Awareness of guidelines and trends in the management of suspected pancreatic cystic neoplasms: survey results among general gastroenterologists and EUS specialists

Jonathan M. Buscaglia, Eun Ji Shin, Samuel A. Giday, Sumit Kapoor, Kerry B. Dunbar, Mohamad A. Eloubeidi, Marcia I. Canto, Sanjay B. Jagannath

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Background: Although pancreatic cystic neoplasms are widely recognized, practice habits among physicians and awareness of consensus guidelines are currently unknown. Objectives: To assess the awareness of guidelines and describe variability in practice habits among 2 groups: (1) "general group" of gastroenterologists and surgeons and (2) "EUS group" of specialists in EUS. Design: An online survey was sent to randomly selected gastroenterologists and surgeons and e-mailed to members of the American Society for Gastrointestinal Endoscopy (ASGE) Special Interest Group in EUS (EUS-SIG). Results: Response rate for the general group was 8.8% (220/2500) and 9.7% for the EUS group (42/431). EUS specialists were mostly in academic practice (66.7% vs 36.3%, P < .001) and reported seeing 21 to 50 cysts per year (54.8% vs 12.3%, P < .001). The majority of the general group (64.1%) was unaware of any published practice guidelines, compared with 33.3% of EUS specialists (P < .001). Awareness of ASGE guidelines was more frequently reported than other guidelines in both groups and yet was still <50% for each group. Both demonstrated moderate consistency with the International Association of Pancreatology guidelines, appropriately answering 66.7% of the questions. For 9-mm lesions, only 25% of the questions were correctly answered in each group. EUS specialists were less likely to refer main-duct intraductal papillary mucinous neoplasms (IPMN) for surgery and more likely to opt for EUS-guided FNA (compared with high-resolution CT, MRCP, or surgery) for 9-mm, 22-mm, and 34-mm branch-duct IPMNs (P ≤ .001). Limitations: Low response rate and recall bias. Conclusions: Awareness of practice guidelines about the management of suspected pancreatic cystic neoplasms is lower among general GI physicians compared with EUS specialists. Among all physicians, the greatest variability in practice is in small (<1 cm) lesions.

Original languageEnglish (US)
JournalGastrointestinal Endoscopy
Volume69
Issue number4
DOIs
StatePublished - Apr 2009

Fingerprint

Pancreatic Neoplasms
Guidelines
Gastrointestinal Endoscopy
Physicians
Practice Guidelines
Habits
Endoscopic Ultrasound-Guided Fine Needle Aspiration
Public Opinion
Cysts
Consensus
Gastroenterologists
Surveys and Questionnaires
Neoplasms
Surgeons

ASJC Scopus subject areas

  • Gastroenterology
  • Radiology Nuclear Medicine and imaging

Cite this

Awareness of guidelines and trends in the management of suspected pancreatic cystic neoplasms : survey results among general gastroenterologists and EUS specialists. / Buscaglia, Jonathan M.; Shin, Eun Ji; Giday, Samuel A.; Kapoor, Sumit; Dunbar, Kerry B.; Eloubeidi, Mohamad A.; Canto, Marcia I.; Jagannath, Sanjay B.

In: Gastrointestinal Endoscopy, Vol. 69, No. 4, 04.2009.

Research output: Contribution to journalArticle

Buscaglia, Jonathan M. ; Shin, Eun Ji ; Giday, Samuel A. ; Kapoor, Sumit ; Dunbar, Kerry B. ; Eloubeidi, Mohamad A. ; Canto, Marcia I. ; Jagannath, Sanjay B. / Awareness of guidelines and trends in the management of suspected pancreatic cystic neoplasms : survey results among general gastroenterologists and EUS specialists. In: Gastrointestinal Endoscopy. 2009 ; Vol. 69, No. 4.
@article{c639e9fb61a44fb7abfa7897fb577223,
title = "Awareness of guidelines and trends in the management of suspected pancreatic cystic neoplasms: survey results among general gastroenterologists and EUS specialists",
abstract = "Background: Although pancreatic cystic neoplasms are widely recognized, practice habits among physicians and awareness of consensus guidelines are currently unknown. Objectives: To assess the awareness of guidelines and describe variability in practice habits among 2 groups: (1) {"}general group{"} of gastroenterologists and surgeons and (2) {"}EUS group{"} of specialists in EUS. Design: An online survey was sent to randomly selected gastroenterologists and surgeons and e-mailed to members of the American Society for Gastrointestinal Endoscopy (ASGE) Special Interest Group in EUS (EUS-SIG). Results: Response rate for the general group was 8.8{\%} (220/2500) and 9.7{\%} for the EUS group (42/431). EUS specialists were mostly in academic practice (66.7{\%} vs 36.3{\%}, P < .001) and reported seeing 21 to 50 cysts per year (54.8{\%} vs 12.3{\%}, P < .001). The majority of the general group (64.1{\%}) was unaware of any published practice guidelines, compared with 33.3{\%} of EUS specialists (P < .001). Awareness of ASGE guidelines was more frequently reported than other guidelines in both groups and yet was still <50{\%} for each group. Both demonstrated moderate consistency with the International Association of Pancreatology guidelines, appropriately answering 66.7{\%} of the questions. For 9-mm lesions, only 25{\%} of the questions were correctly answered in each group. EUS specialists were less likely to refer main-duct intraductal papillary mucinous neoplasms (IPMN) for surgery and more likely to opt for EUS-guided FNA (compared with high-resolution CT, MRCP, or surgery) for 9-mm, 22-mm, and 34-mm branch-duct IPMNs (P ≤ .001). Limitations: Low response rate and recall bias. Conclusions: Awareness of practice guidelines about the management of suspected pancreatic cystic neoplasms is lower among general GI physicians compared with EUS specialists. Among all physicians, the greatest variability in practice is in small (<1 cm) lesions.",
author = "Buscaglia, {Jonathan M.} and Shin, {Eun Ji} and Giday, {Samuel A.} and Sumit Kapoor and Dunbar, {Kerry B.} and Eloubeidi, {Mohamad A.} and Canto, {Marcia I.} and Jagannath, {Sanjay B.}",
year = "2009",
month = "4",
doi = "10.1016/j.gie.2008.05.036",
language = "English (US)",
volume = "69",
journal = "Gastrointestinal Endoscopy",
issn = "0016-5107",
publisher = "Mosby Inc.",
number = "4",

