AI Article Synopsis
- A study aimed to assess the effectiveness of using phone calls to follow up with patients who had been diagnosed with gastric precancerous lesions (GPL) but lost to follow-up, in order to reduce gastric cancer (GC) mortality.
- Out of 535 GPL patients, 134 were contacted, but only 36 underwent the recommended endoscopy after facing several challenges in reaching them, including not being able to make contact or patients declining the procedure.
- The results indicated that most patients showed stability in their GPL conditions, though one patient progressed to gastric cancer, highlighting the importance of follow-up for early intervention.
Article Abstract
Background: Surveillance of gastric precancerous lesions (GPL) may reduce gastric cancer (GC)-related mortality, but some patients with GPL are lost to follow-up.
Objective: The aim of this study was to evaluate the feasibility and efficacy of a "phone-call" strategy in surveillance of the lost to follow-up patients.
Patients And Methods: Among all the patients diagnosed with GPL (atrophic gastritis, intestinal metaplasia, low-grade dysplasia) between 2000 and 2015, we identified those who should undergo surveillance endoscopy according to the current guidelines. They were contacted by telephone and invited to undergo endoscopy with gastric biopsies for histological analysis.
Results: Among 535 patients with GPL, 134 were contacted. Sixty-two (46%) could not be joined, 36 did not have endoscopy for other reasons, and finally, 36 patients (22 males, median age 65 years) were included. After the median time interval of 57 months between 2 endoscopies, 18 patients showed stability, 11 regression, and 7 progression of GPL, including 1 patient who developed GC.
Conclusion: Despite several telephone calls, only one-third of the contacted patients could be brought to surveillance endoscopy. Most of the patients showed stability of GPL, but 1 progressed to GC and could be successfully treated.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7590752 | PMC |
| http://dx.doi.org/10.1159/000508873 | DOI Listing |
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