Adherence to quality indicators in endoscopic surveillance of Barrett's esophagus and correlation to dysplasia detection rates

Clinics and Research in Hepatology and Gastroenterology
Andrew AntonyArvind J Trindade

Abstract

The American Gastroenterological Association introduced quality guidelines for the endoscopic management of Barrett's esophagus (BE) in 2015. Our aim was to determine if these guidelines are being followed and to correlate adherence with outcomes in surveillance endoscopy. This is a retrospective study from December 2015 to June 2017. Charts were abstracted to determine if the recommended quality measures were successfully accomplished during surveillance endoscopic exams in BE. Five of the recommendations pertain to surveillance endoscopy. One hundred and seventy-four patients with Barrett's esophagus who underwent endoscopic surveillance were included. Adherence to recommendations one (78%), two (70%), six (99%), and seven (95%) were generally observed (P<0.001) but not to recommendation five (41%). When recommendations one (documenting important landmarks) and two (documenting the Prague classification) were followed, there was a statistically significant increase in dysplasia detection compared with those that did not adhere to the recommendations (36% vs. 13%, P=0.006 and 36% vs. 19%, P=0.003). The odds of detecting dysplasia when recommendations one and two were followed were 3.7 (95% CI 1.37-10.2) and 2.4 (95% CI 1.1-5.2...Continue Reading

Citations

Mar 21, 2019·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Yu Sen Alex SohUNKNOWN Asian Barrett's Consortium
Jul 16, 2019·Current Opinion in Gastroenterology·Richard A Sutton, Prateek Sharma
Apr 24, 2020·The American Journal of Gastroenterology·Cary C Cotton, Nicholas J Shaheen
May 28, 2019·Nature Reviews. Disease Primers·Yonne PetersPeter D Siersema
Jul 4, 2020·The American Journal of Gastroenterology·Cary C Cotton, Nicholas J Shaheen
Jul 6, 2021·Endoscopy International Open·Richard Kozarek
Nov 4, 2021·Nature Reviews. Gastroenterology & Hepatology·Melissa SchmidtTrevor A Graham

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