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Barium enema use in Indiana.
D K Rex1, J C Lappas, D D Maglinte
1Department of Medicine, Indiana University School of Medicine, Indianapolis.
Indiana Medicine : the Journal of the Indiana State Medical Association
|June 1, 1991
Summary
Barium enema (BE) use in Indiana hospitals mirrors global trends, with wide variations in practice. Despite similarities to major centers, there
Area of Science:
- Radiology
- Gastrointestinal Imaging
Background:
- Barium enema (BE) remains a diagnostic tool in radiology.
- Practices in community hospitals may differ from major medical centers.
Purpose of the Study:
- To survey the current use of barium enema (BE), including single contrast (SCBE) and double contrast (DCBE), in Indiana's hospital-based radiology departments.
- To compare BE utilization in Indiana community hospitals with data from major medical centers globally.
Main Methods:
- A survey was distributed to all 118 hospital-based radiology departments in Indiana.
- Data collected focused on the indications and techniques of BE, including SCBE and DCBE, and antecedent procedures like sigmoidoscopy.
Main Results:
- The utilization of SCBE and DCBE in Indiana community hospitals was comparable to that reported for major medical centers worldwide.
- No significant differences in SCBE and DCBE use were observed based on hospital size or community size.
- Wide variations in overall BE technique utilization existed among community hospitals.
- While typically performed without antecedent sigmoidoscopy, 60% of Indiana hospitals perform BE on the same day as flexible sigmoidoscopy.
Conclusions:
- Barium enema usage patterns in Indiana community hospitals align with those of major medical centers.
- Similar to major centers, there is a lack of consensus on various aspects of BE performance in community hospitals.