Data quality and colonoscopy performance indicators in the prevalent round of a FIT-based colorectal cancer screening program
| Autor: | Martin Lund, Rune Erichsen, Roland Valori, Berit Andersen, Søren Laurberg, Thomas Møller Jensen, Sisse Helle Njor |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Colorectal cancer Denmark adenoma detection rate Colonoscopy polyp detection rate 0302 clinical medicine cecal intubation rate Early Detection of Cancer media_common RISK medicine.diagnostic_test Gastroenterology quality indicators Middle Aged TIME Data Accuracy Colorectal cancer screening Fecal Immunochemical Test 030220 oncology & carcinogenesis language Female 030211 gastroenterology & hepatology withdrawal time Colorectal Neoplasms Adenoma medicine.medical_specialty polyp retrieval rate media_common.quotation_subject Colonic Polyps Danish 03 medical and health sciences Internal medicine medicine Humans polyp recovery Quality (business) Aged Quality Indicators Health Care business.industry screening performance indicators medicine.disease language.human_language Data quality Performance indicator business fecal immunochemical test |
| Zdroj: | on behalf of the Central Denmark Region's "Quality of Colonoscopies" group† 2019, ' Data quality and colonoscopy performance indicators in the prevalent round of a FIT-based colorectal cancer screening program ' Scandinavian Journal of Gastroenterology . https://doi.org/10.1080/00365521.2019.1597158 Lund, M, Erichsen, R, Valori, R, Møller Jensen, T, Helle Njor, S, Laurberg, S, Andersen, B & on behalf of the Central Denmark Region's "Quality of Colonoscopies" group† 2019, ' Data quality and colonoscopy performance indicators in the prevalent round of a FIT-based colorectal cancer screening program ', Scandinavian Journal of Gastroenterology, vol. 54, no. 4, pp. 471-477 . https://doi.org/10.1080/00365521.2019.1597158 |
| DOI: | 10.6084/m9.figshare.7988546.v1 |
| Popis: | Objective: From the prevalent round of the Danish FIT-based colorectal cancer (CRC) screening program, we aimed (i) to evaluate the quality of recorded data and (ii) to characterize the colonoscopies by measuring variation in performance indicators between colonoscopists and assessing the ratio between adenoma detection rate (ADR) and polyp detection rate (PDR). Materials and methods: This study included screening colonoscopies performed in Central Denmark Region within 60 days of a positive FIT-result from 1 July 2015 through 30 June 2017. The participants were the colonoscopists, performing these procedures. The quality indicators cecal intubation rate (CIR), PDR, polyp retrieval rate (PRR), ADR and withdrawal time (WT) were evaluated. ADR/PDR ratios were calculated. Results: The concordance between the recorded data and the colonoscopy reports showed Kappa values in the range of 0.47–0.97. The overall CIR was 90.6% (range 73.7%–100%), PDR: 51.9% (range 18.4%–70.2%), PRR: 94.6% (range 69.6%–100%), ADR (conventional adenomas): 50.6% (range 18.4%–70.2%), ADRx (conventional adenomas, traditional serrated adenomas and sessile serrated lesions with dysplasia): 50.9% (range 18.4%–70.2%) and the mean WT was 11.3 min (range 4.5–24.9 min). The ADR/PDR ratio was 92.8% (95% CI: 92.0%–93.6%) and the ADRx/PDR ratio was 93.2% (95% CI: 92.4%–93.9%). Conclusion: Data quality was generally high. We found considerable variation in performance indicators between colonoscopists reflecting the potential for improvement. Further, our findings revealed that the PDR might be a good proxy for ADR in the context of the prevalent round of FIT-based CRC screening programs. |
| Databáze: | OpenAIRE |
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