Screening for Barrett's esophagus: Results from a population-based survey

Milli Gupta; Timothy J. Beebe; Kelly T. Dunagan; Cathy D. Schleck; Alan R. Zinsmeister; Nicholas J. Talley; G. Richard Locke; Prasad G. Iyer

doi:10.1007/s10620-014-3092-8

Screening for Barrett's esophagus: Results from a population-based survey

Milli Gupta, Timothy J. Beebe, Kelly T. Dunagan, Cathy D. Schleck, Alan R. Zinsmeister, Nicholas J. Talley, G. Richard Locke, Prasad G. Iyer

Health Policy and Management

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Abstract

Background: Screening for Barrett's esophagus (BE) and adenocarcinoma (EAC) is controversial, but interest remains in finding the optimal method. Attitudes on screening within the community are unknown. We aimed to assess these attitudes via a survey. Study: A mixed-mode survey was conducted in adults >50 years to assess awareness regarding BE, willingness to participate in screening, and preferences regarding method of screening. Methods evaluated were sedated endoscopy (sEGD), unsedated transnasal endoscopy (uTNE) and video capsule (VCE). Results: A total of 136 from 413 (33 %) adults responded [47 % males, mean (SD) age 63 (10.2) years], and 26 % of responders knew of BE at baseline. After reading the information on BE, 72 % were interested in screening. A history of undergoing screening tests and GI symptoms were predictive of interest. Unsedated techniques were preferred by 64 % (VCE: 56 % and uTNE: 8 %) versus sEGD (36 %). Conclusions: The majority of adults were willing to undergo screening for BE/EAC, with a preference for unsedated techniques.

Original language	English (US)
Pages (from-to)	1831-1850
Number of pages	20
Journal	Digestive Diseases and Sciences
Volume	59
Issue number	8
DOIs	https://doi.org/10.1007/s10620-014-3092-8
State	Published - Aug 2014

Bibliographical note

Funding Information:
Acknowledgments The authors received supported in part by the American College of Gastroenterology Junior Faculty Development Award and the NIDDK (RC4DK090413).

Keywords

Barrett's esophagus
Capsule endoscopy
Esophageal adenocarcinoma
Screening
Survey
Transnasal endoscopy

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10.1007/s10620-014-3092-8

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title = "Screening for Barrett's esophagus: Results from a population-based survey",

abstract = "Background: Screening for Barrett's esophagus (BE) and adenocarcinoma (EAC) is controversial, but interest remains in finding the optimal method. Attitudes on screening within the community are unknown. We aimed to assess these attitudes via a survey. Study: A mixed-mode survey was conducted in adults >50 years to assess awareness regarding BE, willingness to participate in screening, and preferences regarding method of screening. Methods evaluated were sedated endoscopy (sEGD), unsedated transnasal endoscopy (uTNE) and video capsule (VCE). Results: A total of 136 from 413 (33 %) adults responded [47 % males, mean (SD) age 63 (10.2) years], and 26 % of responders knew of BE at baseline. After reading the information on BE, 72 % were interested in screening. A history of undergoing screening tests and GI symptoms were predictive of interest. Unsedated techniques were preferred by 64 % (VCE: 56 % and uTNE: 8 %) versus sEGD (36 %). Conclusions: The majority of adults were willing to undergo screening for BE/EAC, with a preference for unsedated techniques.",

keywords = "Barrett's esophagus, Capsule endoscopy, Esophageal adenocarcinoma, Screening, Survey, Transnasal endoscopy",

author = "Milli Gupta and Beebe, {Timothy J.} and Dunagan, {Kelly T.} and Schleck, {Cathy D.} and Zinsmeister, {Alan R.} and Talley, {Nicholas J.} and Locke, {G. Richard} and Iyer, {Prasad G.}",

note = "Funding Information: Acknowledgments The authors received supported in part by the American College of Gastroenterology Junior Faculty Development Award and the NIDDK (RC4DK090413).",

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AU - Dunagan, Kelly T.

AU - Schleck, Cathy D.

AU - Zinsmeister, Alan R.

AU - Talley, Nicholas J.

AU - Locke, G. Richard

AU - Iyer, Prasad G.

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N2 - Background: Screening for Barrett's esophagus (BE) and adenocarcinoma (EAC) is controversial, but interest remains in finding the optimal method. Attitudes on screening within the community are unknown. We aimed to assess these attitudes via a survey. Study: A mixed-mode survey was conducted in adults >50 years to assess awareness regarding BE, willingness to participate in screening, and preferences regarding method of screening. Methods evaluated were sedated endoscopy (sEGD), unsedated transnasal endoscopy (uTNE) and video capsule (VCE). Results: A total of 136 from 413 (33 %) adults responded [47 % males, mean (SD) age 63 (10.2) years], and 26 % of responders knew of BE at baseline. After reading the information on BE, 72 % were interested in screening. A history of undergoing screening tests and GI symptoms were predictive of interest. Unsedated techniques were preferred by 64 % (VCE: 56 % and uTNE: 8 %) versus sEGD (36 %). Conclusions: The majority of adults were willing to undergo screening for BE/EAC, with a preference for unsedated techniques.

AB - Background: Screening for Barrett's esophagus (BE) and adenocarcinoma (EAC) is controversial, but interest remains in finding the optimal method. Attitudes on screening within the community are unknown. We aimed to assess these attitudes via a survey. Study: A mixed-mode survey was conducted in adults >50 years to assess awareness regarding BE, willingness to participate in screening, and preferences regarding method of screening. Methods evaluated were sedated endoscopy (sEGD), unsedated transnasal endoscopy (uTNE) and video capsule (VCE). Results: A total of 136 from 413 (33 %) adults responded [47 % males, mean (SD) age 63 (10.2) years], and 26 % of responders knew of BE at baseline. After reading the information on BE, 72 % were interested in screening. A history of undergoing screening tests and GI symptoms were predictive of interest. Unsedated techniques were preferred by 64 % (VCE: 56 % and uTNE: 8 %) versus sEGD (36 %). Conclusions: The majority of adults were willing to undergo screening for BE/EAC, with a preference for unsedated techniques.

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Screening for Barrett's esophagus: Results from a population-based survey

Abstract

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