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The diagnostic yield of upper endoscopy procedures in children- is it cost effective?

Yoram Elitsur1

  • 1Department of Pediatrics, Gastroenterology Unit, Marshall University School of Medicine, 1300 Medical Center Dr., Huntington, WV, 25701, USA, Elitsur@marshall.edu.

Current Gastroenterology Reports
|March 29, 2014
PubMed

Insights

Upper endoscopy is a valuable diagnostic tool for children

Area of Science:

  • Pediatric Gastroenterology
  • Endoscopic Procedures

Background:

  • Upper endoscopy is crucial for diagnosing and treating pediatric gastrointestinal issues.
  • The increasing number of procedures has led to unsustainable costs.
  • Current cost-reduction strategies for adults are controversial.

Purpose of the Study:

  • To evaluate the diagnostic yield of upper endoscopy in children.
  • To propose methods for reducing the annual number of pediatric upper endoscopies.
  • To discuss the cost-effectiveness of pediatric upper endoscopy.

Main Methods:

  • Review of pediatric upper endoscopy procedures.
  • Analysis of diagnostic yield and cost-effectiveness data.
  • Development of recommendations for procedure reduction.

Main Results:

  • Diagnostic yield of upper endoscopy in children needs evaluation.
  • Cost-effectiveness requires careful consideration in pediatric cases.
  • Strategies for reducing procedure frequency are proposed.

Conclusions:

  • Optimizing the use of upper endoscopy in children is essential.
  • Balancing diagnostic utility with cost-effectiveness is key.
  • Further research and guideline development are needed.

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