Implementation of colonoscopy quality monitoring in a Belgian university hospital with integrated computer-based extraction of adenoma detection rate
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 implemen...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Georg Thieme Verlag KG
2021-02-01
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| Series: | Endoscopy International Open |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/a-1326-1179 |
| _version_ | 1818448117051162624 |
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| author | Sohaib Ouazzani Arnaud Lemmers Federico Martinez Raphael Kindt Olivier Le Moine Myriam Delhaye Marianna Arvanitakis Pieter Demetter Jacques Devière Pierre Eisendrath |
| author_facet | Sohaib Ouazzani Arnaud Lemmers Federico Martinez Raphael Kindt Olivier Le Moine Myriam Delhaye Marianna Arvanitakis Pieter Demetter Jacques Devière Pierre Eisendrath |
| author_sort | Sohaib Ouazzani |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-14T20:14:24Z |
| format | Article |
| id | doaj.art-890192949aa646219e680bf342ebef52 |
| institution | Directory Open Access Journal |
| issn | 2364-3722 2196-9736 |
| language | English |
| last_indexed | 2024-12-14T20:14:24Z |
| publishDate | 2021-02-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | Endoscopy International Open |
| spelling | doaj.art-890192949aa646219e680bf342ebef522022-12-21T22:48:52ZengGeorg Thieme Verlag KGEndoscopy International Open2364-37222196-97362021-02-010902E197E20210.1055/a-1326-1179Implementation of colonoscopy quality monitoring in a Belgian university hospital with integrated computer-based extraction of adenoma detection rateSohaib Ouazzani0Arnaud Lemmers1Federico Martinez2Raphael Kindt3Olivier Le Moine4Myriam Delhaye5Marianna Arvanitakis6Pieter Demetter7Jacques Devière8Pierre Eisendrath9Department of Gastroenterology, Hepatopancreatology and Digestive Oncology, Erasme Hospital, Université Libre de Bruxelles (ULB), Brussels, BelgiumDepartment of Gastroenterology, Hepatopancreatology and Digestive Oncology, Erasme Hospital, Université Libre de Bruxelles (ULB), Brussels, BelgiumIT Department, Medicotechnical Team, Erasme Hospital, Université Libre de Bruxelles (ULB), Brussels, BelgiumIT Department, Medicotechnical Team, Erasme Hospital, Université Libre de Bruxelles (ULB), Brussels, BelgiumDepartment of Gastroenterology, Hepatopancreatology and Digestive Oncology, Erasme Hospital, Université Libre de Bruxelles (ULB), Brussels, BelgiumDepartment of Gastroenterology, Hepatopancreatology and Digestive Oncology, Erasme Hospital, Université Libre de Bruxelles (ULB), Brussels, BelgiumDepartment of Gastroenterology, Hepatopancreatology and Digestive Oncology, Erasme Hospital, Université Libre de Bruxelles (ULB), Brussels, BelgiumDepartment of Pathology, Jules Bordet Institute, Université Libre de Bruxelles (ULB), Brussels, BelgiumDepartment of Gastroenterology, Hepatopancreatology and Digestive Oncology, Erasme Hospital, Université Libre de Bruxelles (ULB), Brussels, BelgiumDepartment of Gastroenterology, Hepatopancreatology and Digestive Oncology, Erasme Hospital, Université Libre de Bruxelles (ULB), Brussels, BelgiumBackground 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.http://www.thieme-connect.de/DOI/DOI?10.1055/a-1326-1179 |
| spellingShingle | Sohaib Ouazzani Arnaud Lemmers Federico Martinez Raphael Kindt Olivier Le Moine Myriam Delhaye Marianna Arvanitakis Pieter Demetter Jacques Devière Pierre Eisendrath Implementation of colonoscopy quality monitoring in a Belgian university hospital with integrated computer-based extraction of adenoma detection rate Endoscopy International Open |
| title | Implementation of colonoscopy quality monitoring in a Belgian university hospital with integrated computer-based extraction of adenoma detection rate |
| title_full | Implementation of colonoscopy quality monitoring in a Belgian university hospital with integrated computer-based extraction of adenoma detection rate |
| title_fullStr | Implementation of colonoscopy quality monitoring in a Belgian university hospital with integrated computer-based extraction of adenoma detection rate |
| title_full_unstemmed | Implementation of colonoscopy quality monitoring in a Belgian university hospital with integrated computer-based extraction of adenoma detection rate |
| title_short | Implementation of colonoscopy quality monitoring in a Belgian university hospital with integrated computer-based extraction of adenoma detection rate |
| title_sort | implementation of colonoscopy quality monitoring in a belgian university hospital with integrated computer based extraction of adenoma detection rate |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/a-1326-1179 |
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