Overholt B F, Hargrove R L, Farris R K, Porter F R
Gastrointest Endosc. 1987 Feb;33(1):1-3. doi: 10.1016/s0016-5107(87)71473-4.
Primary panendoscopy is defined as a limited-consultative, diagnostic, UGI endoscopic examination that provides, in non-critically ill patients with dyspeptic symptoms, an accurate and cost-effective alternative to the standard UGI x-ray examination. The procedure was instituted at St. Mary's Medical Center's hospital in February 1985. During the first 12 months, a total of 321 patients were examined: 212 inpatients and 109 outpatients. In those patients with complete information, primary panendoscopy changed the diagnosis in 67% and the treatment in 52%. As expected, the number of esophagogastroduodenoscopies decreased during this time, but the combined numbers of primary panendoscopies and esophagogastroduodenoscopies exceeded the projected increase of esophagogastroduodenoscopies. Similarly, the number of UGI x-ray examinations fell sharply. With a physician fee of $150.00 and a facility fee of $50.00, theoretical savings of some $117,000.00 to the patients were estimated. The authors conclude that primary panendoscopy provides a cost-effective and beneficial patient service that warrants broad consideration by gastroenterologists as they face the cost constraints being imposed within the health care system of the 1980s.
初级全内镜检查被定义为一种有限的咨询性、诊断性上消化道内镜检查，它为有消化不良症状的非重症患者提供了一种准确且具有成本效益的替代标准上消化道X线检查的方法。该程序于1985年2月在圣玛丽医疗中心医院开始实施。在最初的12个月里，总共对321名患者进行了检查：212名住院患者和109名门诊患者。在那些有完整信息的患者中，初级全内镜检查改变了67%患者的诊断，改变了52%患者的治疗方案。不出所料，在此期间食管胃十二指肠镜检查的数量减少了，但初级全内镜检查和食管胃十二指肠镜检查的总数超过了食管胃十二指肠镜检查预计的增加数量。同样，上消化道X线检查的数量急剧下降。按医生费用150美元和设备费用50美元计算，估计可为患者节省约11.7万美元。作者得出结论，初级全内镜检查提供了一种具有成本效益且有益的患者服务，在20世纪80年代医疗保健系统面临成本限制的情况下，值得胃肠病学家广泛考虑。
