دانلود مقاله ISI انگلیسی شماره 104167
کد مقاله سال انتشار مقاله انگلیسی ترجمه فارسی تعداد کلمات
104167 2018 32 صفحه PDF سفارش دهید 8349 کلمه
خرید مقاله
پس از پرداخت، فوراً می توانید مقاله را دانلود فرمایید.
عنوان انگلیسی
Less Is More: A Minimalist Approach to Endoscopy
منبع

Publisher : Elsevier - Science Direct (الزویر - ساینس دایرکت)

Journal : Gastroenterology, Available online 15 February 2018

پیش نمایش مقاله
پیش نمایش مقاله

چکیده انگلیسی

A substantial literature documents inappropriate usage of gastrointestinal endoscopy in a variety of clinical settings. Overusage of endoscopy appears to be common, and 30% or more of procedures performed in some clinical settings have questionable indications. The potential reasons for overuse of endoscopy are multiple, and include cancer phobia, fear of medical malpractice litigation, profit motive, the investigation of “incidentalomas” found on other imaging, and underappreciation of the delayed harms of endoscopy, among other reasons. Clinical guidelines, which should limit overuse of endoscopy, may instead serve to promote it, if authors opt to be “conservative,” recommending endoscopy in situations of unclear utility. Several strategies may decrease overuse of endoscopy, including careful attention to risk stratification when choosing patients to screen, adherence to guidelines for surveillance intervals for colonoscopy, the use of quality indicators to identify outliers in endoscopy utilization, and education on appropriate indications and the risks of overuse at the medical student, residency, and fellowship levels.

خرید مقاله
پس از پرداخت، فوراً می توانید مقاله را دانلود فرمایید.