Continuous monitoring of colonoscopy performance in the Netherlands: first results of a nationwide registry
| العنوان: | Continuous monitoring of colonoscopy performance in the Netherlands: first results of a nationwide registry |
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| المؤلفون: | Manon van der Vlugt, Rob J. Ouwendijk, Michiel Ledeboer, Aura A. J. van Esch, Peter J. van der Schaar, Manon C.W. Spaander, Karlijn J. Nass, Miangela M. Lacle, Michel W.J.M. Wouters, Sander van der Beek, Monique E. van Leerdam, Paul Fockens, Evelien Dekker |
| المساهمون: | Gastroenterology & Hepatology, Gastroenterology and Hepatology, Graduate School, CCA - Imaging and biomarkers, CCA - Cancer Treatment and Quality of Life, Amsterdam Gastroenterology Endocrinology Metabolism |
| المصدر: | Endoscopy. GEORG THIEME VERLAG KG Endoscopy Endoscopy, 54(5), 488-495. Georg Thieme Verlag Endoscopy. Georg Thieme Verlag |
| بيانات النشر: | GEORG THIEME VERLAG KG, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, medicine.diagnostic_test, business.industry, Perforation (oil well), Gastroenterology, MEDLINE, Cecal intubation, Colonoscopy, Retrospective cohort study, Endoscopy, Emergency medicine, medicine, Bowel preparation, Humans, Registries, Adverse effect, business, Colorectal Neoplasms, Cecum, Early Detection of Cancer, Netherlands, Retrospective Studies |
| الوصف: | Background To optimize colonoscopy quality, several performance measures have been developed. These are usually assessed without distinction between the indications for colonoscopy. This study aimed to assess the feasibility of linking two national registries (one for colonoscopy and one for adverse events of gastrointestinal endoscopies in the Netherlands), and to describe the results of colonoscopy quality per indication. Methods This retrospective study was conducted with prospectively collected data of the Dutch Gastrointestinal Endoscopy Audit (DGEA) and the Dutch Registration of Complications in Endoscopy (DRCE). Data between 01–01–2016 and 01–01–2019 were analyzed. To calculate adverse event rates, data were linked at the level of endoscopy service. Results During the 3-year study period, 266 981 colonoscopies were recorded in DGEA. Of all indications, cecal intubation rate was highest in fecal immunochemical test (FIT)-positive screening colonoscopies (97.1 %), followed by surveillance (93.2 %), diagnostic (90.7 %), and therapeutic colonoscopies (83.1 %). The highest rate of adequate bowel preparation was observed in FIT-positive screening colonoscopies (97.1 %). A total of 1540 colonoscopy-related adverse events occurred (0.58 % of all colonoscopies). Bleeding and perforation and rates were highest for therapeutic (1.56 % and 0.51 %, respectively) and FIT-positive screening (0.72 % and 0.06 %, respectively) colonoscopies. The colonoscopy-related mortality was 0.006 %. Conclusion This study describes the first results of the Dutch national colonoscopy registry, which was successfully linked to data from the national registry for adverse events of gastrointestinal endoscopies. In this large dataset, performance varied between indications. Our results emphasize the importance of defining benchmarks per indication in future guidelines. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 0013-726X |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::0ef5a0960330d8d9366d98338383cc9b https://hdl.handle.net/1887/3276201 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....0ef5a0960330d8d9366d98338383cc9b |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 0013726X |
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