VOLUME 55, NO. 7, 2002 GASTROINTESTINAL ENDOSCOPY 847
The prevalence of dyspepsia in western countries
has been estimated at between 32% and 40%.
1-5
Many people with dyspepsia seek medical advice,
with 42% to 56% consulting medical practitioners
about symptoms.
1,2,6
Upper endoscopy has been
widely adopted as the preferred diagnostic test for
patients with persistent, acute, or alarming upper
GI symptoms. Surprisingly, there is little documen-
tation regarding trends in the use of upper endos-
copy. Between 1984 and 1993 the upper endoscopy
rate in the United States increased by 117% among
Medicare beneficiaries, and in 1993 the endoscopy
rate surpassed that for upper GI contrast radiogra-
phy.
7
In Australia, diagnostic upper endoscopy was
found in one study to be the most frequently per-
formed of all medical procedures in people over 64
years of age.
8
With evidence of increasing utilization
rates, concerns have been raised regarding unex-
plained geographic variations and use of endoscopy
for inappropriate indications.
9-11
Little is known about the extent of upper endos-
copy use, changes in procedure rates over time, or
the demographic characteristics of patients who
undergo endoscopy. Trends in diagnostic testing
reflect clinical practice and may be used to examine
the impact of changes in health policy. In addition
there is interest in the extent to which patients with
private health insurance may have greater access to
endoscopy compared with those who rely on govern-
ment-funded health services.
Australia has a universal health insurance system
similar to those of Canada and the United Kingdom. In
addition, around one third of Australians have
private health insurance. Between 1988 and 1998 pri-
vate health insurance coverage fell from approximate-
ly 46% to 31%.
12
The advantages of private insurance
include choice of physician for hospital care and often
include faster access to diagnostic testing and elective
surgery. However, individuals with private insurance
may be public-insured patients some of the time by
choosing to receive care as such. For example, of people
with private insurance admitted to public hospitals,
60% were admitted as publicly insured patients.
13
This
occurs because in many situations private insurance
offers no advantage, and care as a publicly insured
patient does not result in out-of-pocket expenses.
Publicly insured patients may elect treatment as pri-
vate patients without having private insurance cover-
age (i.e., an individual can personally pay all costs
Received April 10, 2001. Accepted January 25, 2002.
Current affiliation: Centre for Health Informatics, University of
New South Wales, Kensington, Australia.
Reprint requests: Johanna I. Westbrook, PhD, Associate Professor
Medical Informatics, Centre for Health Informatics, Faculty of
Medicine, University of New South Wales, Kensington 2052,
Australia.
Copyright © 2002 by the American Society for Gastrointestinal
Endoscopy 0016-5107/2002/$35.00 + 0 37/1/124634
doi:10.1067/mge.2002.124634
Trends in the utilization of diagnostic upper GI endoscopy
in New South Wales, Australia, 1988 to 1998
Johanna I. Westbrook, PhD
Kensington, Australia
Background: Upper endoscopy is frequently performed, yet there are few published data regard-
ing utilization trends. Such data provide an indication of changes in clinical practice over time and
identify subpopulations who may be underexposed or overexposed to the procedure.
Methods: Time series data were analyzed for all diagnostic upper endoscopies performed on res-
idents of an Australia state between mid 1988 and mid 1998. Endoscopy rates by age, gender, and
patient status (public vs. privately insured) were calculated.
Results: In 1997/98 the endoscopy rate was 179 of 10,000.The majority were performed on publicly
insured patients and women. Over the decade the rate increased by 128%. Rate increases were not
constant across time, age, gender, or patient (insurance) status. The greatest increases occurred
in the early to mid 1990s, and in patients less than 65 years of age. There was a greater increase
(126%) among women 55 to 64 years of age compared with other age categories for both genders.
Rates for publicly insured patients increased more than those for privately insured patients, par-
ticularly among individuals in the age range 25 to 34 years. Rates for private patients increased
more for women than men (81% vs. 59%).
Conclusions: Rates of utilization of endoscopy increased dramatically during the period from 1988
to 1998, particularly during the earlier part of this decade. The cause(s) of the differences in sub-
population rates warrant investigation, as do their relationship to patient management and out-
comes. These data provide opportunities for international comparisons. (Gastrointest Endosc
2002;55:847-53.)