Clamp S E, Hebert M, Matharu S S, Blackband D
Scand J Gastroenterol Suppl. 1979;56:45-53.
This study describes a pilot project to sample gastroenterologists' opinions on a variety of interesting and controversial topics. At the Madrid World Congress, a sample of delegates were asked to respond to a questionnaire distributed at the meeting itself. A total of 224, representative of those attending by discipline and by geographical area, did so. The results were analysed in two days and presented to the Congress within 72 hours. Amongst the findings were several of interest. Vagotomy is now the most common operation for (elective) duodenal ulcer surgery. Three-quarters of those responding prescribe high-fibre diet for chronic diverticular disease. Over 80% routinely prescribe sulphazalazine for patients with ulcerative colitis--even in remission. The most useful mode of detection of gastro-intestinal cancer is now felt to be endoscopy, even ahead of double contrast radiology. The results should be interpreted with caution, although the survey represents findings in over 200 hospitals. The principle of an on-the-spot rapid attitude survey has been established as feasible. It is proposed to repeat the exercise on a wider scale at the next World Congress in Stockholm in 1982.
本研究描述了一个试点项目,旨在收集胃肠病学家对各种有趣且有争议话题的意见。在马德里世界大会上,一部分代表被要求回答在会议现场发放的问卷。共有224人(在学科和地理区域方面代表了参会人员)进行了回答。结果在两天内得到分析,并在72小时内提交给了大会。研究结果中有几项颇有意思。目前,迷走神经切断术是(选择性)十二指肠溃疡手术中最常用的术式。四分之三的受访者为慢性憩室病患者开高纤维饮食的医嘱。超过80%的受访者常规为溃疡性结肠炎患者(即使处于缓解期)开柳氮磺胺吡啶。目前,人们认为检测胃肠道癌症最有效的方法是内镜检查,甚至领先于双重对比放射造影。尽管该调查代表了200多家医院的情况,但对结果的解读仍应谨慎。现场快速态度调查的原则已被证明是可行的。建议在1982年于斯德哥尔摩召开的下一届世界大会上更大规模地重复这项工作。