Delay in EoE Diagnoses Has Persisted for Decades

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Delay in EoE Diagnoses Has Persisted for Decades
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It takes at least 10 years for one third of patients with EoE to receive a diagnosis and a median 4 years for patients overall to get their diagnosis — numbers that haven't budged in three decades, according to a study. GastroTwitter

This delay has persisted despite more than 2000 publications on the condition since 2014 and a variety of educational events about it, reported Fritz R. Murray, MD, of the Department of Gastroenterology and Hepatology at the University Hospital Zurich in Switzerland, and his colleagues.

, as an age-independent red-flag symptom…in order to lower risk of long-term complications," they added.The researchers retrospectively analyzed prospectively collected data from 1152 patients in a Swiss database. The patients had all been diagnosed with eosinophilic esophagitis according to established criteria.

"Age at diagnosis showed a normal distribution with its peak between 30 and 40 years with 25% of the study population being diagnosed with EoE during that period," the authors reported. Diagnostic delay was longer in those who needed an endoscopic disimpaction — a median of 6 years — before being diagnosed compared with those who did not require this procedure, who had a median delay of 3 years. Nearly one third of participants had at least one food impaction requiring endoscopic removal before receiving their diagnosis.

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