Implementation of colonoscopy quality monitoring in a Belgian university hospital with integrated computer-based extraction of adenoma detection rate
| Autor: | S Ouazzani, Olivier Le Moine, Raphael Kindt, Federico Martinez, Arnaud Lemmers, Myriam Delhaye, Pierre Eisendrath, Jacques Devière, Pieter Demetter, Marianna Arvanitakis |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Original article
medicine.medical_specialty medicine.diagnostic_test business.industry Computer based Colonoscopy University hospital 03 medical and health sciences 0302 clinical medicine Adequate preparation medicine Quality monitoring lcsh:Diseases of the digestive system. Gastroenterology 030211 gastroenterology & hepatology Pharmacology (medical) Medical physics 030212 general & internal medicine lcsh:RC799-869 Detection rate business Reporting system Screening procedures |
| Zdroj: | Endoscopy International Open Endoscopy International Open, Vol 09, Iss 02, Pp E197-E202 (2021) |
| ISSN: | 2196-9736 2364-3722 |
| Popis: | Background and study aims Quality in colonoscopy has been promoted in last decade with definition of different quality indicators (QI) as benchmarks. Currently, automatized monitoring systems are lacking, especially for merging pathologic and endoscopic data, which limits quality monitoring implementation in daily practice. We describe an adapted endoscopy reporting system that allows continuous QI recording, with automatic pathological data inclusion. Material and methods We locally adapted a reporting system for colonoscopy by adding and structuring in a dedicated tab selected key QI. Endoscopic data from a reporting system and pathological results were extracted and merged in a separate database. During the initial period of use, performing physicians were encouraged to complete the dedicated tab on a voluntary basis. In a second stage, completing of the tab was made mandatory. The completeness of QI recording was evaluated across both periods. Performance measures for all endoscopists were compared to global results for the department and published targets. Results During the second semester of 2017, a total of 1827 colonoscopies were performed with a QI tab completed in 100 % of cases. Among key QI, the cecal intubation rate was 93.8 %, the rate of colonoscopies with adequate preparation was 90.7 %, and the adenoma detection rate was 29.8 % considering all colonoscopies, irrespective of indication; 28.8 % considering screening procedures; and 36.6 % in colonoscopies performed in people older than age 50 years. Conclusion This study shows that quality monitoring for colonoscopy can be easily implemented with limited human resources by adapting a reporting system and linking it to a pathology database. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|