TY - JOUR
T1 - Dutch Gastrointestinal Endoscopy Audit: automated extraction of colonoscopy data for quality assessment and improvement
AU - de Neree tot Babberich, Michael P. M.
AU - Ledeboer, Michiel
AU - van Leerdam, Monique E.
AU - Spaander, Manon C. W.
AU - van Esch, Aura A. J.
AU - Ouwendijk, Rob J.
AU - van der Schaar, Peter J.
AU - van der Beek, Sander
AU - Lacle, Miangela M.
AU - Seegers, Paul A.
AU - Wouters, Michel W. J. M.
AU - Fockens, Paul
AU - Dekker, Evelien
N1 - Funding Information: DISCLOSURE: The following authors disclosed financial relationships: P. Fockens: Consultant for Olympus, Cook Medical, and Ethicon Endosurgery. E. Dekker: Consultant for Fujifilm, Tillots, GI Supply, and CPP-FAP; speaker for Olympus, Roche, and GI Supply; equipment loan and research grant from Fujifilm; supervisory board for eNose. All other authors disclosed no financial relationships. Publisher Copyright: © 2020 American Society for Gastrointestinal Endoscopy Copyright: Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2020/7
Y1 - 2020/7
N2 - Background and Aims: The importance of having quality assessment, assurance, and improvement tools in health care is increasingly recognized. However, the additional associated administration burden progressively interferes with the structural implementation and adoption of such tools, especially when it concerns high-volume procedures such as colonoscopies. The development of the Dutch Gastrointestinal Endoscopy Audit (DGEA), a registry with automated extraction of colonoscopy quality data, and its first results are described. Methods: In close cooperation with commercial endoscopy reporting systems and a national histopathology database, healthcare professionals performing colonoscopies initiated a quality registry that extracts data from its core hospital resource or histology database without manual interference of the healthcare providers. Data extracted consisted of patient age, gender, indication of the colonoscopy, American Society of Anesthesiologists score, Boston Bowel Preparation Score, and cecal intubation; for the colonoscopy after a positive fecal immunochemical test in the colorectal cancer screening program, other data were polyp detection rate, which was available for all 48 hospitals or endoscopy centers, and adenoma detection rate, which was available for 26 hospitals or endoscopy centers. Results: Between January 1, 2016 and March 31, 2019, 48 hospitals or endoscopy centers voluntarily participated in the DGEA, and 275,017 unique patients with 313,511 colonoscopies were registered. Overall missing values were limited to <1%. Conclusions: The results of this study demonstrate that it is feasible to deploy a quality registry collecting uniform data without additional administration burden for healthcare professionals.
AB - Background and Aims: The importance of having quality assessment, assurance, and improvement tools in health care is increasingly recognized. However, the additional associated administration burden progressively interferes with the structural implementation and adoption of such tools, especially when it concerns high-volume procedures such as colonoscopies. The development of the Dutch Gastrointestinal Endoscopy Audit (DGEA), a registry with automated extraction of colonoscopy quality data, and its first results are described. Methods: In close cooperation with commercial endoscopy reporting systems and a national histopathology database, healthcare professionals performing colonoscopies initiated a quality registry that extracts data from its core hospital resource or histology database without manual interference of the healthcare providers. Data extracted consisted of patient age, gender, indication of the colonoscopy, American Society of Anesthesiologists score, Boston Bowel Preparation Score, and cecal intubation; for the colonoscopy after a positive fecal immunochemical test in the colorectal cancer screening program, other data were polyp detection rate, which was available for all 48 hospitals or endoscopy centers, and adenoma detection rate, which was available for 26 hospitals or endoscopy centers. Results: Between January 1, 2016 and March 31, 2019, 48 hospitals or endoscopy centers voluntarily participated in the DGEA, and 275,017 unique patients with 313,511 colonoscopies were registered. Overall missing values were limited to <1%. Conclusions: The results of this study demonstrate that it is feasible to deploy a quality registry collecting uniform data without additional administration burden for healthcare professionals.
UR - http://www.scopus.com/inward/record.url?scp=85083702879&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/j.gie.2020.01.052
DO - https://doi.org/10.1016/j.gie.2020.01.052
M3 - Article
C2 - 32057727
SN - 0016-5107
VL - 92
SP - 154-162.e1
JO - Gastrointestinal Endoscopy
JF - Gastrointestinal Endoscopy
IS - 1
ER -