Sedation versus no sedation in the performance of diagnostic upper gastrointestinal endoscopy: A Canadian randomized controlled cost-outcome study

American Journal of Gastroenterology

Volumn 99, Issue 9, 2004, Pages 1692-1699

  Abraham, Neena S ^a   Fallone, Carlo A ^b   Mayrand, Serge ^b   Huang, Jack ^b   Wieczorek, Paul ^b   Barkun, Alan N ^b  

^a MICHAEL E DEBAKEY VETERANS AFFAIRS MEDICAL CENTER   (United States)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

MIDAZOLAM; PETHIDINE; PLACEBO;

ADULT; AMBULATORY CARE; ARTICLE; CLINICAL TRIAL; COMPARATIVE STUDY; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CONVALESCENCE; COST EFFECTIVENESS ANALYSIS; DATA ANALYSIS; DIAGNOSTIC IMAGING; DOUBLE BLIND PROCEDURE; FEMALE; GASTROSCOPY; HUMAN; MAJOR CLINICAL STUDY; MALE; PATIENT SATISFACTION; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; SAMPLE SIZE; SEDATION; SELF REPORT;

ADULT; AGED; CONFIDENCE INTERVALS; CONSCIOUS SEDATION; DOUBLE-BLIND METHOD; ENDOSCOPY, GASTROINTESTINAL; FEMALE; GASTROINTESTINAL NEOPLASMS; HUMANS; MALE; MIDDLE AGED; ODDS RATIO; PAIN MEASUREMENT; PATIENT SATISFACTION; PROBABILITY; QUEBEC; REFERENCE VALUES; RISK ASSESSMENT;

EID: 4544297712     PISSN: 00029270     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1572-0241.2004.40157.x     Document Type: Article

References (27)

1. Health and public policy committee of ACP. Clinical competence in diagnostic esophagogastroduodenoscopy. Ann Intern Med 1987;107:937-9.
2. Scott BB. Gastroenterology in the Trent region in 1992 and a review of changes since 1975. Gut 1995;36:468-72.
3. Lalor E, Thomson AB. Comparison of the utilization of endoscopy units in selected teaching hospitals across Canada. Can J Gastroenterol 1996;10:381-4.
4. Froehlich F, Gonvers JJ, Fried M. Conscious sedation, clinically relevant complications, and monitoring of endoscopy: Results of a nationwide survey in Switzerland. Endoscopy 1994;26:231-4.
5. Mokhashi M, Hawes R. Struggling toward easier endoscopy. Gastrointest Endosc 1998;48:432-8.
6. Abraham NS, Barkun AN, LaRocque M, et al. Predicting which patients can undergo a gastroscopy comfortably without the need for conscious sedation. Gastrointest Endosc 2002;56:180-9.
7. Owen FD, Felts JA, Spitznagel EL Jr, et al. ASA physical status classification: A study of consistency of ratings. Anaesthesiology 1978;49:239-43.
8. Walmsley RS, Montgomery SM. Factors affecting patient tolerance of upper gastrointestinal endoscopy. J Clin Gastroenterol 1998;26:253-5.
9. Crott R, Makris N, Barkun A, et al. The cost of an upper gastroduodenal endoscopy: An activity-based approach. Can J Gastroenterol 2002;16:473-82.
10. Kass R, Raftery A. Bayes Factors. J Am Stat Assoc 1995;90:773-95.
11. Zuccaro G. Sedation and sedationless endoscopy. Gastrointest Endosc Clin N Am 2000;10:1-20.
12. Bailey RJ, Barkun A, Brow J, et al. Consensus in endoscopy. Can J Gastroenterol 1996;10:237-42.
13. Keefe E, O'Connor K. 1989 ASGE survey of endoscopic sedation and monitoring practices. Gastrointest Endosc 1990;36:S13-18.
14. Pereira SP, Hussaini SH, Hanson PJV, et al. Endoscopy: Throat spray or sedation? J R Coll Physicians Lond. 1994;28:411-4.
15. Al-Altrakchi HA. Upper gastrointestinal endoscopy without sedation: A prospective study of 2000 examinations. Gastrointest Endosc 1989;35:120-5.
16. Mulcahy H, Hennessy E, Connor P, et al. Changing patterns of sedation use for routine outpatient diagnostic gastroscopy between 1989 and 1998. Aliment Pharmacol Ther 2001;15:217-20.
17. Daneshmend T, Bell G, Logan R. Sedation for upper gastrointestinal endoscopy: Results of a nationwide survey. Gut 1991;32:12-15.
18. Abraham NS, Wieczorek P, Huang J, et al. Assessing bias in sedation studies. Gastrointest Endosc 2000;51:AB75.
19. Waye J. Worldwide use of sedation and analgesia for upper intestinal endoscopy. Gastrointest Endosc 1999;50:888-91.
20. Yacavone R, Locke G, Gostout C, et al. Factors influencing patient satisfaction with GI endoscopy. Gastrointest Endosc 2001;53:703-10.
21. Froehlich F, Schwizer W, Thorens J, et al. Sedation for gastroscopy: Patient tolerance and cardiorespiratory parameters. Gastroenterology 1995;108:697-704.
22. Zaman A, Hahn M, Hapke R, et al. A randomized trial of peroral versus transnasal unsedated endoscopy using an ultrathin videoendoscope. Gastrointest Endosc 1999;49:279-84.
23. Dumortier J, Ponchon T, Scoazec JY, et al. Prospective evaluation of transnasal esophagogastroduodenoscopy: Feasibility and study on performance and tolerance. Gastrointest Endosc 1999;49:285-91.
24. Tan CC, Freeman JG. Throat spray for upper gastrointestinal endoscopy is quite acceptable to patients. Endoscopy 1996;28:277-82.
25. Shaker R. A wake-up call? Unsedated versus conventional esophagogastroduodenoscopy (editorial). Gastroenterology 2000;117:1492-5.
26. Davies AE, Kidd D, Stone SP, et al. Pharyngeal sensation and gag reflex in healthy subjects. Lancet 1995;345:487-8.
27. McAlpine JK, Martin BJ, Devine BL. Cardiac arrythmias associated with upper gastrointestinal endoscopy in elderly subjects. Scott Med J 1990;35:102-4.