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Procedure-specific outcomes assessment for endoscopic ultrasonography
1Section of Gastrointestinal Endoscopy, Division of Gastroenterology, University Hospitals of Cleveland, Case Western Reserve University, Cleveland, Ohio 44106, USA.
Gastrointestinal Endoscopy Clinics of North America
|September 24, 1999
Summary
Endoscopic ultrasound (EUS) significantly alters patient management, often leading to less invasive or costly treatments. Further research is needed for specific cancers and quality of life impacts.
Area of Science:
- Gastroenterology
- Medical Imaging
- Diagnostic Endoscopy
Background:
- Endoscopic ultrasound (EUS) is an emerging diagnostic tool in gastrointestinal endoscopy.
- Its clinical utility is increasingly recognized across various gastrointestinal conditions.
Purpose of the Study:
- To evaluate the impact of EUS on patient management strategies.
- To assess the cost-effectiveness and safety profile of EUS.
- To identify areas for future research in EUS applications.
Main Methods:
- Review of prospective studies examining the impact of EUS on clinical decision-making.
- Analysis of preliminary investigations using catheter-based EUS probes.
- Examination of studies assessing cost-effectiveness and complication rates.
Main Results:
- EUS led to a change in management in approximately two-thirds of patients.
- Many management changes involved less invasive or less expensive options.
- EUS demonstrated cost-effectiveness for specific conditions like submucosal and ampullary tumors.
- Complication rates were comparable to standard upper endoscopy.
Conclusions:
- EUS is a valuable tool that frequently modifies patient management towards more conservative approaches.
- Further studies are warranted to investigate EUS's role in specific cancers (esophageal, pancreatic, rectal) and its effect on quality of life.
- EUS appears to be a safe and cost-effective endoscopic procedure.