Display options
Cite
Yung DE, Fernandez-Urien I, Douglas S, et al. Systematic review and meta-analysis of the performance of nurses in small bowel capsule endoscopy reading. United European Gastroenterol J. 2017;5(8):1061-1072doi: 10.1177/2050640616687232.
Yung, D. E., Fernandez-Urien, I., Douglas, S., Plevris, J. N., Sidhu, R., McAlindon, M. E., Panter, S., & Koulaouzidis, A. (2017). Systematic review and meta-analysis of the performance of nurses in small bowel capsule endoscopy reading. United European gastroenterology journal, 5(8), 1061-1072. https://doi.org/10.1177/2050640616687232
Yung, Diana E, et al. "Systematic review and meta-analysis of the performance of nurses in small bowel capsule endoscopy reading." United European gastroenterology journal vol. 5,8 (2017): 1061-1072. doi: https://doi.org/10.1177/2050640616687232
Yung DE, Fernandez-Urien I, Douglas S, Plevris JN, Sidhu R, McAlindon ME, Panter S, Koulaouzidis A. Systematic review and meta-analysis of the performance of nurses in small bowel capsule endoscopy reading. United European Gastroenterol J. 2017 Dec;5(8):1061-1072. doi: 10.1177/2050640616687232. Epub 2017 Jan 11. PMID: 29238584; PMCID: PMC5721976.
Copy Download .nbib Format: NLM
Share it on

United European Gastroenterol J. 2017 Dec;5(8):1061-1072. doi: 10.1177/2050640616687232. Epub 2017 Jan 11.

Systematic review and meta-analysis of the performance of nurses in small bowel capsule endoscopy reading.

United European gastroenterology journal

Diana E Yung, Ignacio Fernandez-Urien, Sarah Douglas, John N Plevris, Reena Sidhu, Mark E McAlindon, Simon Panter, Anastasios Koulaouzidis

Affiliations

  1. Centre for Liver and Digestive Disorders, The Royal Infirmary of Edinburgh, Edinburgh, UK.
  2. Department of Gastroenterology, Complejo Hospitalario de Navarra, Pamplona, Spain.
  3. Gastroenterology and Liver Unit, Royal Hallamshire Hospital, Sheffield, UK.
  4. South Tyneside NHS Foundation Trust, South Shields, UK.

PMID: 29238584 PMCID: PMC5721976 DOI: 10.1177/2050640616687232

Abstract

INTRODUCTION: Increasing demands on healthcare systems mean that nurses are taking on more roles as physician extenders. Capsule endoscopy (CE) is a laborious procedure where specialist nurses could reduce physician workload and rationalise resource utilisation. The aim of this review and meta-analysis is to consolidate data on nurses' performance in small bowel CE (SBCE).

MATERIALS AND METHODS: A comprehensive literature search was conducted for randomised controlled trials and comparative studies on nurses in SBCE reading compared to physicians. We examined the performance of nurses compared to SBCE-trained physicians.

RESULTS: Sixteen relevant studies were identified, with 820 SBCE examinations involving 20 nurses. 11/16 studies reported the numbers of SBCE findings detected. Overall, the pooled proportion of all findings reported by physicians and nurses was 86%. Studies involving nurses with endoscopic experience showed a summative detection rate of 89%. 7/16 studies reported the number of videos where there was agreement between the nurse and physicians for overall findings/diagnosis. The overall proportion of videos with agreement was 68%. In studies where nurses had endoscopy experience, the proportion of videos with agreement was 71%.

CONCLUSION: Our meta-analysis supports a more active role for nurses in SBCE reading. We suggest nurses can function as independent CE readers in general, given adequate training and formal credentialing.

Keywords: Capsule endoscopy; diagnostic test; meta-analysis; nurses; physician extenders; systematic review

References

  1. Am J Gastroenterol. 2003 Dec;98(12):2669-71 - PubMed
  2. J Gastroenterol. 2011 Feb;46(2):138-42 - PubMed
  3. Stat Med. 2002 Jun 15;21(11):1539-58 - PubMed
  4. World J Gastroenterol. 2006 Feb 28;12(8):1249-54 - PubMed
  5. Rev Esp Enferm Dig. 2008 Apr;100(4):219-24 - PubMed
  6. Gastroenterol Nurs. 2007 Jan-Feb;30(1):45-8 - PubMed
  7. Dig Liver Dis. 2012 Dec;44(12):1006-11 - PubMed
  8. Ann Intern Med. 2011 Oct 18;155(8):529-36 - PubMed
  9. Endoscopy. 2012 Dec;44(12):1127-32 - PubMed
  10. Gastroenterol Nurs. 2012 Sep;35(5):317-21 - PubMed
  11. Z Gastroenterol. 2009 Mar;47(3):273-6 - PubMed
  12. J R Soc Med. 2002 Jul;95(7):331-5 - PubMed
  13. Am J Gastroenterol. 2012 Apr;107(4):554-60 - PubMed
  14. Gastroenterol Nurs. 2015 Mar-Apr;38(2):107-10 - PubMed
  15. Dig Liver Dis. 2006 Aug;38(8):599-602 - PubMed
  16. Dig Liver Dis. 2006 Aug;38(8):603-4 - PubMed
  17. Gastroenterol Nurs. 2013 May-Jun;36(3):209-13 - PubMed
  18. Gastrointest Endosc. 2007 Mar;65(3):469-79 - PubMed
  19. Eur J Gastroenterol Hepatol. 2011 Feb;23(2):166-70 - PubMed
  20. J Med Screen. 2007;14 (2):76-80 - PubMed
  21. Gut. 1998 Nov;43(5):711-4 - PubMed
  22. J Adv Nurs. 2001 Dec;36(5):705-10 - PubMed
  23. Dig Dis Sci. 2009 Aug;54(8):1672-9 - PubMed
  24. BMJ. 1997 Sep 13;315(7109):629-34 - PubMed
  25. Gastrointest Endosc. 2005 Apr;61(4):503-5 - PubMed
  26. Gastroenterol Res Pract. 2012;2012:175248 - PubMed
  27. Dig Dis Sci. 2005 Nov;50(11):2121-4 - PubMed
  28. Medicine (Baltimore). 2015 Oct;94(43):e1941 - PubMed
  29. Clin Res Hepatol Gastroenterol. 2018 Apr;42(2):168-173 - PubMed

Publication Types