Hewett Rhys, Chan Derek, Kang Jin-Yong, Poullis Andrew
Department of Gastroenterology, St George's Healthcare NHS Trust, London, UK.
Frontline Gastroenterol. 2015 Jan;6(1):6-10. doi: 10.1136/flgastro-2014-100478. Epub 2014 Jun 30.
We aimed to estimate the cost saving (over the next 10 years) by our trust implementing the new British Society of Gastroenterology (BSG) surveillance guidelines for Barrett's oesophagus (BO).
Retrospective endoscopy database analysis.
Two endoscopy units of St George's Hospital NHS Trust, London.
Gastroscopy records between 2009 and 2012 were retrieved and patients with an endoscopic diagnosis of BO were identified. BO segment length was recorded and the presence (or absence) of intestinal metaplasia in the oesophageal biopsy samples was reviewed from pathology databases. Patients were then stratified into risk groups in accordance with the new BSG guidelines.
Nil.
The projected surveillance costs using the new and the old guidelines were calculated over the next 10 years and the cost saving by the implementation of the new guidelines thus determined.
The 10 year projected cost saving for our trust by implementing the new BO surveillance guidelines was £720 330 (or £72 033 per annum). Projected across the NHS, implementation of the new guidance may save £100 million over the next 10 years.
All trusts should review their Barrett's surveillance population and implement these new recommendations expeditiously.
我们旨在评估我院信托机构实施英国胃肠病学会（BSG）针对巴雷特食管（BO）的新监测指南（未来10年）所节省的费用。
回顾性内镜数据库分析。
伦敦圣乔治医院国民保健服务信托基金的两个内镜科室。
检索2009年至2012年间的胃镜检查记录，确定内镜诊断为BO的患者。记录BO段长度，并从病理数据库中查看食管活检样本中肠化生的存在（或不存在）情况。然后根据新的BSG指南将患者分层为风险组。
无。
计算未来10年使用新指南和旧指南的预计监测成本，并确定实施新指南所节省的成本。
我院信托机构实施新的BO监测指南，预计10年可节省720330英镑（或每年72033英镑）。预计在整个国民保健服务体系中，实施新指南在未来10年可能节省1亿英镑。
所有信托机构都应审查其巴雷特监测人群，并迅速实施这些新建议。
