Expansion of interventional endoscopy and day-case procedures: A nationwide longitudinal study of gastrointestinal endoscopy in France

IF 2.6 4区医学 Q2 GASTROENTEROLOGY & HEPATOLOGY

Clinics and research in hepatology and gastroenterology Pub Date : 2025-01-01 DOI:10.1016/j.clinre.2024.102505

Hervé-Pierre Toudic , Marie Morvan , Noémi Reboux , Stanislas Chaussade , Olivier Gronier , Stéphane Koch , David Bernardini , Emmanuel Coron , Michel Robaszkiewicz , Lucille Quénéhervé

{"title":"Expansion of interventional endoscopy and day-case procedures: A nationwide longitudinal study of gastrointestinal endoscopy in France","authors":"Hervé-Pierre Toudic , Marie Morvan , Noémi Reboux , Stanislas Chaussade , Olivier Gronier , Stéphane Koch , David Bernardini , Emmanuel Coron , Michel Robaszkiewicz , Lucille Quénéhervé","doi":"10.1016/j.clinre.2024.102505","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>An accurate assessment of the evolution of GI endoscopy volumes is warranted to identify long-term trends and to help anticipate training, infrastructure and human resource needs. The main objective of this longitudinal study was to evaluate the evolution of GI endoscopy in France.</div></div><div><h3>Methods</h3><div>This retrospective study consisted of a cross-sectional analysis repeated each year from 2008 to 2018 using data from a national health database related to hospital admissions. All day-case and hospital stays presenting at least one of the 119 GI endoscopy procedures were extracted.</div></div><div><h3>Results</h3><div>This study showed an increase in day-case and hospital stays including a GI endoscopy procedure of 18.4 %. In addition, day-case endoscopy increased from 67.8 % to 76.9 % of hospital admissions. There was a 19.6 % increase in lower GI endoscopy, with in particular a 247 % increase in endoscopic mucosal resection. EUS and pancreaticobiliary and duodenal endoscopy have seen the most significant increases, 63 % and 70.2 % respectively; notably, therapeutic EUS increased by 476 %.</div></div><div><h3>Conclusion</h3><div>This study shows the good dynamics of GI endoscopy in a European country with a sustained increase over 11 years in day-case and hospital stays of patients undergoing a GI endoscopy while day-case endoscopy is taking on an increasingly important role.</div></div>","PeriodicalId":10424,"journal":{"name":"Clinics and research in hepatology and gastroenterology","volume":"49 1","pages":"Article 102505"},"PeriodicalIF":2.6000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinics and research in hepatology and gastroenterology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2210740124002262","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"GASTROENTEROLOGY & HEPATOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Background

An accurate assessment of the evolution of GI endoscopy volumes is warranted to identify long-term trends and to help anticipate training, infrastructure and human resource needs. The main objective of this longitudinal study was to evaluate the evolution of GI endoscopy in France.

Methods

This retrospective study consisted of a cross-sectional analysis repeated each year from 2008 to 2018 using data from a national health database related to hospital admissions. All day-case and hospital stays presenting at least one of the 119 GI endoscopy procedures were extracted.

Results

This study showed an increase in day-case and hospital stays including a GI endoscopy procedure of 18.4 %. In addition, day-case endoscopy increased from 67.8 % to 76.9 % of hospital admissions. There was a 19.6 % increase in lower GI endoscopy, with in particular a 247 % increase in endoscopic mucosal resection. EUS and pancreaticobiliary and duodenal endoscopy have seen the most significant increases, 63 % and 70.2 % respectively; notably, therapeutic EUS increased by 476 %.

Conclusion

This study shows the good dynamics of GI endoscopy in a European country with a sustained increase over 11 years in day-case and hospital stays of patients undergoing a GI endoscopy while day-case endoscopy is taking on an increasingly important role.

查看原文本刊更多论文

介入性内窥镜检查和日间手术的扩展：法国胃肠内窥镜检查的全国性纵向研究。

背景：有必要对胃肠道内窥镜检查量的发展进行准确评估，以确定长期趋势，并帮助预测培训、基础设施和人力资源需求。这项纵向研究的主要目的是评估法国胃肠道内窥镜的发展。方法：这项回顾性研究包括从2008年到2018年每年重复的横断面分析，使用与住院有关的国家卫生数据库的数据。在119例胃肠内镜检查中至少有一例的所有日间病例和住院病例均被取出。结果：该研究显示，包括胃肠道内窥镜检查在内的日间病例和住院时间增加了18.4%。此外，每日内窥镜检查从67.8%增加到76.9%。下消化道内镜检查增加了19.6%，特别是内镜下粘膜切除术增加了247%。EUS、胰胆、十二指肠内镜增幅最大，分别为63%和70.2%；值得注意的是，治疗性EUS增加了476%。结论：本研究显示，在欧洲国家，胃肠内镜检查的动态良好，11年来，胃肠内镜检查患者的日间病例和住院时间持续增加，而日间病例内镜检查正在发挥越来越重要的作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Clinics and research in hepatology and gastroenterology GASTROENTEROLOGY & HEPATOLOGY-

CiteScore

4.30

自引率

3.70%

发文量

198

审稿时长

42 days

期刊介绍： Clinics and Research in Hepatology and Gastroenterology publishes high-quality original research papers in the field of hepatology and gastroenterology. The editors put the accent on rapid communication of new research and clinical developments and so called "hot topic" issues. Following a clear Editorial line, besides original articles and case reports, each issue features editorials, commentaries and reviews. The journal encourages research and discussion between all those involved in the specialty on an international level. All articles are peer reviewed by international experts, the articles in press are online and indexed in the international databases (Current Contents, Pubmed, Scopus, Science Direct). Clinics and Research in Hepatology and Gastroenterology is a subscription journal (with optional open access), which allows you to publish your research without any cost to you (unless you proactively chose the open access option). Your article will be available to all researchers around the globe whose institution has a subscription to the journal.