首页|Quality audit of colonoscopy reports amongst patients screened or surveilled for colorectal neoplasia
Quality audit of colonoscopy reports amongst patients screened or surveilled for colorectal neoplasia
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NETL
NSTL
万方数据
维普
AIM:To complete a quality audit using recently published criteria from the Quality Assurance Task Group of the National Colorectal Cancer Roundtable.METHtODS:Consecutive colonoscopy reports of patients at average/high risk screening,or with a prior colorectal neoplasia (CRN) by endoscopists who perform 11 000 procedures yearly,using a commercial computerized endoscopic report generator.A separate institutional database providing pathological results.Required documentation included patient demographics,history,procedure indications,technical descriptions,colonoscopy findings,interventions,unplanned events,follow-up plans,and pathology results.Reports abstraction employed a standardized glossary with 10％ independent data validation.Sample size calculations determined the number of reports needed.RESULTS:Two hundreds and fifty patients (63.2 ±10.5 years,female:42.8％,average risk:38.5％,personal/family history of CRN:43.3％/20.2％) were scoped in June 2009 by 8 gastroenterologists and 3 surgeons (mean practice:17.1 ± 8.5 years).Procedural indication and informed consent were always documented.14％ provided a previous colonoscopy date (past polypremoval information in 25％,but insufficient in most to determine surveillance intervals appropriateness).Most procedural indicators were recorded (exam date:98.4％,medications:99.2％,difficulty level:98.8％,prep quality:99.6％).All reports noted extent of visualization (cecum:94.4％,with landmarks noted in 78.8％-photodocumentation:67.2％).No procedural times were recorded.One hundred and eleven had polyps (44.4％) with anatomic location noted in 99.1％,size in 65.8％,morphology in 62.2％; removal was by cold biopsy in 25.2％ (cold snare:18％,snare cautery:31.5％,unrecorded:20.7％),84.7％ were retrieved.Adenomas were noted in 24.8％(advanced adenomas:7.6％,cancer:0.4％) in this population with varying previous colonic investigations.CONCLUSION:This audit reveals lacking reported items,justifying additional research to optimize quality of reporting.
Colonic-disordersEndoscopy-generalOncology-clinicalColonoscopyEndoscopic reporting system
Daphnée Beaulieu、Alan Barkun、Myriam Martel
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Division of Gastroenterology, The McGill University Health Center, McGill University, Montreal H3G 1A4, Canada
Clinical Epidemiology, the McGill University Health Center, McGill University, Montreal H3G 1A4, Canada
NETL
NSTL
万方数据
维普
