Quality Indicators in Endoscopic Ablation for Barrett’s Esophagus View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2017-04-18

AUTHORS

Samuel Han, Sachin Wani

ABSTRACT

Opinion StatementBarrett’s esophagus (BE) is a well-established premalignant condition for esophageal adenocarcinoma (EAC); a cancer that is associated with a poor 5-year survival rate. Several strategies have been explored in the context of reducing the burden of EAC. Endoscopic eradication therapy (EET) is considered the standard of care for the management of patients with BE with dysplasia and early neoplasia; a practice that has been endorsed by all gastroenterology societal guidelines. The effectiveness of EET has been demonstrated in multiple studies and contemporary management includes a combination of endoscopic mucosal resection (EMR) of all visible lesions followed by eradication of the remaining BE using ablative techniques of which radiofrequency ablation (RFA) has the best evidence supporting effectiveness and safety. These techniques are being used increasingly at academic tertiary care centers and community practices. In this era of value-based health care, there is increased focus on the establishment, documentation, and reporting of quality indicators; indicators that are important to physicians, patients, and payers. The purpose of this review is to highlight the current status of quality indicators in EET for the management of patients with BE-related neoplasia and discuss the future steps required to ensure that these quality indicators are uniformly incorporated into practice. More... »

PAGES

241-255

References to SciGraph publications

  • 2010-05-11. Low-Grade Dysplasia in Barrett's Esophagus: Overdiagnosed and Underestimated in THE AMERICAN JOURNAL OF GASTROENTEROLOGY
  • 2014-01-07. Incidence and Predictors of Adenocarcinoma Following Endoscopic Ablation of Barrett’s Esophagus in DIGESTIVE DISEASES AND SCIENCES
  • 2009-08-18. Complete Barrett's Eradication Endoscopic Mucosal Resection: An Effective Treatment Modality for High-Grade Dysplasia and Intramucosal Carcinoma—An American Single-Center Experience in THE AMERICAN JOURNAL OF GASTROENTEROLOGY
  • 2013-04-30. Endoscopic Mucosal Resection Results in Change of Histologic Diagnosis in Barrett’s Esophagus Patients with Visible and Flat Neoplasia: A Multicenter Cohort Study in DIGESTIVE DISEASES AND SCIENCES
  • 2015-11-03. ACG Clinical Guideline: Diagnosis and Management of Barrett’s Esophagus in THE AMERICAN JOURNAL OF GASTROENTEROLOGY
  • 2012-08-10. Effective Intra-Esophageal Acid Control Is Associated with Improved Radiofrequency Ablation Outcomes in Barrett’s Esophagus in DIGESTIVE DISEASES AND SCIENCES
  • 2011-04-06. Detection of Intestinal Metaplasia After Successful Eradication of Barrett’s Esophagus with Radiofrequency Ablation in DIGESTIVE DISEASES AND SCIENCES
  • 2010-02-23. Endoscopic Resection for Barrett's High-Grade Dysplasia and Early Esophageal Adenocarcinoma: An Essential Staging Procedure With Long-Term Therapeutic Benefit in THE AMERICAN JOURNAL OF GASTROENTEROLOGY
  • 2015-02-13. Overdiagnosis of high-grade dysplasia in Barrett’s esophagus: a multicenter, international study in MODERN PATHOLOGY
  • 2012-12-18. Intestinal Metaplasia Recurs Infrequently in Patients Successfully Treated for Barrett's Esophagus With Radiofrequency Ablation in THE AMERICAN JOURNAL OF GASTROENTEROLOGY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s11938-017-0136-0

    DOI

    http://dx.doi.org/10.1007/s11938-017-0136-0

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1084864871

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/28421454


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