The yield of colonoscopy in relation to the applicant
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Colonoscopy is increasingly used in daily practice. It is a routine procedure with different indications. There are several guidelines on the appropriate use of gastrointestinal endoscopy [1, 2]. It is the common believe that the list of indications is used properly in daily practice. There are two ways to study the appropriateness of the request. First, check all indications on the application form, and secondly look at the results of the procedure and correlate this to the applicants’ speciality.
In the Zaans Medisch Centrum, endoscopy of the lower digestive tract is done on request of different applicants. These are gastroenterologists, internists, surgeons, general practitioners, and sometimes cardiologists. There can be discussion whether the request actually is valid. A statement could be that the gastroenterologist is the only applicant with the proper indication(s). However, this is not the general experience in daily practice. In order to substantiate this, a study was done in...
KeywordsColonoscopy Endoscopy Diagnostic yield Applicant