Dutch Gastrointestinal Endoscopy Audit: automated extraction of colonoscopy data for quality assessment and improvement
| Autor: | Evelien Dekker, Michiel Ledeboer, Michel W.J.M. Wouters, Aura A.J. van Esch, Sander van der Beek, Paul A. Seegers, Peter J. van der Schaar, Monique E. van Leerdam, Paul Fockens, Manon C.W. Spaander, Michael P.M. de Neree tot Babberich, Miangela M. Lacle, Rob J. Ouwendijk |
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| Přispěvatelé: | Gastroenterology and Hepatology, Graduate School, AGEM - Digestive immunity, AGEM - Re-generation and cancer of the digestive system, CCA - Imaging and biomarkers, CCA - Cancer Treatment and Quality of Life, APH - Quality of Care, Gastroenterology & Hepatology, Erasmus MC other |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adenoma
Colorectal cancer MEDLINE Colonoscopy Audit 03 medical and health sciences 0302 clinical medicine Health care medicine Humans Radiology Nuclear Medicine and imaging Cecum Early Detection of Cancer medicine.diagnostic_test business.industry Gastroenterology medicine.disease Missing data Endoscopy Occult Blood 030220 oncology & carcinogenesis Data quality 030211 gastroenterology & hepatology Medical emergency Colorectal Neoplasms business |
| Zdroj: | Gastrointestinal endoscopy, 92(1), 154-162.e1. Mosby Inc. Gastrointestinal Endoscopy, 92(1), 154-162. Mosby Inc. |
| ISSN: | 0016-5107 |
| Popis: | Background and Aims: The importance of having quality assessment, assurance, and improvement tools in health care is increasingly recognized. However, the additional associated administration burden progressively interferes with the structural implementation and adoption of such tools, especially when it concerns high-volume procedures such as colonoscopies. The development of the Dutch Gastrointestinal Endoscopy Audit (DGEA), a registry with automated extraction of colonoscopy quality data, and its first results are described. Methods: In close cooperation with commercial endoscopy reporting systems and a national histopathology database, healthcare professionals performing colonoscopies initiated a quality registry that extracts data from its core hospital resource or histology database without manual interference of the healthcare providers. Data extracted consisted of patient age, gender, indication of the colonoscopy, American Society of Anesthesiologists score, Boston Bowel Preparation Score, and cecal intubation; for the colonoscopy after a positive fecal immunochemical test in the colorectal cancer screening program, other data were polyp detection rate, which was available for all 48 hospitals or endoscopy centers, and adenoma detection rate, which was available for 26 hospitals or endoscopy centers. Results: Between January 1, 2016 and March 31, 2019, 48 hospitals or endoscopy centers voluntarily participated in the DGEA, and 275,017 unique patients with 313,511 colonoscopies were registered. Overall missing values were limited to |
| Databáze: | OpenAIRE |
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