| Autor: |
R. Sáenz-Fuenzalida, A. Riquelme-Pérez, L.A. Díaz-Piga, X. García-Rocha, E. Fuentes-López, J. Arnold-Álvarez, L. Caro, A. Tchekmedyian, I. Orellana-Narváez, R. Jover-Martínez |
| Jazyk: |
angličtina |
| Rok vydání: |
2022 |
| Předmět: |
|
| Zdroj: |
Revista de Gastroenterología de México (English Edition), Vol 87, Iss 3, Pp 297-304 (2022) |
| Druh dokumentu: |
article |
| ISSN: |
2255-534X |
| DOI: |
10.1016/j.rgmxen.2021.11.005 |
| Popis: |
Introduction and aims: Colonoscopy quality is measured by the degree in which the examination increases the likelihood of obtaining adequate results on health. Our aim was to develop an instrument for evaluating the quality of screening colonoscopies, taking into account the performance of endoscopists and endoscopy units. Materials and methods: Mixed methodology was employed. The first stage (qualitative) consisted of a Medline search, from which a group of experts developed the quality score items. The second stage (quantitative) utilized a modified Delphi technique to reach consensus (3 rounds). We evaluated the psychometric properties of the instrument (reliability and construct validity) in elective screening colonoscopies (in patients ≥ 50 years of age), performed within the January–April 2017 time frame. Results: A final instrument with 8 items was produced: (1) the Boston Bowel Preparation Scale score; (2) cecal intubation rate; (3) colonoscopy withdrawal time; (4) image documentation; (5) adenoma detection rate; (6) endoscopic surveillance planning; (7) perforation rate, and (8) continuous improvement programs. The instrument was evaluated in 323 colonoscopies performed by 31 endoscopists and found to be one-dimensional and reliable (Cronbach’s alpha 0.76). Performance was compared between endoscopists (center 1) and an expert endoscopist from another center (center 2): Boston Bowel Preparation Scale score 8.3 vs. 7.36 (P |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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