The Norwegian Gastronet project: Continuous quality improvement of colonoscopy in 14 Norwegian centres

Scandinavian Journal of Gastroenterology
Geir HoffPeter Coll

Abstract

The burden on colonoscopy capacity is considerable and expected to increase further as colorectal cancer screening programmes gain a foothold in Europe. In this situation, it is particularly important to evaluate the quality of the service given. In this article we present our first year of experience with a quality network of endoscopy centres in Norway (Gastronet). A questionnaire focusing on caecal intubation rate and pain was completed by the endoscopist (on site) and patient (on the day after the examination). Fourteen centres participated with registration of 7370 colonoscopies by 73 endoscopists. There was 100% endoscopist participation, 87% coverage of colonoscopies and an estimated 76% questionnaire coverage of the patient population. Overall caecal intubation rate was 91%, range 83% to 97% between centres (p < 0.001). Patients reporting severe pain during colonoscopy differed from 2 to 24% between centres (p < 0.001). Variations could only partly be explained by differences in procedure practice (sedation, CO2 insufflation). For individual endoscopists, improvement after feedback on performance was restricted to the group of endoscopists having contributed with only 50-99 registered colonoscopies. In quality assurance...Continue Reading

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Citations

Feb 9, 2007·The New England Journal of Medicine·Michael W Latreille, Joseph C Anderson
Jan 1, 2014·World Journal of Gastroenterology : WJG·Geir Hoff
Jun 1, 2013·Scandinavian Journal of Gastroenterology·Tom B GlomsakerUNKNOWN Norwegian Gastronet ERCP Group
Dec 17, 2008·Scandinavian Journal of Gastroenterology·Birgitte SeipGeir Hoff
Aug 7, 2009·Scandinavian Journal of Gastroenterology·Geir HoffVolker Moritz
Sep 14, 2010·Best Practice & Research. Clinical Gastroenterology·Jaroslaw Regula, Michal F Kaminski
Nov 17, 2009·Medicina clínica·Antonio Sánchez Del RíoUNKNOWN los miembros del Grupo de Calidad en Endoscopia de la Asociación Española de Gastroenterología
May 10, 2008·Journal of Gastroenterology and Hepatology·Tsung-Ming ChenJai-Nien Tung
May 12, 2010·Alimentary Pharmacology & Therapeutics·L B CohenJ Vlachogiannakos
Jul 19, 2012·Orvosi hetilap·Tibor GyökeresJános Banai
Jul 19, 2011·Best Practice & Research. Clinical Gastroenterology·Lars Aabakken, Lars Enochsson
Mar 2, 2010·International Journal of Medical Informatics·Sabine N van der VeerKitty J Jager
Mar 12, 2016·United European Gastroenterology Journal·Volker MoritzGeir Hoff
Apr 24, 2012·World Journal of Gastrointestinal Endoscopy·Vittorio TerruzziFranco Radaelli
May 1, 2008·The American Journal of Gastroenterology·Franco RadaelliUNKNOWN Italian Association of Hospital Gastroenterologists (AIGO)
Sep 6, 2013·Wiener medizinische Wochenschrift·Nikolaus Patera, Claudia Wild
Jan 5, 2020·International Journal of Colorectal Disease·Ailín C RogersDes C Winter
Dec 17, 2008·Expert Review of Gastroenterology & Hepatology·Geoffrey M Forbes
May 29, 2013·Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række·Øyvind HolmeGeir Hoff
May 30, 2017·Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række·Thomas de LangeGeir Hoff
Jul 14, 2017·Current Treatment Options in Gastroenterology·Kjetil GarborgMichael Bretthauer
Apr 14, 2017·United European Gastroenterology Journal·Kjetil GarborgMichael Bretthauer
Nov 24, 2019·Gastroenterology·Michael F KaminskiDouglas K Rex
Sep 18, 2021·Scandinavian Journal of Gastroenterology·Anna Lisa SchultThomas de Lange
Dec 4, 2021·Gastroenterology Nursing : the Official Journal of the Society of Gastroenterology Nurses and Associates·Annica RosvallMagdalena Annersten Gershater

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