

9.  Appropriateness of colonoscopy requests according to EPAGE-II in the Spanish region of Catalonia.

Authors:  M Marzo-Castillejo; J Almeda; J J Mascort; O Cunillera; R Saladich; R Nieto; P Piñeiro; M Llagostera; Fx Cantero; M Segarra; D Puente
Journal:  BMC Fam Pract       Date:  2015-10-26       Impact factor: 2.497

10.  Workflow-based Data Reconciliation for Clinical Decision Support: Case of Colorectal Cancer Screening and Surveillance.

Authors:  Kavishwar Wagholikar; Sunghwan Sohn; Stephen Wu; Vinod Kaggal; Sheila Buehler; Robert A Greenes; Tsung-Teh Wu; David Larson; Hongfang Liu; Rajeev Chaudhry; Lisa Boardman
Journal:  AMIA Jt Summits Transl Sci Proc       Date:  2013-03-18
  10 in total

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