在大托克劳引入肠道筛查计划后,有症状患者结肠镜检查质量表现指标的变化。

IF 1.6 4区 医学 Q3 SURGERY
Luke Paterson, Matthew McGuinness, William Xu, Christopher Harmston
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引用次数: 0

摘要

背景:肠道筛查计划(BSP)的引入是为了关注高质量的内窥镜检查。这得到了向内窥镜医师公开报告和质量绩效指标(qpi)反馈的支持。本研究的目的是描述在引入BSP后,未筛查的有症状患者结肠镜检查qpi的任何变化。方法:对实施BSP前(BSP前)和BSP后(BSP后)进行结肠镜检查的无筛查、有症状的患者进行为期3年的回顾性研究。主要观察指标为息肉检出率(PDR)的变化。结果:共发现4396例患者;bsp前组为2238,bsp后组为2158。组间人口学因素无显著差异。调整后的PDR从bsl前组的45.5%显著增加到bsl后组的51.9% (p)。结论:本研究发现,在泰托克劳引入BSP后,接受结肠镜检查的患者的qpi(包括PDR)有显著改善。这表明参与BSP的医院所进行的所有结肠镜检查的质量有了间接的改善。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Change in Colonoscopy Quality Performance Indicators in Symptomatic Patients Following Introduction of the Bowel Screening Programme in Te Tai Tokerau

Change in Colonoscopy Quality Performance Indicators in Symptomatic Patients Following Introduction of the Bowel Screening Programme in Te Tai Tokerau

Background

The introduction of the Bowel Screening Programme (BSP) came with a focus on high-quality endoscopy. This was supported by open reporting and feedback of quality performance indicators (QPIs) to endoscopists. The aim of this study is to describe any changes in QPIs of colonoscopies for non-screening, symptomatic patients following the introduction of the BSP.

Methods

A 3-year retrospective study was performed of non-screening, symptomatic patients undergoing colonoscopy before (pre-BSP) and after (post-BSP) implementation of the BSP. The primary outcome was the change in the polyp detection rate (PDR).

Results

Totally, 4396 patients were identified; 2238 in the pre-BSP group and 2158 in the post-BSP group. There was no significant difference in demographic factors between groups. The adjusted PDR significantly increased from 45.5% in the pre-BSL group to 51.9% in the post-BSL group (p < 0.001). A significant increase in polypectomy rate and adequate withdrawal times was found in the post-BSP group.

Conclusion

This study found a significant improvement in QPIs, including PDR, in patients undergoing colonoscopies for symptoms following the introduction of the BSP in Te Tai Tokerau. This suggests an indirect improvement in the quality of all colonoscopies being performed in hospitals that participates in the BSP.

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来源期刊
ANZ Journal of Surgery
ANZ Journal of Surgery 医学-外科
CiteScore
2.50
自引率
11.80%
发文量
720
审稿时长
2 months
期刊介绍: ANZ Journal of Surgery is published by Wiley on behalf of the Royal Australasian College of Surgeons to provide a medium for the publication of peer-reviewed original contributions related to clinical practice and/or research in all fields of surgery and related disciplines. It also provides a programme of continuing education for surgeons. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.
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