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Gastroenterologist perceptions of faecal microbiota transplantation
- Source :
- World journal of gastroenterology. 21(38)
- Publication Year :
- 2015
-
Abstract
- © 2015 Baishideng Publishing Group Inc. All rights reserved. AIM: To explore gastroenterologist perceptions towards and experience with faecal microbiota transplantation (FMT). METHODS: A questionnaire survey consisting of 17 questions was created to assess gastroenterologists' attitude towards and experience with FMT. This was anonymously distributed in hard copy format amongst attendees at gastroenterology meetings in Australia between October 2013 and April 2014. Basic descriptive statistical analyses were performed. RESULTS: Fifty-two clinicians participated. Twenty one percent had previously referred patients for FMT, 8% more than once. Ninety percent would refer patients with Clostridium difficile infection (CDI) for FMT if easily available, 37% for ulcerative colitis, 13% for Crohn's disease and 6% for irritable bowel syndrome. Six percent would not refer any indication, including recurrent CDI. Eighty-six percent would enroll patients in FMT clinical trials. Thirty-seven percent considered the optimal mode of FMT administration transcolonoscopic, 17% nasoduodenal, 13% enema and 8% oral capsule. The greatest concerns regarding FMT were: 42% lack of evidence, 12% infection risk, 10% non infectious adverse effects/lack of safety data, 10% aesthetic, 10% lack of efficacy, 4% disease exacerbation, and 2% inappropriate use; 6% had no concerns. Seventy seven percent believed there is a lack of accessibility while 52% had an interest in learning how to provide FMT. Only 6% offered FMT at their institution. CONCLUSION: Despite general enthusiasm, most gastroenterologists have limited experience with, or access to, FMT. The greatest concerns were lack of supportive evidence and safety issues. However a significant proportion would refer indications other than CDI for FMT despite insufficient evidence. These data provide guidance on where education and training are required.
- Subjects :
- medicine.medical_specialty
Attitude of Health Personnel
medicine.medical_treatment
Observational Study
Gastroenterology
Inflammatory bowel disease
Health Services Accessibility
Irritable Bowel Syndrome
Crohn Disease
Internal medicine
Medicine
Humans
Adverse effect
Irritable bowel syndrome
Enterocolitis, Pseudomembranous
Enterocolitis
Gastroenterology & Hepatology
business.industry
Clostridioides difficile
Australia
Questionnaire
General Medicine
Enema
Clostridium difficile
Fecal Microbiota Transplantation
medicine.disease
Ulcerative colitis
Clinical trial
Colitis, Ulcerative
Perception
medicine.symptom
business
Subjects
Details
- ISSN :
- 22192840
- Volume :
- 21
- Issue :
- 38
- Database :
- OpenAIRE
- Journal :
- World journal of gastroenterology
- Accession number :
- edsair.doi.dedup.....d777125b753d5f8840e669c5f36f3110