Evidence map›Paper›PMID 37176783›Full record

ArticleJournal of clinical medicine2023

The Gastropack Access System as a Model to Access Gastroenterology Services for Gastroscopy Appropriateness in Patients with Upper Gastrointestinal Symptoms: A Comparison with the Open Access System.

Liza Ceroni, Francesca Lodato, Paolo Tubertini, Giovanni Marasco, Alessia Gazzola, Maurizio Biselli, Cristiano Fabbri, Federica Buonfiglioli, Francesco Ferrara, Ramona Schiumerini and 14 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 44% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

24 authors at 4 institutions in 1 country.

Liza CeroniDepartment of Gastroenterology and Interventional Endoscopy, AUSL Bologna Bellaria, Maggiore Hospital Bologna, 40133 Bologna, Italy.
Francesca LodatoDepartment of Gastroenterology and Interventional Endoscopy, AUSL Bologna Bellaria, Maggiore Hospital Bologna, 40133 Bologna, Italy.ORCID 0000-0002-0499-7683
Paolo TubertiniProcess Reengineering, AUSL Bologna, 40124 Bologna, Italy.
Giovanni MarascoIRCCS Azienda Ospedaliero, Universitaria di Bologna, 40126 Bologna, Italy.ORCID 0000-0001-7167-8773
Alessia GazzolaDepartment of Gastroenterology and Interventional Endoscopy, AUSL Bologna Bellaria, Maggiore Hospital Bologna, 40133 Bologna, Italy.
Maurizio BiselliDepartment of Medical and Surgical Sciences, University of Bologna, 40126 Bologna, Italy.
Cristiano FabbriProcess Reengineering, AUSL Bologna, 40124 Bologna, Italy.
Federica BuonfiglioliDepartment of Gastroenterology and Interventional Endoscopy, AUSL Bologna Bellaria, Maggiore Hospital Bologna, 40133 Bologna, Italy.
Francesco FerraraDepartment of Gastroenterology and Interventional Endoscopy, AUSL Bologna Bellaria, Maggiore Hospital Bologna, 40133 Bologna, Italy.
Ramona SchiumeriniDepartment of Gastroenterology and Interventional Endoscopy, AUSL Bologna Bellaria, Maggiore Hospital Bologna, 40133 Bologna, Italy.
Andrea FabbriIRCCS Azienda Ospedaliero, Universitaria di Bologna, 40126 Bologna, Italy.
Alessandra TassoniProgram for Clinical Governance and Outpatients Care, AUSL Bologna, 40124 Bologna, Italy.
Carlo DescovichDepartment of Clinical Governance and Quality, AUSL Bologna, 40124 Bologna, Italy.
Sandra MondiniDepartment of Primary Care, Distretto Appennino Bolognese, AUSL Bologna, 40124 Bologna, Italy.
Cesare TosettiDepartment of Primary Care, Distretto Appennino Bolognese, AUSL Bologna, 40124 Bologna, Italy.
Valerio VedutiDepartment of Primary Care, Distretto Appennino Bolognese, AUSL Bologna, 40124 Bologna, Italy.
Mario De NegriDepartment of Primary Care, Distretto Appennino Bolognese, AUSL Bologna, 40124 Bologna, Italy.
Alessandro FiniDepartment of Primary Care, Distretto Appennino Bolognese, AUSL Bologna, 40124 Bologna, Italy.
Stefano GuicciardiMedical Direction, AUSL Bologna, 40124 Bologna, Italy.ORCID 0000-0002-3984-2614
Massimo RomanelliE-Care Processes Unit, AUSL Bologna, 40124 Bologna, Italy.
Giuseppe Giovanni NavarraGeneral Surgery, Distretto Appennino Bolognese, AUSL Bologna, 40124 Bologna, Italy.
Giovanni BarbaraIRCCS Azienda Ospedaliero, Universitaria di Bologna, 40126 Bologna, Italy.
Vincenzo CennamoDepartment of Gastroenterology and Interventional Endoscopy, AUSL Bologna Bellaria, Maggiore Hospital Bologna, 40133 Bologna, Italy.
On Behalf Of Gastropack System Study Group
Ospedale Bellaria · ITAzienda USL di Bologna · ITData Management (Italy) · ITUniversity of Bologna · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Esophagogastroduodenoscopy (EGD) appropriateness in Open-Access System (OAS) is a relevant issue. The Gastropack Access System (GAS) is a new system to access gastroenterological services, based on the partnership between Gastroenterologists and GPs. This study aims to evaluate if GAS is superior to OAS in terms of EGDS appropriateness. Secondarily, we evaluated the diagnostic yield of EGDS according to ASGE guidelines. The GAS was developed in an area of Bologna where General Practitioners (GPs) could decide to directly prescribe EGDS through OAS or referring to GAS, where EGDS can be scheduled after contact between GPs and specialists sharing a patient's clinical information. Between 2016 and 2019, 2179 cases (M:F = 861:1318, median age 61, IQR 47.72) were referred to GAS and 1467 patients (65%) had a prescription for EGDS; conversely, 874 EGDS were prescribed through OAS (M:F = 383:491; median age 58 yrs, IQR 45.68). Indication was appropriate in 92% in GAS (1312/1424) versus 71% in OAS (618/874),

Indexed as

endoscopygeneral practiceguidelinesshared medicine

Identifiers

PMID37176783
PMCPMC10178877
OpenAlexW4376630948

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.