Journal article

Clinical and financial impacts of introducing an endoscopic mucosal resection service for treatment of patients with large colonic polyps into a regional tertiary hospital

Thomas Worland, Oliver Cronin, Benjamin Harrison, Linda Alexander, Nik Ding, Alvin Ting, Stephanie Dimopoulos, Racheal Sykes, Sina Alexander

Endoscopy International Open | GEORG THIEME VERLAG KG | Published : 2019

Abstract

Background and study aims  Endoscopic mucosal resection (EMR) of large sessile or laterally spreading colonic lesions is a safe alternative to surgery. We assessed reductions in Surgical Resection (SR) rates and associated clinical and financial benefits following the introduction of an EMR service to a large regional center. Patients and methods  Ongoing prospective intention-to-treat analysis of EMR was undertaken from time of service inception in 2009 to 2017. Retrospective data for SR of large sessile/laterally spreading colonic lesions were collected for the period 4 years before commencement of the EMR service (2005 - 2008) and 9 years after its introduction (2009 - 2017). Results  Fro..

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University of Melbourne Researchers