结肠镜质量测量和遵守美国内镜注册表参与的内镜师之间的后续指南
Jean A Shapiro1, Jennifer L Holub2, Jason A Dominitz3
1Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
大多数内镜师都达到结肠镜检查的质量目标,但许多人没有遵循指南推的患者随访间隔,这可能会影响癌症查的有效性.
科学领域:
- 胃肠病学 胃肠病学
- 预防医学 预防医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 结肠镜对于降低结肠直肠癌 (CRC) 发病率和死亡率至关重要.
- 高质量的结肠镜检查和遵守指南的后续检查对于最大限度地提高查效益至关重要.
研究的目的:
- 评估内镜师在2016年至2019年期间遵守结肠镜质量目标和随访间隔指南.
- 确定改善结肠镜检查质量和患者管理的领域.
主要方法:
- 来自GI质量改进联盟注册的250多万门诊查结肠镜的分析.
- 评估对质量指标的遵守,包括肠道准备,腹腔输管,腺瘤检测和推的随访间隔.
主要成果:
- 超过90%的内镜医生达到了肠道准备,管输入和腺瘤检测的目标.
- 在各种患者群体中观察到显著的不遵守随访间隔指南,包括没有发现,小腺瘤和状息肉的患者.
- 随访建议的差异被发现,比指导方针建议的更短和更长的时间间隔.
结论:
- 虽然关键质量指标得到满足,但对后续间隔指南的不一致遵守需要注意.
- 改善对后续建议的遵守是必要的,以优化结肠镜查计划的有效性.
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