Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Tidsskriftartikel › Forskning › peer review
Data quality and colonoscopy performance indicators in the prevalent round of a FIT-based colorectal cancer screening program. / Lund, Martin; Erichsen, Rune; Valori, Roland; Møller Jensen, Thomas; Helle Njor, Sisse; Laurberg, Søren; Andersen, Berit; on behalf of the Central Denmark Region's "Quality of Colonoscopies" group†.
I: Scandinavian Journal of Gastroenterology, Bind 54, Nr. 4, 2019, s. 471-477.Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Tidsskriftartikel › Forskning › peer review
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TY - JOUR
T1 - Data quality and colonoscopy performance indicators in the prevalent round of a FIT-based colorectal cancer screening program
AU - Lund, Martin
AU - Erichsen, Rune
AU - Valori, Roland
AU - Møller Jensen, Thomas
AU - Helle Njor, Sisse
AU - Laurberg, Søren
AU - Andersen, Berit
AU - on behalf of the Central Denmark Region's "Quality of Colonoscopies" group†
PY - 2019
Y1 - 2019
N2 - OBJECTIVE: From the prevalent round of the Danish FIT-based colorectal cancer (CRC) screening program, we aimed (i) to evaluate the quality of recorded data and (ii) to characterize the colonoscopies by measuring variation in performance indicators between colonoscopists and assessing the ratio between adenoma detection rate (ADR) and polyp detection rate (PDR).MATERIALS AND METHODS: This study included screening colonoscopies performed in Central Denmark Region within 60 days of a positive FIT-result from 1 July 2015 through 30 June 2017. The participants were the colonoscopists, performing these procedures. The quality indicators cecal intubation rate (CIR), PDR, polyp retrieval rate (PRR), ADR and withdrawal time (WT) were evaluated. ADR/PDR ratios were calculated.RESULTS: The concordance between the recorded data and the colonoscopy reports showed Kappa values in the range of 0.47-0.97. The overall CIR was 90.6% (range 73.7%-100%), PDR: 51.9% (range 18.4%-70.2%), PRR: 94.6% (range 69.6%-100%), ADR (conventional adenomas): 50.6% (range 18.4%-70.2%), ADRx (conventional adenomas, traditional serrated adenomas and sessile serrated lesions with dysplasia): 50.9% (range 18.4%-70.2%) and the mean WT was 11.3 min (range 4.5-24.9 min). The ADR/PDR ratio was 92.8% (95% CI: 92.0%-93.6%) and the ADRx/PDR ratio was 93.2% (95% CI: 92.4%-93.9%).CONCLUSION: Data quality was generally high. We found considerable variation in performance indicators between colonoscopists reflecting the potential for improvement. Further, our findings revealed that the PDR might be a good proxy for ADR in the context of the prevalent round of FIT-based CRC screening programs.
AB - OBJECTIVE: From the prevalent round of the Danish FIT-based colorectal cancer (CRC) screening program, we aimed (i) to evaluate the quality of recorded data and (ii) to characterize the colonoscopies by measuring variation in performance indicators between colonoscopists and assessing the ratio between adenoma detection rate (ADR) and polyp detection rate (PDR).MATERIALS AND METHODS: This study included screening colonoscopies performed in Central Denmark Region within 60 days of a positive FIT-result from 1 July 2015 through 30 June 2017. The participants were the colonoscopists, performing these procedures. The quality indicators cecal intubation rate (CIR), PDR, polyp retrieval rate (PRR), ADR and withdrawal time (WT) were evaluated. ADR/PDR ratios were calculated.RESULTS: The concordance between the recorded data and the colonoscopy reports showed Kappa values in the range of 0.47-0.97. The overall CIR was 90.6% (range 73.7%-100%), PDR: 51.9% (range 18.4%-70.2%), PRR: 94.6% (range 69.6%-100%), ADR (conventional adenomas): 50.6% (range 18.4%-70.2%), ADRx (conventional adenomas, traditional serrated adenomas and sessile serrated lesions with dysplasia): 50.9% (range 18.4%-70.2%) and the mean WT was 11.3 min (range 4.5-24.9 min). The ADR/PDR ratio was 92.8% (95% CI: 92.0%-93.6%) and the ADRx/PDR ratio was 93.2% (95% CI: 92.4%-93.9%).CONCLUSION: Data quality was generally high. We found considerable variation in performance indicators between colonoscopists reflecting the potential for improvement. Further, our findings revealed that the PDR might be a good proxy for ADR in the context of the prevalent round of FIT-based CRC screening programs.
KW - ADENOMA DETECTION RATE
KW - Colorectal cancer
KW - RISK
KW - TIME
KW - adenoma detection rate
KW - cecal intubation rate
KW - fecal immunochemical test
KW - performance indicators
KW - polyp detection rate
KW - polyp recovery
KW - polyp retrieval rate
KW - quality indicators
KW - screening
KW - withdrawal time
UR - http://www.scopus.com/inward/record.url?scp=85064513048&partnerID=8YFLogxK
U2 - 10.1080/00365521.2019.1597158
DO - 10.1080/00365521.2019.1597158
M3 - Journal article
C2 - 30978128
VL - 54
SP - 471
EP - 477
JO - Scandinavian Journal of Gastroenterology
JF - Scandinavian Journal of Gastroenterology
SN - 0036-5521
IS - 4
ER -