Table 2

Summary table of conference abstract data relating to dedicated Barrett’s services

StudyStudy designDedicated serviceSitesParticipants/sample size (n)Study durationDysplasia detection rateSeattle protocol adherencePrague classification/delineationAppropriate scheduling of follow-upNotes
Chadwick et al,
Abstract62
Retrospective auditAudit from 2018 compared with audit after introduction of dedicated service in 2019Single-district general settingn=180
(n=44 from dedicated list, n=136 from previous audit)
Retrospective data collected from 2018 (12 months), audit repeated after 6 monthsNon-dedicated: 7% (8/136)
Dedicated: 16% (7/44)
Non-dedicated: 66%
Dedicated: 100% (where required)
122/136 (88%) vs 44/44 (100%)Of the non-dedicated cases, only 47% had a prior known diagnosis of BO, retrospective data.
Brogden and Haidry,
Abstract63
Retrospective cohort tertiary centreTertiary centre clinical nurse endoscopy post endoscopic therapy surveillanceSingle tertiary centren=4563 yearsDysplasia recurrence detected: 15.7% (no comparator group)Not reportedNot reportedNot reportedSurveillance for prior dysplasia patients: saturated population, no control arm/comparator group in the Abstract
Stroud et al,
Abstract21
Cohort mixed retrospective/prospective designLarge teaching hospital, comparing operators with BO interest and familiarity with BSG guidelines to general endoscopistSingle centren=44216 monthsNo histology dataSeattle biopsy protocol: 75% (136/181) vs 66% (173/261); χ2=4.09, p=0.0432Prague classification: 87% (157/181) vs 63% (165/261); χ2=31.04 p<0.0001)NilCompared retrospective data from close to the BSG guidelines (2014–2015) to prospective data (2016–2017), no histological data
Dunn et al,
Abstract64
Prospective auditNot defined in abstractMulticentre,
6/13 had dedicated service
n=137
Non-dedicated: n=69
Dedicated: n=68
1 Month2.9% vs 2.9% (N/S)n/aDocumented in 97% in dedicated vs 68% non-dedicated (p=0.0001)Accurate follow-up schedule better with databaseSmall participant numbers despite multicentre, short duration
Khosla et al,
Abstract65
Retrospective cohort, prededicated and postdedicated lists being establishedNot definedSingle centrePreimplementation: n=120
Dedicated list: n=27
Not specifiedn/aDedicated list: 100% vs 64%Dedicated: 100%
Non-dedicated: 32%
Appropriate allocation to surveillance dedicated 80% vs 55% non-dedicatedSingle-centre small number in dedicated arm retrospective design
Phillpotts et al,
Abstract66
Retrospective cohortDedicated listSingle centren=761 yearNo differences (data not provided)Dedicated=49% Routine=58%85% vs 32% (p≤0.0001)n/aSingle centre, low numbers, poor Seattle adherence for both groups
Al-hasani et al,
Abstract67
Retrospective cohortNurse-led dedicated serviceSingle centren=100 general
n=105 dedicated
Compared 2012–2013 (general lists) to 2014–2016 (dedicated list)8/105 (7.6%) on the DBO list and 6/100 (6%) in the general endoscopy (GE) groupDedicated 74% vs general 30%Dedicated list 94% vs 5% generaln/aDifferent times which bisect the BSG guideline—general list data predated the guideline
Kurup et al,
Abstract68
Retrospective cohortGastroenterologist with special interestSingle centreGeneral: n=151
Dedicated: n=87
Years 2008–2009 for the general list, years 2010–2011 for the dedicated listGreater detection but non-significant (no data included)n/an/an/aPredates the BSG guideline single-centre retrospective design
  • BO, Barrett’s oesophagus; BSG, British Society of Gastroenterology; DBO, dysplastic Barrett's oesophagus; HGD, high-grade dysplasia; LGD, low-grade dysplasia; N/S, not significant; OAC, oesophageal adenocarcinoma.