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Reasons for Untreated Conditions Lack of awareness The lack of awareness of treatment benefits for the older patient can be the result of stereotyped images of aging and health, or perhaps a healthcare provider's lack of experience in geriatrics and or lack of awareness of general prescribing guidelines and clinical practice guidelines. Geriatrics has only recently been recognized as a specialty area of medical care; there are few trained geriatricians to care for our growing numbers of older patients. Many providers practicing today in various disciplines did not receive training in geriatrics during their professional education and may not have received continuing education in this area. Complexity of healthcare With the complexity of healthcare today, the traditional system of hospitals, physician's offices and clinics cannot sufficiently integrate with the growing network of aging services. As a result, coordination in sharing a patient's vital medical information, such as prior symptoms, laboratory test results, diagnoses and prescribed medications, goes unattended. Bankruptcies and the reduced offering of Medicare + Choice programs by managed-care organizations have made it difficult to keep medical records organized, current and available for new providers. Cultural and gender differences Cultural and gender differences between older adults and their healthcare providers can play a part in the degree of comfort patients feel in discussing certain symptoms and conditions, especially with new providers. DIAGNOSTIC YIELD OF VIDEO CAPSULE ENDOSCOPY FOR OBSCURE GASTROINTESTINAL BLEEDING: AN EVALUATION OF SEQUENTIAL COHORTS J.M. Langelier, D.R. Cave Department of Medicine, Caritas St. Elizabeth's Medical Center, Boston, MA, USA Purpose: When a new technology is introduced a variety of factors often bias the diagnostic yield. These factors include pent up demand, selection bias, and the learning curve amongst others. Wireless video capsule endoscopy [CE] is unlikely to be an exception. So we compared the diagnostic yield for an initial cohort of 135 consecutive patients with obscure gastrointestinal bleeding [OGIB] studied between August 2001 and November 2002, and a second cohort studied between December 2002 and October 2004. Methods: The first cohort consisted of 135 consecutive patients of whom 67 were men, 68 women; mean age 65.5 years SD + - 15.2 ; , 61 were inpatients and 74 were outpatients. The second cohort population consisted of 62 males and 73 females patients with a mean age of 75.5 SD + - 7.1 ; of whom 70 were inpatients and 65 outpatients. Our criteria for OGIB included those with one or more transfusions or a drop in hematocrit of at least 25%. All had undergone at least one colonoscopy and upper endoscopy, which yielded negative results. All patients underwent CE with the M2A Plus capsule [Given Imaging: Yoqneam. Israel]. One observer read all the studies. Results: In cohort 1, 81% of patients required transfusion, 31% had no source of bleeding detected, 24% had active bleeding and 35% had a presumed source of bleeding. In cohort 2, 95% of patients had required transfusion, 32% had no source of bleeding detected, 42% had active bleeding and 25% had a presumed source of bleeding. In cohort 1, in 24% of patients the capsule did not pass the ileocecal valve, of those 4% were retained in the small bowel and 4% did not pass the pylorus. This compares with 14% that did not pass the pylorus in the second cohort, including 4% retentions; however only 1 remained in the stomach for 8 hours. Conclusion: There was no significant difference between the overall diagnostic yields between the two cohorts, but there was an increase in the number of patients with active bleeding in the second cohort. This lack of difference may reflect that standardized criteria for performing CE help to maintain a high diagnostic yield.
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