Deux jours à une semaine en endoscopie digestive : que nous enseigne le registre de la SFED depuis dix ans ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2013-01

AUTHORS

D. Heresbach, J. -M. Canard, C. Boustière, J. -P. Arpurt, D. Bernardini, P. Bulois, S. Chaussade, I. Joly, J. Lapuelle, R. Laugier, G. Lesur, P. Pienkowski, T. Ponchon, B. Pujol, B. Richard-Molard, M. Robaszkiewicz, R. Systchenko, C. Cellier, pour le Conseil d’administration de la SFED (Société française d’endoscopie digestive

ABSTRACT

Les enquêtes de la SFED initiées en 1998 ont été reproduites de façon systématique depuis 2001 et jusqu’en 2012. Au-delà des renseignements annuels qu’elles ont fournis, il est utile de décrire les principaux résultats enregistrés au cours des différentes années. Leurs résultats, en particulier leur redressement pour obtenir une projection nationale ont fait l’objet de critiques rendant une analyse dans le détail nécessaire. Les enquêtes de pratique diligentées par les Agences régionales de santé qui reposent sur des données administratives ont l’avantage de leur facilité d’emploi, mais souffrent des codes utilisés pour renseigner le diagnostic qui n’ont pas nécessairement à voir avec la pertinence de l’acte ». Les résultats de ces enquêtes SFED soulignent qu’il faut rester vigilant sur les messages diffusés dans le milieu professionnel et dans le grand public. Ainsi, le taux de double exploration digestive haute et basse diminue au fil des années de 25 à 16%des patients inclus. Ces enquêtes pour les actes les plus fréquents présentent une bonne précision pour suivre la « prévalence de l’exploration endoscopique » en France, car des valeurs identiques ont été retrouvées par les enquêtes SFED et les données des Agences régionales de santé colligées à l’échelle nationale. Avec une prévalence d’exploration par endoscopie œsogastroduodénale et coloscopie de 16,6 et 20,0 pour 1 000 habitants, les valeurs étaient d’après les Agences régionales de santé de respectivement 16,2 pour 1 000 et 19,8 pour 1 000 habitants en 2010. La chute notable du taux de participation aux enquêtes de la SFED ne peut être actuellement expliquée mais est manifeste, passant de 27,1 à 12,2 % des hépatogastroentérologues entre 2008 et 2011. Les enquêtes de la SFED procurent des données solides pour les actes endoscopiques fréquents. Leur validité sera d’autant plus grande pour des actes endoscopiques moins fréquents que le taux de participation à ces enquêtes sera élevé. Les prochaines enquêtes doivent recueillir des données permettant de mieux cerner les motivations de participation ou non à ces enquêtes afin de tenter d’augmenter la participation. More... »

PAGES

8-13

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10190-013-0298-5

DOI

http://dx.doi.org/10.1007/s10190-013-0298-5

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1012228832


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