Expansion of interventional endoscopy and day-case procedures: A nationwide longitudinal study of gastrointestinal endoscopy in France - 04/12/24
Highlights |
• | Annual volumes of GI endoscopy procedures increased between 2008 and 2018. |
• | Nationwide, interventional endoscopy increased. |
• | EUS (63 %) and pancreaticobiliary endoscopy (70.2 %) increased the most. |
• | Colonoscopy including an endoscopic resection increased. |
• | Day-case endoscopy increased (from 67.8 % to 76.9 % of hospital admissions). |
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.
Le texte complet de cet article est disponible en PDF.Key words : Epidemiology, ERCP, Colonoscopy, EUS
Plan
Vol 49 - N° 1
Article 102505- janvier 2025 Retour au numéro
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