Leiden University Scholarly Publications

Persistent URL of this record https://hdl.handle.net/1887/3563236

Documents

In Collections

This item can be found in the following collections:

de-Madaria, E.; Mira, J.J.; Carrillo, I.; Afif, W.; Ang, D.; Antelo, M.; ... ; Drenth, J.P.H. (2022)

The present and future of gastroenterology and hepatology: an international SWOT analysis (the GASTROSWOT project)

Article / Letter to editor
GASTROSWOT is a strategic analysis of the current and projected states of the different subspecialties in gastroenterology that aims to provide guidance for research, clinical, and financial planning in gastroenterology. We executed a consensus-based international strengths, weaknesses, opportunities, and threats (SWOT) analysis. Four general coordinators, six field coordinators, and 12 experts participated in the study. SWOTs were provided for the following fields: neurogastroenterology, functional gastrointestinal disorders, and upper gastrointestinal diseases; inflammatory bowel disease; pancreatology and biliary diseases; endoscopy; gastrointestinal oncology; and hepatology. The GASTROSWOT analysis highlights the following in the current state of the field of gastroenterology: the incidence and complexity of several gastrointestinal diseases, including malignancies, are increasing; the COVID-19 pandemic has affected patient care on several levels; and with the advent of...Show moreGASTROSWOT is a strategic analysis of the current and projected states of the different subspecialties in gastroenterology that aims to provide guidance for research, clinical, and financial planning in gastroenterology. We executed a consensus-based international strengths, weaknesses, opportunities, and threats (SWOT) analysis. Four general coordinators, six field coordinators, and 12 experts participated in the study. SWOTs were provided for the following fields: neurogastroenterology, functional gastrointestinal disorders, and upper gastrointestinal diseases; inflammatory bowel disease; pancreatology and biliary diseases; endoscopy; gastrointestinal oncology; and hepatology. The GASTROSWOT analysis highlights the following in the current state of the field of gastroenterology: the incidence and complexity of several gastrointestinal diseases, including malignancies, are increasing; the COVID-19 pandemic has affected patient care on several levels; and with the advent of technical innovations in gastroenterology, a well trained workforce and strategic planning are required to optimise health-care utilisation. The analysis calls attention to the following in the future of gastroenterology: artificial intelligence and the use of big data will speed up discovery and smarter health-care provision in the field; the growth and diversification of gastroenterological specialties will improve specialised care for patients, but could promote fragmentation of care and health system inefficiencies; and furthermore, thoughtful planning is needed to reach an effective balance between the need for subspecialists and the value of general gastroenterology services.Show less
All authors
de-Madaria, E.; Mira, J.J.; Carrillo, I.; Afif, W.; Ang, D.; Antelo, M.; Bollipo, S.; Castells, A.; Chahal, P.; Heinrich, H.; Law, J.K.; Leerdam, M.E. van; Lens, S.; Pannala, R.; Park, S.; Rabiee, A.; Savarino, E.V.; Singh, V.K.; Vargo, J.; Charabaty, A.; Drenth, J.P.H.
Date
2022-04-06
Journal
The Lancet Gastroenterology & Hepatology
Volume
7
Issue
5
Pages
485 - 494
DOI
doi:10.1016/S2468-1253(21)00442-8