}

TY - JOUR

T1 - Awareness of guidelines and trends in the management of suspected pancreatic cystic neoplasms

T2 - survey results among general gastroenterologists and EUS specialists

AU - Buscaglia, Jonathan M.

AU - Shin, Eun Ji

AU - Giday, Samuel A.

AU - Kapoor, Sumit

AU - Dunbar, Kerry B.

AU - Eloubeidi, Mohamad A.

AU - Canto, Marcia I.

AU - Jagannath, Sanjay B.

PY - 2009/4

Y1 - 2009/4

N2 - Background: Although pancreatic cystic neoplasms are widely recognized, practice habits among physicians and awareness of consensus guidelines are currently unknown. Objectives: To assess the awareness of guidelines and describe variability in practice habits among 2 groups: (1) "general group" of gastroenterologists and surgeons and (2) "EUS group" of specialists in EUS. Design: An online survey was sent to randomly selected gastroenterologists and surgeons and e-mailed to members of the American Society for Gastrointestinal Endoscopy (ASGE) Special Interest Group in EUS (EUS-SIG). Results: Response rate for the general group was 8.8% (220/2500) and 9.7% for the EUS group (42/431). EUS specialists were mostly in academic practice (66.7% vs 36.3%, P < .001) and reported seeing 21 to 50 cysts per year (54.8% vs 12.3%, P < .001). The majority of the general group (64.1%) was unaware of any published practice guidelines, compared with 33.3% of EUS specialists (P < .001). Awareness of ASGE guidelines was more frequently reported than other guidelines in both groups and yet was still <50% for each group. Both demonstrated moderate consistency with the International Association of Pancreatology guidelines, appropriately answering 66.7% of the questions. For 9-mm lesions, only 25% of the questions were correctly answered in each group. EUS specialists were less likely to refer main-duct intraductal papillary mucinous neoplasms (IPMN) for surgery and more likely to opt for EUS-guided FNA (compared with high-resolution CT, MRCP, or surgery) for 9-mm, 22-mm, and 34-mm branch-duct IPMNs (P ≤ .001). Limitations: Low response rate and recall bias. Conclusions: Awareness of practice guidelines about the management of suspected pancreatic cystic neoplasms is lower among general GI physicians compared with EUS specialists. Among all physicians, the greatest variability in practice is in small (<1 cm) lesions.

AB - Background: Although pancreatic cystic neoplasms are widely recognized, practice habits among physicians and awareness of consensus guidelines are currently unknown. Objectives: To assess the awareness of guidelines and describe variability in practice habits among 2 groups: (1) "general group" of gastroenterologists and surgeons and (2) "EUS group" of specialists in EUS. Design: An online survey was sent to randomly selected gastroenterologists and surgeons and e-mailed to members of the American Society for Gastrointestinal Endoscopy (ASGE) Special Interest Group in EUS (EUS-SIG). Results: Response rate for the general group was 8.8% (220/2500) and 9.7% for the EUS group (42/431). EUS specialists were mostly in academic practice (66.7% vs 36.3%, P < .001) and reported seeing 21 to 50 cysts per year (54.8% vs 12.3%, P < .001). The majority of the general group (64.1%) was unaware of any published practice guidelines, compared with 33.3% of EUS specialists (P < .001). Awareness of ASGE guidelines was more frequently reported than other guidelines in both groups and yet was still <50% for each group. Both demonstrated moderate consistency with the International Association of Pancreatology guidelines, appropriately answering 66.7% of the questions. For 9-mm lesions, only 25% of the questions were correctly answered in each group. EUS specialists were less likely to refer main-duct intraductal papillary mucinous neoplasms (IPMN) for surgery and more likely to opt for EUS-guided FNA (compared with high-resolution CT, MRCP, or surgery) for 9-mm, 22-mm, and 34-mm branch-duct IPMNs (P ≤ .001). Limitations: Low response rate and recall bias. Conclusions: Awareness of practice guidelines about the management of suspected pancreatic cystic neoplasms is lower among general GI physicians compared with EUS specialists. Among all physicians, the greatest variability in practice is in small (<1 cm) lesions.

UR - http://www.scopus.com/inward/record.url?scp=62649173754&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=62649173754&partnerID=8YFLogxK

U2 - 10.1016/j.gie.2008.05.036

DO - 10.1016/j.gie.2008.05.036

M3 - Article

C2 - 18926529

AN - SCOPUS:62649173754

VL - 69

JO - Gastrointestinal Endoscopy

JF - Gastrointestinal Endoscopy

SN - 0016-5107

IS - 4

ER -