Improving cost-effectiveness of endoscopic surveillance for Barrett’s esophagus by reducing low-value care: a review of economic evaluations

2021 ◽  
Author(s):  
Ravi Vissapragada ◽  
Norma B. Bulamu ◽  
Christine Brumfitt ◽  
Jonathan Karnon ◽  
Roger Yazbeck ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Barrett’S Esophagus ◽  
Barrett's Esophagus ◽  
Endoscopic Surveillance ◽  
Economic Evaluations

Is endoscopic surveillance for non-dysplastic Barrett's esophagus cost-effective? Review of economic evaluations

2011 ◽  
Vol 26 (2) ◽  
pp. 247-254 ◽  
Author(s):  
Nicholas G Hirst ◽  
Louisa G Gordon ◽  
David C Whiteman ◽  
David I Watson ◽  
Jan J Barendregt
Keyword(s):  
Barrett’S Esophagus ◽  
Barrett's Esophagus ◽  
Cost Effective ◽  
Endoscopic Surveillance ◽  
Economic Evaluations

scholarly journals Cost-effectiveness of endoscopic surveillance of non-dysplastic Barrett's esophagus

2014 ◽  
Vol 79 (2) ◽  
pp. 242-256.e6 ◽  
Author(s):  
Louisa G. Gordon ◽  
George C. Mayne ◽  
Nicholas G. Hirst ◽  
Timothy Bright ◽  
David C. Whiteman ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Barrett’S Esophagus ◽  
Barrett's Esophagus ◽  
Endoscopic Surveillance

519 – The Age to Stop Endoscopic Surveillance of Barrett's Esophagus: A Cost-Effectiveness Analysis

2019 ◽  
Vol 156 (6) ◽  
pp. S-103-S-104
Author(s):  
Amir-Houshang Omidvari ◽  
Minyi Lee ◽  
Steffie K. Naber ◽  
William D. Hazelton ◽  
Chung Yin Kong ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Barrett’S Esophagus ◽  
Barrett's Esophagus ◽  
Cost Effectiveness Analysis ◽  
Endoscopic Surveillance ◽  
Effectiveness Analysis

scholarly journals Optical Detection and Eradication of Dysplastic Barrett's Esophagus

2003 ◽  
Vol 2 (4) ◽  
pp. 289-302 ◽  
Author(s):  
Louis-Michel Wong Kee Song ◽  
Kenneth K. Wang
Keyword(s):  
Barrett’S Esophagus ◽  
Barrett's Esophagus ◽  
Sampling Error ◽  
Imaging Techniques ◽  
Standard Of Care ◽  
Diagnostic Techniques ◽  
Endoscopic Surveillance ◽  
Current Status ◽  
Delay In Diagnosis ◽  
Multiple Biopsies

Dysplastic Barrett's esophagus is a condition that offers multiple diagnostic and therapeutic challenges. The diagnosis of dysplasia within Barrett's esophagus currently relies on periodic endoscopic surveillance with multiple biopsies, a methodology limited by random sampling error, inconsistent histopathologic interpretation and delay in diagnosis. Optical spectroscopic and imaging techniques have the potential to identify dysplastic or early neoplastic lesions in real-time. These diagnostic modalities are needed to enhance the endoscopic surveillance of Barrett's esophagus in the future as well as help to define lesions for endoscopic therapy. Esophagectomy has been the standard of care for Barrett's esophagus with high-grade dysplasia although it is a procedure associated with significant morbidity and mortality. Minimally invasive endoscopic ablative therapies are attractive and less morbid alternatives to esophagectomy, with promising results obtained from the use of light-activated drugs (i.e., photodynamic therapy). The combination of novel optical diagnostic techniques and therapies will provide the endoscopist with much needed tools that can considerably enhance the management of patients with Barrett's esophagus. This article reviews the current status and future prospects of optical-based modalities for diagnosis and therapy of dysplastic Barrett's esophagus.

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