AI Article Synopsis
- Accurate reporting of polyp characteristics is essential for smart resource allocation in referring patients for endoscopic resection of colorectal lesions.
- A study analyzed data from 1,508 patients and found significant issues: 24% of lesions lacked size estimates, and 22% lacked morphologic descriptions.
- The findings suggest that improving adherence to established guidelines could reduce errors in prereferral management of these challenging cases.
Article Abstract
Background And Aims: Accurate reporting of polyp characteristics is crucial for effective resource allocation in endoscopic resection referrals. We present our experience with prereferral management of challenging colorectal lesions.
Methods: We reviewed a prospectively collected database of consecutive referrals for endoscopic resection of challenging colorectal lesions. The database included details of prior colonoscopies. We assessed prereferral management using established guidelines.
Results: Among 1826 referred lesions in 1508 patients, size estimates were missing for 421 (24%) lesions; 56 (3.2%) were twice as large as previously estimated, and 65 (3.7%) were half the previous estimate. Morphologic descriptions were absent for 376 (22%) polyps. Tattooing was performed for 822 (47%) lesions, with 195 (24%) placed correctly. Of the 872 (61%) polyps that underwent biopsy, only 11 (1.3%) were classified high risk by the referring endoscopist.
Conclusions: Errors in prereferral management of challenging colorectal lesions are frequent. Improved adherence to national guidelines could enhance practice.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.gie.2024.10.056 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Challenges of health workers in primary health facilities in implementing obstetric emergency referrals to save women from death in Indonesia: A qualitative study.
Belitung Nurs J
November 2024
Faculty of Public Health, Universitas Indonesia, Depok, Indonesia.
Background: One of the contributing factors to the high maternal mortality rate is the failure of the referral system, which inhibits the management of obstetric emergencies. Health workers at primary healthcare facilities serve as the gatekeepers of this referral system, and they must be equipped to make referral decisions, prepare referrals, and transport women safely and quickly to the hospital.
Objective: This study aimed to explore the challenges faced by health workers in primary healthcare settings when implementing appropriate and rapid obstetric emergency referrals for women.
Frequency of errors in colorectal lesion description and management prior to referral to a tertiary center.
Gastrointest Endosc
October 2024
Division of Gastroenterology and Hepatology, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Article Synopsis
- Accurate reporting of polyp characteristics is essential for smart resource allocation in referring patients for endoscopic resection of colorectal lesions.
- A study analyzed data from 1,508 patients and found significant issues: 24% of lesions lacked size estimates, and 22% lacked morphologic descriptions.
- The findings suggest that improving adherence to established guidelines could reduce errors in prereferral management of these challenging cases.
Pre-referral ultrasound for cryptorchidism: Still common, still not necessary.
J Paediatr Child Health
December 2024
Department of Paediatric Surgery, Queensland Children's Hospital, Brisbane, Queensland, Australia.
Aim: Evidence-based guidelines do not recommend imaging in cryptorchidism, but anecdotally most referrals include an ultrasound report. We aimed to assess the frequency, utility and burden of imaging in children referred with presumptive disorders of testicular descent, and to assess trends over a 7-year period before and after local and international guidelines have been introduced.
Methods: This was a prospective cohort study of children referred to the Queensland Children's Hospital for anomalies of testicular descent between 2015-2017 and 2023-2024.
Primary Polydipsia in a Toddler: A Rare Case.
J Investig Med High Impact Case Rep
September 2024
Department of Pediatric Nephrology, Augusta Victoria Hospital, Jerusalem, Palestine.
Primary polydipsia (PP) is a rare but significant clinical entity in pediatric patients. Here, we present the case of a 16-month-old female referred to our center due to recurrent episodes of electrolyte imbalances. Initially admitted for management of a viral illness, she experienced unexplained electrolyte disturbances, prompting subsequent admissions marked by similar disruptions.
View Article and Find Full Text PDFLaboratory reference intervals influence referral patterns for hemoglobin abnormalities in the Ontario virtual care system.
PLOS Digit Health
August 2024
Division of Hematology, Department of Medicine, London Health Sciences Centre, London, Ontario, Canada.
This retrospective cross-sectional study investigates the impact of laboratory-specific hemoglobin reference intervals on electronic consultation (eConsult) referral patterns for suspected anemia and elevated hemoglobin at a tertiary care center in London, Ontario that serves Southwestern Ontario. The study analyzed referrals through the Ontario Telemedicine Network's eConsult platform for hemoglobin abnormalities, excluding patients under 18 years old, between July 1, 2019, and June 30, 2023.The main outcome measures were influence of hemoglobin reference intervals on the referral patterns for suspected anemia and elevated hemoglobin, as well as the extent of pre-referral laboratory testing.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!