查和监测结肠镜检查中的质量绩效指标的比较:一个单一中心的经验
James Stephen Love1, Michael Siegel2, Meredith Yellen2
1Department of Internal Medicine Chicago, University of Illinois at Chicago, Illinois, USA.
iGIE : innovation, investigation and insights
|February 6, 2026
概括
监测结肠镜显示出比查结肠镜更高的腺瘤检测率 (ADR) 和聚检测率. 目前用于查的质量基准可能不适用于监测,这表明需要更高的质量监测程序标准.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 提高质量 提高质量
背景情况:
- 查结肠镜指导方针设定了至少35%的腺瘤检测率 (ADR).
- 监测结肠镜检查缺乏确立的质量基准.
- 除了ADR之外的替代品质指标的实用性还没有得到很好的定义.
研究的目的:
- 确定ADR和查和监测结肠镜检查中的替代质量措施之间的关系.
- 确定是否可以将选质量基准应用于监督程序.
主要方法:
- 2646例门诊查和监测结肠镜的回顾性审查.
- 分析腺瘤检测率 (ADR),每次结肠镜检测腺瘤,每位阳性参与者的腺瘤,多检测率,右侧多检测率和结肠镜检测时长 (CWTs).
主要成果:
- 监测ADR (65.6%) 显著高于查ADR (47.0%).
- 除了CWT以外的所有质量指标在监控程序中都更高.
- 监测ADR和聚检测率之间观察到强烈的相关性.
结论:
- 结肠镜质量指标在监测中比查程序更高.
- 在查和监测方面,观察到类似的结肠镜检查等待时间.
- 建议对监测结肠镜进行更高质量的基准,以确保最佳的患者护理.
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