Utilization and quality assessment of digestive endoscopy in China: results from 5-year consecutive nationwide surveys
Abstract. Background:. Worldwide, the volume and availability of digestive endoscopy have undergone dramatic development in recent years, with increasing attention on quality assurance. We investigated the utilization and quality of digestive endoscopy in China from 2015 to 2019 and developed a quan...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2022-08-01
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| Series: | Chinese Medical Journal |
| Online Access: | http://journals.lww.com/10.1097/CM9.0000000000002366 |
| _version_ | 1828088368371597312 |
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| author | Lei Xin Ye Gao Zhiyuan Cheng Tianjiao Wang Han Lin Yanan Pang Chang Sun Zengjun Fu Zhaoshen Li Xudong Ma Luowei Wang Yuanyuan Ji |
| author_facet | Lei Xin Ye Gao Zhiyuan Cheng Tianjiao Wang Han Lin Yanan Pang Chang Sun Zengjun Fu Zhaoshen Li Xudong Ma Luowei Wang Yuanyuan Ji |
| author_sort | Lei Xin |
| collection | DOAJ |
| description | Abstract. Background:. Worldwide, the volume and availability of digestive endoscopy have undergone dramatic development in recent years, with increasing attention on quality assurance. We investigated the utilization and quality of digestive endoscopy in China from 2015 to 2019 and developed a quantitative quality evaluation tool for medical institutions.
Methods:. We invited all tertiary/secondary hospitals in Chinese mainland to participate in the survey annually. The questionnaires included the personnel, annual volume, and quality indicators of endoscopy. An endoscopy quality index (EQI) was developed based on recorded quality indicators using principal component analysis to determine the relative weight.
Results:. From 2015 to 2019, 806, 1412, 2644, 2468, and 2541 hospitals were respectively enrolled in this study. The average annual volume of endoscopy increased from 12,445 to 16,206 (1.30-fold) and from 2938 to 4255 (1.45-fold) in tertiary and secondary hospitals, respectively. The most obvious growth was observed in diagnostic colonoscopy (1.44-fold for all hospitals after standardization). The proportion of early cancer among all esophageal and gastric cancers during diagnostic esophagogastroduodenoscopy increased from 12.3% (55,210/448,861) to 17.7% (85,429/482,647) and from 11.4% (69,411/608,866) to 16.9% (107,192/634,235), respectively. The adenoma detection rate of diagnostic colonoscopy increased from 14.9% (2,118,123/14,215,592) to 19.3% (3,943,203/20,431,104). The EQI model included 12 quality indicators, incorporating 64.9% (7.792/12) of the total variance into one comprehensive index. According to the EQI measurements, the quality of endoscopy was higher in tertiary hospitals and hospitals in developed areas with higher volume or more endoscopists than that in other hospitals.
Conclusions:. Digestive endoscopy in China has developed considerably in recent years in terms of both volume and quality. The EQI is a promising tool to quantify the quality of endoscopy at different hospitals. |
| first_indexed | 2024-04-11T05:24:42Z |
| format | Article |
| id | doaj.art-32bd8ae22ce44678b6ca69d5f7d0ad12 |
| institution | Directory Open Access Journal |
| issn | 0366-6999 2542-5641 |
| language | English |
| last_indexed | 2024-04-11T05:24:42Z |
| publishDate | 2022-08-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Chinese Medical Journal |
| spelling | doaj.art-32bd8ae22ce44678b6ca69d5f7d0ad122022-12-23T07:54:46ZengWolters KluwerChinese Medical Journal0366-69992542-56412022-08-01135162003201010.1097/CM9.0000000000002366202208200-00013Utilization and quality assessment of digestive endoscopy in China: results from 5-year consecutive nationwide surveysLei XinYe GaoZhiyuan ChengTianjiao WangHan LinYanan PangChang SunZengjun FuZhaoshen LiXudong MaLuowei WangYuanyuan JiAbstract. Background:. Worldwide, the volume and availability of digestive endoscopy have undergone dramatic development in recent years, with increasing attention on quality assurance. We investigated the utilization and quality of digestive endoscopy in China from 2015 to 2019 and developed a quantitative quality evaluation tool for medical institutions. Methods:. We invited all tertiary/secondary hospitals in Chinese mainland to participate in the survey annually. The questionnaires included the personnel, annual volume, and quality indicators of endoscopy. An endoscopy quality index (EQI) was developed based on recorded quality indicators using principal component analysis to determine the relative weight. Results:. From 2015 to 2019, 806, 1412, 2644, 2468, and 2541 hospitals were respectively enrolled in this study. The average annual volume of endoscopy increased from 12,445 to 16,206 (1.30-fold) and from 2938 to 4255 (1.45-fold) in tertiary and secondary hospitals, respectively. The most obvious growth was observed in diagnostic colonoscopy (1.44-fold for all hospitals after standardization). The proportion of early cancer among all esophageal and gastric cancers during diagnostic esophagogastroduodenoscopy increased from 12.3% (55,210/448,861) to 17.7% (85,429/482,647) and from 11.4% (69,411/608,866) to 16.9% (107,192/634,235), respectively. The adenoma detection rate of diagnostic colonoscopy increased from 14.9% (2,118,123/14,215,592) to 19.3% (3,943,203/20,431,104). The EQI model included 12 quality indicators, incorporating 64.9% (7.792/12) of the total variance into one comprehensive index. According to the EQI measurements, the quality of endoscopy was higher in tertiary hospitals and hospitals in developed areas with higher volume or more endoscopists than that in other hospitals. Conclusions:. Digestive endoscopy in China has developed considerably in recent years in terms of both volume and quality. The EQI is a promising tool to quantify the quality of endoscopy at different hospitals.http://journals.lww.com/10.1097/CM9.0000000000002366 |
| spellingShingle | Lei Xin Ye Gao Zhiyuan Cheng Tianjiao Wang Han Lin Yanan Pang Chang Sun Zengjun Fu Zhaoshen Li Xudong Ma Luowei Wang Yuanyuan Ji Utilization and quality assessment of digestive endoscopy in China: results from 5-year consecutive nationwide surveys Chinese Medical Journal |
| title | Utilization and quality assessment of digestive endoscopy in China: results from 5-year consecutive nationwide surveys |
| title_full | Utilization and quality assessment of digestive endoscopy in China: results from 5-year consecutive nationwide surveys |
| title_fullStr | Utilization and quality assessment of digestive endoscopy in China: results from 5-year consecutive nationwide surveys |
| title_full_unstemmed | Utilization and quality assessment of digestive endoscopy in China: results from 5-year consecutive nationwide surveys |
| title_short | Utilization and quality assessment of digestive endoscopy in China: results from 5-year consecutive nationwide surveys |
| title_sort | utilization and quality assessment of digestive endoscopy in china results from 5 year consecutive nationwide surveys |
| url | http://journals.lww.com/10.1097/CM9.0000000000002366 |
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