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Related Concept Videos

Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

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An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
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Endoscopic Procedures II: Colonoscopy01:25

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The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Urologic Endoscopic Procedure: Cystoscopic Examination01:28

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Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
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Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
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Same-Day vs Different-Day Elective Upper and Lower Endoscopic Procedures by Setting.

Peiqi Wang1, Susan M Hutfless2,3, Eun J Shin2

  • 1Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.

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|May 14, 2019
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Summary
This summary is machine-generated.

Performing upper and lower endoscopy on the same day is patient-centered and cost-effective. However, rates of different-day procedures varied significantly by setting, with physician offices and ambulatory surgery centers (ASCs) showing higher rates than hospital outpatient departments (HOPDs).

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Area of Science:

  • Gastroenterology
  • Health Services Research
  • Health Economics

Background:

  • Performing upper and lower endoscopic procedures on the same day is a patient-centered and cost-effective approach compared to a two-stage approach.
  • The variation in this practice pattern based on the outpatient setting has not been previously studied.

Purpose of the Study:

  • To estimate the rate of different-day upper and lower endoscopic procedures across three outpatient settings: hospital outpatient departments (HOPDs), freestanding ambulatory surgery centers (ASCs), and physician offices.
  • To identify factors associated with performing these procedures on different days.

Main Methods:

  • Retrospective analysis of Medicare claims from January 1, 2011, to June 30, 2018.
  • Included Medicare beneficiaries undergoing upper and lower endoscopic procedures within 90 days.
  • Adjusted for patient and physician characteristics to determine factors associated with different-day procedures.

Main Results:

  • A total of 4,028,587 procedure pairs were analyzed.
  • Different-day procedure rates were 13.6% in HOPDs, 22.2% in ASCs, and 47.7% in physician offices.
  • Physician offices and ASCs had significantly higher rates of different-day procedures compared to HOPDs, even after adjustment.

Conclusions:

  • Significant disparities exist in the rates of same-day versus different-day endoscopic procedures across outpatient settings.
  • Physician offices and ASCs demonstrate considerably higher rates of different-day procedures than HOPDs.
  • These disparities present opportunities for quality improvement and potential financial savings in common endoscopic care.