{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,7]],"date-time":"2025-12-07T03:44:05Z","timestamp":1765079045849},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"917","license":[{"start":{"date-parts":[[2002,3,1]],"date-time":"2002-03-01T00:00:00Z","timestamp":1014940800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2002,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>As a response to the UK Health Department\u2019s \u201ctwo week cancer wait\u201d initiative a one stop dyspepsia clinic based on a nurse endoscopist was introduced, and the first 100 cases attending this clinic have been audited. After referral on a purpose designed form, patients were assessed by a gastroenterologist and then investigated at the same visit\u2014where possible and appropriate\u2014by endoscopy or ultrasound scan. All endoscopies were performed by a trained nurse specialist.<\/jats:p>\n               <jats:p>Of the 100 patients, 84 were gastroscoped the same day and 11 had an ultrasound scan. Inappropriate tests were avoided in 16% of referrals. The commonest endoscopic diagnoses were minor oesophageal or gastroduodenal inflammation (64% of gastroscopies). Only six oesophageal or gastric cancers were found\u2014all at an advanced stage\u2014and three further malignancies were diagnosed. Only a minority (12%) of the patients with \u201calarm symptoms\u201d had cancer. The waiting time for an appointment rose progressively during the first six months of the clinic.<\/jats:p>\n               <jats:p>The system was popular with patients as most of them (70%) were dealt with at a single hospital attendance. Basing the endoscopy practice on a trained nurse specialist not only facilitated the creation of the service by maximising the use of scarce resources, but also improved communication and overall management of patients.<\/jats:p>","DOI":"10.1136\/pmj.78.917.161","type":"journal-article","created":{"date-parts":[[2002,7,27]],"date-time":"2002-07-27T10:29:57Z","timestamp":1027765797000},"page":"161-164","source":"Crossref","is-referenced-by-count":9,"title":["Audit of a nurse endoscopist based one stop dyspepsia clinic"],"prefix":"10.1093","volume":"78","author":[{"given":"E M-A","family":"Melleney","sequence":"first","affiliation":[{"name":"Endoscopy Unit, Basildon Hospital , Nether Mayne, Essex SS16 5NL , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C P","family":"Willoughby","sequence":"additional","affiliation":[{"name":"Endoscopy Unit, Basildon Hospital , Nether Mayne, Essex SS16 5NL , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2002,3,1]]},"reference":[{"key":"2023042416153824400_R1","volume-title":"Guidelines in gastroenterology: dyspepsia management guidelines","author":"British Society of Gastroenterology","year":"1996"},{"key":"2023042416153824400_R2","doi-asserted-by":"crossref","first-page":"1376","DOI":"10.1016\/S0016-5085(97)70153-7","volume":"112","author":"Axon","year":"1997","journal-title":"Gastroenterology"},{"key":"2023042416153824400_R3","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1136\/gut.32.1.95","article-title":"Special report: provision of gastrointestinal endoscopy and related services for a district general hospital","volume":"32","author":"British Society of Gastroenterology","year":"1991","journal-title":"Gut"},{"key":"2023042416153824400_R4","first-page":"519","article-title":"What happens to patients following open access gastroscopy? An outcome study from general practice","volume":"44","author":"Hungin","year":"1994","journal-title":"Br J Gen Pract"},{"key":"2023042416153824400_R5","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1136\/gut.41.3.308","article-title":"Improving the detection rate of early gastric cancer requires more than open access gastroscopy: a five year study","volume":"41","author":"Suvakovic","year":"1997","journal-title":"Gut"},{"key":"2023042416153824400_R6","doi-asserted-by":"crossref","first-page":"787","DOI":"10.1136\/pgmj.69.816.787","volume":"69","author":"Saunders","year":"1993","journal-title":"Postgrad Med J"},{"key":"2023042416153824400_R7","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1177\/014107689809101006","article-title":"The one-stop dyspepsia clinic\u2014an alternative to open-access endoscopy for patients with dyspepsia","volume":"91","author":"Rutter","year":"1998","journal-title":"J R Soc Med"},{"key":"2023042416153824400_R8","first-page":"300","article-title":"Surgical outpatients: challenges and responses","volume":"84","author":"Waghorn","year":"1997","journal-title":"Br J Surg"},{"key":"2023042416153824400_R9","first-page":"205","volume-title":"Cancer waiting times. Achieving the two week target","author":"Health Service Circular","year":"1999"},{"key":"2023042416153824400_R10","volume-title":"The nurse endoscopist","author":"British Society of Gastroenterology","year":"1994"},{"key":"2023042416153824400_R11","doi-asserted-by":"crossref","first-page":"827","DOI":"10.1016\/S0016-5107(00)70218-5","article-title":"Quality and outcomes assessment in gastrointestinal endoscopy","volume":"52","author":"ASGE report","year":"2000","journal-title":"Gastrointest Endosc"},{"key":"2023042416153824400_R12","first-page":"59","article-title":"Registrations of cancer diagnosed in 1993\u20131996, England and Wales","volume":"4","author":"Office for National Statistics","year":"1999","journal-title":"Health Statistics Quarterly"},{"key":"2023042416153824400_R13","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1136\/bmj.307.6904.591","article-title":"Gastric cancer: a curable disease in Britain","volume":"307","author":"Sue-Ling","year":"1993","journal-title":"BMJ"},{"key":"2023042416153824400_R14","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1097\/00001610-199801000-00005","volume":"21","author":"Froerer","year":"1998","journal-title":"Gastroenterology Nursing"},{"key":"2023042416153824400_R15","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1007\/BF01317058","article-title":"Colorectal cancer screening by paramedical personnel","volume":"29","author":"Schapiro","year":"1984","journal-title":"Dig Dis Sci"},{"key":"2023042416153824400_R16","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1007\/BF01317059","article-title":"Colorectal cancer screening by nurse practitioner using 60 cm flexible fiberoptic sigmoidoscope","volume":"29","author":"Rosevelt","year":"1984","journal-title":"Dig Dis Sci"},{"key":"2023042416153824400_R17","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/S0016-5107(93)70006-1","article-title":"Sigmoidoscopy training for nurses and resident physicians","volume":"39","author":"DiSario","year":"1993","journal-title":"Gastrointest Endosc"},{"key":"2023042416153824400_R18","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1016\/8755-7223(93)90006-X","article-title":"Qualitative distinctions and similarities in the practice of clinical nurse specialists and nurse practitioners","volume":"9","author":"Fenton","year":"1993","journal-title":"J Prof Nurs"},{"key":"2023042416153824400_R19","volume-title":"Guidance on commissioning cancer services. Improving outcomes in upper gastro-intestinal cancers","author":"NHS Executive Report","year":"2001"},{"key":"2023042416153824400_R20","volume-title":"What the patients say","year":"1996"}],"container-title":["Postgraduate Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/78\/917\/161\/50040140\/postgradmedj-78-161.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/78\/917\/161\/50040140\/postgradmedj-78-161.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,24]],"date-time":"2023-04-24T16:20:15Z","timestamp":1682353215000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/pmj\/article\/78\/917\/161\/7039021"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2002,3,1]]},"references-count":20,"journal-issue":{"issue":"917","published-online":{"date-parts":[[2002,3,1]]},"published-print":{"date-parts":[[2002,3,1]]}},"URL":"https:\/\/doi.org\/10.1136\/pmj.78.917.161","relation":{},"ISSN":["0032-5473","1469-0756"],"issn-type":[{"value":"0032-5473","type":"print"},{"value":"1469-0756","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2002,3]]},"published":{"date-parts":[[2002,3,1]]}}}