Development and validation of quality standards for colonoscopy

Medicina clínica
Antonio Sánchez Del Ríolos miembros del Grupo de Calidad en Endoscopia de la Asociación Española de Gastroenterología

Abstract

Before starting programs for colorectal cancer screening it is necessary to evaluate the quality of colonoscopy. Our objectives were to develop a group of quality indicators of colonoscopy easily applicable and to determine the variability of their achievement. After reviewing the bibliography we prepared 21 potential indicators of quality that were submitted to a process of selection in which we measured their facial validity, content validity, reliability and viability of their measurement. We estimated the variability of their achievement by means of the coefficient of variability (CV) and the variability of the achievement of the standards by means of chi(2). Six indicators overcome the selection process: informed consent, medication administered, completed colonoscopy, complications, every polyp removed and recovered, and adenoma detection rate in patients older than 50 years. 1928 colonoscopies were included from eight endoscopy units. Every unit included the same number of colonoscopies selected by means of simple random sampling with substitution. There was an important variability in the achievement of some indicators and standards: medication administered (CV 43%, p<0.01), complications registered (CV 37%, p<0.01), ev...Continue Reading

Associated Clinical Trials

Aug 20, 2014·Juan Salvador Baudet

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Citations

Apr 17, 2013·International Journal of Technology Assessment in Health Care·Victoria Serra-SuttonMireia Espallargues Carreras
Nov 10, 2009·Medicina clínica·Jaume Boix, Vicente Lorenzo-Zúñiga
Apr 17, 2018·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·UNKNOWN Grupo de Trabajo de “Indicadores de calidad en endoscopia” de la Sociedad Española de Patología Digestiva (SEPD)Joaquín León Molina
Feb 20, 2019·Experimental and Clinical Transplantation : Official Journal of the Middle East Society for Organ Transplantation·Hassan Argani
Mar 5, 2013·Digestive Diseases and Sciences·Sameer D SainiSandeep Vijan

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