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Failure of cost-benefit analysis in gastrointestinal endoscopy

机译：胃肠内窥镜检查中的成本效益分析失败

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Background and study aims?We discuss the occurrence of two cases, where the endoscopic pursuit of diagnostic certainty resulted in adverse events that exceeded the clinical relevance of the endoscopic diagnosis itself. In both instances, physicians were hesitant to subject their patients to a necessary surgical intervention before gastrointestinal endoscopy had provided them with absolute assurance that no other mitigating factors could possibly jeopardize the success of a planned intervention. In trying to avoid a single and potentially bad outcome of a necessary medical intervention, the physicians exposed their patients to many more additional and unnecessary risks. As key players in clinical decision-making, physicians sometimes may find it difficult to disentangle their own risk-benefit considerations from those of their patients.
机译：背景和学习症状？我们讨论了两种情况的发生，其中内窥镜追求诊断确定导致不良事件超过内窥镜诊断本身的临床相关性。在这两种情况下，医生犹豫不决，在胃肠内窥镜内窥镜向他们提供绝对保证之前对患者进行必要的手术干预，没有其他缓解因素可能会危害计划干预的成功。在试图避免对必要的医疗干预的单一和潜在糟糕的结果时，医生将患者暴露在更多额外的和不必要的风险。作为临床决策的关键参与者，医生有时可能会发现难以解开他们自己的患者的风险效益的考虑因素很难。

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