Surveillance Cessation for Barrett's Esophagus: A Survey of Gastroenterologists

Elissa M. Ozanne; Elisabeth R. Silver; Sameer D. Saini; Joel H. Rubenstein; Iris Lansdorp-Vogelaar; Nicole Bowers; Sarah Xinhui Tan; John M. Inadomi; Chin Hur

doi:10.14309/ajg.0000000000001323

Surveillance Cessation for Barrett's Esophagus: A Survey of Gastroenterologists

Elissa M. Ozanne, Elisabeth R. Silver, Sameer D. Saini, Joel H. Rubenstein, Iris Lansdorp-Vogelaar, Nicole Bowers, Sarah Xinhui Tan, John M. Inadomi, Chin Hur

Public Health

Research output: Contribution to journal › Article › Academic › peer-review

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Abstract

INTRODUCTION: Regular endoscopic surveillance is the gold standard Barrett's esophagus (BE) surveillance, yet harms of surveillance for some patients may outweigh the benefits. We sought to characterize physicians' BE surveillance cessation recommendations. METHODS: We surveyed gastroenterologists about their BE surveillance recommendations varying patient age, comorbidity, and BE length. RESULTS: Clinicians varied in recommendations for repeat surveillance. Patient age showed the largest variation among decisions, whereas BE length varied the least. DISCUSSION: Age and comorbidities seem to influence BE surveillance cessation decisions, but with variation. Clear cessation guidelines balancing the risks and benefits for BE surveillance are warranted.

Original language	English
Pages (from-to)	1730-1733
Number of pages	4
Journal	The American journal of gastroenterology
Volume	116
Issue number	8
DOIs	https://doi.org/10.14309/ajg.0000000000001323
Publication status	Published - 1 Aug 2021

Bibliographical note

Publisher Copyright:
Copyright © 2021 by The American College of Gastroenterology.

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9152734/

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title = "Surveillance Cessation for Barrett's Esophagus: A Survey of Gastroenterologists",

abstract = "INTRODUCTION: Regular endoscopic surveillance is the gold standard Barrett's esophagus (BE) surveillance, yet harms of surveillance for some patients may outweigh the benefits. We sought to characterize physicians' BE surveillance cessation recommendations. METHODS: We surveyed gastroenterologists about their BE surveillance recommendations varying patient age, comorbidity, and BE length. RESULTS: Clinicians varied in recommendations for repeat surveillance. Patient age showed the largest variation among decisions, whereas BE length varied the least. DISCUSSION: Age and comorbidities seem to influence BE surveillance cessation decisions, but with variation. Clear cessation guidelines balancing the risks and benefits for BE surveillance are warranted.",

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AU - Ozanne, Elissa M.

AU - Silver, Elisabeth R.

AU - Saini, Sameer D.

AU - Rubenstein, Joel H.

AU - Lansdorp-Vogelaar, Iris

AU - Bowers, Nicole

AU - Tan, Sarah Xinhui

AU - Inadomi, John M.

AU - Hur, Chin

PY - 2021/8/1

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AB - INTRODUCTION: Regular endoscopic surveillance is the gold standard Barrett's esophagus (BE) surveillance, yet harms of surveillance for some patients may outweigh the benefits. We sought to characterize physicians' BE surveillance cessation recommendations. METHODS: We surveyed gastroenterologists about their BE surveillance recommendations varying patient age, comorbidity, and BE length. RESULTS: Clinicians varied in recommendations for repeat surveillance. Patient age showed the largest variation among decisions, whereas BE length varied the least. DISCUSSION: Age and comorbidities seem to influence BE surveillance cessation decisions, but with variation. Clear cessation guidelines balancing the risks and benefits for BE surveillance are warranted.

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Surveillance Cessation for Barrett's Esophagus: A Survey of Gastroenterologists

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