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    Prezentare ESGE 2019

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    Dan Bobeica
    This document summarizes the results of analyzing 278 colonoscopy reports from a 3-month period at a tertiary referral center in Romania to reassess performance measures after previous training. Key findings were that while indication was adequate in 91.2% of cases and polyp and adenoma detection rates met minimum standards, bowel preparation and cecal intubation rates remained suboptimal at 63.8% and 71.3%, respectively. The conclusions call for further retraining and proper reporting to improve performance measures and quality standards for lower GI endoscopy.

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    Prezentare ESGE 2019

    Uploaded by

    Dan Bobeica
    20 views5 pages
    This document summarizes the results of analyzing 278 colonoscopy reports from a 3-month period at a tertiary referral center in Romania to reassess performance measures after previous training. Key findings were that while indication was adequate in 91.2% of cases and polyp and adenoma detection rates met minimum standards, bowel preparation and cecal intubation rates remained suboptimal at 63.8% and 71.3%, respectively. The conclusions call for further retraining and proper reporting to improve performance measures and quality standards for lower GI endoscopy.

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    This document summarizes the results of analyzing 278 colonoscopy reports from a 3-month period at a tertiary referral center in Romania to reassess performance measures after previous training. Key findings were that while indication was adequate in 91.2% of cases and polyp and adenoma detection rates met minimum standards, bowel preparation and cecal intubation rates remained suboptimal at 63.8% and 71.3%, respectively. The conclusions call for further retraining and proper reporting to improve performance measures and quality standards for lower GI endoscopy.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    20 views5 pages

    Prezentare ESGE 2019

    Uploaded by

    Dan Bobeica
    This document summarizes the results of analyzing 278 colonoscopy reports from a 3-month period at a tertiary referral center in Romania to reassess performance measures after previous training. Key findings were that while indication was adequate in 91.2% of cases and polyp and adenoma detection rates met minimum standards, bowel preparation and cecal intubation rates remained suboptimal at 63.8% and 71.3%, respectively. The conclusions call for further retraining and proper reporting to improve performance measures and quality standards for lower GI endoscopy.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    Download as pptx, pdf, or txt
    of 5

    Revisiting reporting of performance measures for

    lower gastrointestinal endoscopy from a tertiary


    referral center from Romania: still a long way to go...

    • Speaker: Bobeica D
    • Authors: Bobeică D, Drăghici T, Voiosu T, Benguș A, Rimbaș M,
    Mateescu B, Voiosu A
    • Affiliation: Colentina Clinical Hospital, Bucharest
    Background
    Reporting performance measures in colonoscopy is not mandatory in all countries but is
    essential in order to evaluate the quality of the procedures.

    Aims:
    • to analyze data regarding the quality of colonoscopy practices during a 3 month period
    • to reassess the performance measures in our center after a previous analysis & training
    intervention

    Materials and methods


    • Design: single-center, retrospective analysis of data pertaining to colonoscopy

    • Data analyzed: all colonoscopy reports from a 3-month period in the Gastro unit

    • Comparison: the recommended minimum standard according to the recent ESGE


    guideline for performance measures in lower GI endoscopy
    ESGE Recommendations

    Minimum standards for:


    1. adequate indication for colonoscopy ≥85%
    2. quality of bowel preparation ≥90%
    3. completeness of procedure ≥90%
    4. adenoma detection rate ≥25%
    5. polyp detection rate 40%

    Endoscopy. 2017 Apr;49(4):378-397.


    Results
    2018 vs 2017
    95%
    91%
    Indication
    • 278 colonoscopy 79%
    85%
    reports analyzed 95%
    64%
    Adequate bowel preparation 65%
    Performance 90%

    95%
    71%
    Cecal intubation
    • Indication 91.2% 75%
    90%
    • Bowel prep 63.8%
    • Caecal intub 71.3% Polyp detection rate 49%
    52%
    • PDR 49% 40%

    • ADR 27% 27%


    Adenoma detection rate 27%
    25%

    Target Results 2018 Results 2017 Minimum


    Conclusions
    • Some key performance measures have improved but bowel prep & caecal
    intubation rate are still suboptimal

    • Further retraining and proper reporting of outcomes are mandatory for


    improvement of key performance measures and achieving reccomended quality
    standards in lower GI endoscopy.

    Key references: •Gut. 2013 Feb;62(2):242-9.


    •Gastrointest Endosc. 2015 Jan;81(1):31-53.
    •Endoscopy. 2017 Apr;49(4):378-397.

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