Variation in esophageal physiology testing in clinical practice: Results from an international survey

2017 ◽  
Vol 30 (3) ◽  
pp. e13215 ◽  
Author(s):  
R. Sweis ◽  
H. Heinrich ◽  
M. Fox ◽  
Keyword(s):  
Clinical Practice ◽  
International Survey ◽  
Esophageal Physiology

Methods of anorectal manometry vary widely in clinical practice: Results from an international survey

2017 ◽  
Vol 29 (8) ◽  
pp. e13016 ◽  
Author(s):  
E. V. Carrington ◽  
H. Heinrich ◽  
C. H. Knowles ◽  
S. S. Rao ◽  
M. Fox ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Anorectal Manometry ◽  
International Survey

An international survey of the clinical practice of EUS

2004 ◽  
Vol 60 (5) ◽  
pp. 765-770 ◽  
Author(s):  
Ananya Das ◽  
William Mourad ◽  
Charles J. Lightdale ◽  
Michael V. Sivak ◽  
Amitabh Chak
Keyword(s):  
Clinical Practice ◽  
International Survey

Clinical practice in prevention of fracture-related infection: An international survey among 1197 orthopaedic trauma surgeons

Injury ◽  
2019 ◽  
Vol 50 (6) ◽  
pp. 1208-1215 ◽  
Author(s):  
Jan Puetzler ◽  
Charalampos Zalavras ◽  
Thomas F. Moriarty ◽  
Michael H.J. Verhofstad ◽  
Stephen L. Kates ◽  
...  
Keyword(s):  
Clinical Practice ◽  
International Survey ◽  
Orthopaedic Trauma ◽  
Trauma Surgeons

scholarly journals A279 EUS-GUIDED BILIARY DRAINAGE IN MALIGNANT DISTAL BILIARY OBSTRUCTION: AN INTERNATIONAL SURVEY TO IDENTIFY BARRIERS OF TECHNOLOGY IMPLEMENTATION

2020 ◽  
Vol 3 (Supplement_1) ◽  
pp. 157-159
Author(s):  
V Palmieri ◽  
A Ramana-Kumar ◽  
M Martel ◽  
N Forbes ◽  
R Mohamed ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Biliary Drainage ◽  
Biliary Obstruction ◽  
Multivariable Analysis ◽  
Quality Data ◽  
International Survey ◽  
High Quality ◽  
High Quality Data ◽  
Independent Variables ◽  
Barriers To Implementation

Abstract Background Endoscopic ultrasound-guided biliary drainage (EUS-BD) is a promising alternative to endoscopic retrograde cholangiopancreatography (ERCP) in malignant distal biliary obstruction (MDBO). Recent small randomized controlled trials comparing EUS-BD with ERCP suggest that EUS-BD achieves a similar technical success rate and safety profile while potentially being associated with lower rates of stent dysfunction However, its application in clinical practice has been impeded by various undefined barriers. Aims To evaluate the current practice of EUS-BD and the determinants for its clinical implementation in MDBO. Methods An online survey was generated using Google Forms. Five endoscopy societies have distributed the survey as of October 10th, 2019. Survey questions measured participant characteristics, EUS-BD in different clinical scenarios, and potential barriers to implementation. Descriptive statistics were calculated using frequencies, chi-square statistics were used for inferential analysis, and a standard step-wise multivariable analysis was performed to identify independent variables for and against the use of EUS-BD. Results To date, 102 physicians have participated in the survey (response rate 7.97%). The majority of participants are from North America (39.2%), Asia (31.4%), and Europe (19.6%). Most participants are gastroenterologists with formal therapeutic endoscopy training (66.7%), though only 28.4% have received EUS-BD training. In unresectable cancer, 85.1% of respondents favoured EUS-BD over percutaneous biliary drainage following ERCP failure (p<0.0001), while in borderline resectable disease, 72.3% preferred EUS-BD. On multivariable analysis, male gender, formal training in EUS-BD, and unresectable cancer were independent variables for the use of EUS-BD. Conversely, independent discouraging factors for EUS-BD included fear of adverse events, limited high-quality data, lack of local expertise, and inadequate access to EUS technology. Conclusions In this international survey, it appears that EUS-BD is gaining traction, especially in the setting of unresectable disease following ERCP failure. However, barriers to implementation include the lack of high-quality data, fear for adverse events, limited experts in the field, and inadequate access to EUS technology. This suggest the need for high-quality clinical trials, increased endoscopist training in this field, and further technology development in EUS-BD in order to increase its uptake in clinical practice. Funding Agencies None

Utilization of tumor genomics in clinical practice: an international survey among ASCO members

2019 ◽  
Vol 15 (21) ◽  
pp. 2463-2470 ◽  
Author(s):  
Romualdo Barroso-Sousa ◽  
Hao Guo ◽  
Piyush Srivastava ◽  
Ted James ◽  
Walter Birch ◽  
...  
Keyword(s):  
Clinical Practice ◽  
International Survey

CLINICAL PRACTICE PATTERNS OF INDIRECT PERORAL CHOLANGIOPANCREATOSCOPY: AN INTERNATIONAL SURVEY

2020 ◽  
Author(s):  
P Stassen ◽  
PJ de Jonge ◽  
M Ellrichmann ◽  
A Dormann ◽  
M Udd ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Practice Patterns ◽  
International Survey ◽  
Clinical Practice Patterns
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