Adherence to Biopsy and Follow-Up Guidelines in a Population-Based Cohort of Children With Eosinophilic Esophagitis.
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2019
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Abstract
Eosinophilic esophagitis (EoE) is a chronic, immune-mediated condition that is becoming more widely recognized in children. Recent EoE practice guidelines provide clear recommendations on adequate biopsy sampling at diagnostic endoscopy and necessity of close follow-up endoscopy with biopsy to ensure mucosal healing with therapy. Despite these recommendations, adherence to biopsy guidelines, time to first follow-up endoscopy, and overall surveillance endoscopy rates have not been robustly studied. Using a population-based cohort of children diagnosed with EoE in Utah, we assessed adherence to guidelines across multiple provider types, including academic pediatric gastroenterologists (PGIs), private practice PGIs, and adult-trained providers performing endoscopy in children.
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mcclain2019adherenceclinical
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| Authors | McClain, Amber;O'Gorman, Molly;Barbagelata, Carlos;Patel, Raza;Lowichik, Amy;Peterson, Kathryn;Guthery, Stephen;Robson, Jacob; |
| Journal | clinical gastroenterology and hepatology : the official clinical practice journal of the american gastroenterological association |
| Year | 2019 |
| DOI |
S1542-3565(19)30982-6
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