{"id":2342,"date":"2020-09-25T22:13:28","date_gmt":"2020-09-25T20:13:28","guid":{"rendered":"https:\/\/angh.net\/abstracts\/quality-indicators-in-colonoscopy-audit-and-feedback\/"},"modified":"2020-09-25T22:13:28","modified_gmt":"2020-09-25T20:13:28","slug":"quality-indicators-in-colonoscopy-audit-and-feedback","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/quality-indicators-in-colonoscopy-audit-and-feedback\/","title":{"rendered":"Quality indicators in colonoscopy: audit and feedback"},"content":{"rendered":"<p><strong>2020<\/strong><\/p>\n<p><em>Fl\u00e1vio Pereira, Richard Azevedo, Marisa Linhares, Diana Ramos, Jo\u00e3o Pinto, Ana Caldeira, Jos\u00e9 Tristan, Eduardo Pereira, Rui Sousa, Ant\u00f3nio Banhudo<\/p>\n<p>Hospital Amato Lusitano, Castelo Branco, Portugal<\/em><\/p>\n<p><strong>Endoscopie <\/strong>&#8211; \u00a02020-06-16 &#8211;\u00a0CO &#8211;<\/p>\n<p>________________________________<\/p>\n<p>Introduction: In the last decade, societies of gastrointestinal endoscopy identified quality in colonoscopy as a priority on their agenda, given the significant discrepancy between gastroenterologists\/endoscopy units concerning rate of cecal intubation, rate of adenoma detection or quality of bowel preparation. Thence, a set of quality indicators was identified in order to measure the performance of the gastroenterologist or the endoscopy unit, aiming the implementation of approaches to optimize performance. An audit study to evaluate these indicators, followed by the disclosure of the results (feedback), may improve individual and collective performance. <\/p>\n<p>Aim and Methods: We aimed to assess the impact of an internal audit and feedback on compliance to quality indicators in colonoscopy. We conducted an intervention study on a group of specialists and residents of Gastroenterology. Random 350 screening or diagnostic colonoscopies were included from patients aged \u226550 years between September\/2017 and August\/2018. Quality indicators were assessed according to ESGE recommendations (2017). In November\/2018, the results of the audit were disclosed to the group. Then, another sample of 350 colonoscopies performed between January-September\/2019 was similarly selected and analysed. <\/p>\n<p>Results: 700 patients were included (55% male; mean age 67\u00b110 years). 86% of colonoscopies performed without sedation. After the audit and feedback intervention, significant improvements were found in the cecal intubation rate (90,9% vs 94,9%, p<0,05), photodocumentation of the appendiceal orifice (65,4% vs 80,1% , p<0,001), reporting of quality of bowel preparation (87,1% vs 99,1%, p<0,001) and use of a quantitative validated scale to assess bowel cleansing (66,9% vs 92,9%, p<0,001). There was also an increase in the rate of detection of polyps (41,8% vs 47,2%) and adenomas (33,3% vs 36,4%) after the intervention, but with no statistical significance. \n\nConclusions: An internal audit and feedback intervention improved the compliance of gastroenterologists to quality indicators in colonoscopy. If seen as a dynamic process of ongoing improvement, this type of study can be useful to create awareness for the need of implementation of metodologies to optimize individual and collective performance.\n<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2020 Fl\u00e1vio Pereira, Richard Azevedo, Marisa Linhares, Diana Ramos, Jo\u00e3o Pinto, Ana Caldeira, Jos\u00e9 Tristan, Eduardo Pereira, Rui Sousa, Ant\u00f3nio Banhudo Hospital Amato Lusitano, Castelo Branco, Portugal Endoscopie &#8211; \u00a02020-06-16 &#8211;\u00a0CO &#8211; ________________________________ Introduction: In the last decade, societies of gastrointestinal endoscopy identified quality in colonoscopy as a priority on their agenda, given the significant [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[6],"tags":[31],"class_list":["post-2342","post","type-post","status-publish","format-standard","hentry","category-endoscopie","tag-31"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Quality indicators in colonoscopy: audit and feedback - Abstracts des congr\u00e8s de l&#039;ANGH<\/title>\n<meta name=\"description\" content=\"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/angh.net\/abstracts\/quality-indicators-in-colonoscopy-audit-and-feedback\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Quality indicators in colonoscopy: audit and feedback - Abstracts des congr\u00e8s de l&#039;ANGH\" \/>\n<meta property=\"og:description\" content=\"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study\" \/>\n<meta property=\"og:url\" content=\"https:\/\/angh.net\/abstracts\/quality-indicators-in-colonoscopy-audit-and-feedback\/\" \/>\n<meta property=\"og:site_name\" content=\"Abstracts des congr\u00e8s de l&#039;ANGH\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/ANGH-2136322560030484\/\" \/>\n<meta property=\"article:published_time\" content=\"2020-09-25T20:13:28+00:00\" \/>\n<meta name=\"author\" content=\"Bruno Lesgourgues\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"Bruno Lesgourgues\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/angh.net\/abstracts\/quality-indicators-in-colonoscopy-audit-and-feedback\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/angh.net\/abstracts\/quality-indicators-in-colonoscopy-audit-and-feedback\/\"},\"author\":{\"name\":\"Bruno Lesgourgues\",\"@id\":\"https:\/\/angh.net\/abstracts\/#\/schema\/person\/d70d83701c6dda5f93e12e8bafca7d7d\"},\"headline\":\"Quality indicators in colonoscopy: audit and feedback\",\"datePublished\":\"2020-09-25T20:13:28+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/angh.net\/abstracts\/quality-indicators-in-colonoscopy-audit-and-feedback\/\"},\"wordCount\":248,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/angh.net\/abstracts\/#organization\"},\"keywords\":[\"2020\"],\"articleSection\":[\"Endoscopie\"],\"inLanguage\":\"fr-FR\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/angh.net\/abstracts\/quality-indicators-in-colonoscopy-audit-and-feedback\/\",\"url\":\"https:\/\/angh.net\/abstracts\/quality-indicators-in-colonoscopy-audit-and-feedback\/\",\"name\":\"Quality indicators in colonoscopy: audit and feedback - Abstracts des congr\u00e8s de l&#039;ANGH\",\"isPartOf\":{\"@id\":\"https:\/\/angh.net\/abstracts\/#website\"},\"datePublished\":\"2020-09-25T20:13:28+00:00\",\"description\":\"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study\",\"breadcrumb\":{\"@id\":\"https:\/\/angh.net\/abstracts\/quality-indicators-in-colonoscopy-audit-and-feedback\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/angh.net\/abstracts\/quality-indicators-in-colonoscopy-audit-and-feedback\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/angh.net\/abstracts\/quality-indicators-in-colonoscopy-audit-and-feedback\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Accueil\",\"item\":\"https:\/\/angh.net\/abstracts\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Quality indicators in colonoscopy: audit and feedback\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/angh.net\/abstracts\/#website\",\"url\":\"https:\/\/angh.net\/abstracts\/\",\"name\":\"Abstracts des congr\u00e8s de l&#039;ANGH\",\"description\":\"Base de donn\u00e9es des abstracts du congr\u00e8s depuis 2003\",\"publisher\":{\"@id\":\"https:\/\/angh.net\/abstracts\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/angh.net\/abstracts\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/angh.net\/abstracts\/#organization\",\"name\":\"ANGH\",\"url\":\"https:\/\/angh.net\/abstracts\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/angh.net\/abstracts\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/angh.net\/abstracts\/wp-content\/uploads\/sites\/2\/2018\/10\/logo_angh_2018_-48px.jpg\",\"contentUrl\":\"https:\/\/angh.net\/abstracts\/wp-content\/uploads\/sites\/2\/2018\/10\/logo_angh_2018_-48px.jpg\",\"width\":48,\"height\":18,\"caption\":\"ANGH\"},\"image\":{\"@id\":\"https:\/\/angh.net\/abstracts\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/ANGH-2136322560030484\/\"]},{\"@type\":\"Person\",\"@id\":\"https:\/\/angh.net\/abstracts\/#\/schema\/person\/d70d83701c6dda5f93e12e8bafca7d7d\",\"name\":\"Bruno Lesgourgues\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/secure.gravatar.com\/avatar\/5c737979cf1cff53a280fef17e77a5e495d143e87a53eee6fcc0b272bb973c75?s=96&d=mm&r=g\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/5c737979cf1cff53a280fef17e77a5e495d143e87a53eee6fcc0b272bb973c75?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/5c737979cf1cff53a280fef17e77a5e495d143e87a53eee6fcc0b272bb973c75?s=96&d=mm&r=g\",\"caption\":\"Bruno Lesgourgues\"},\"url\":\"https:\/\/angh.net\/abstracts\/author\/blesgourgues-2\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Quality indicators in colonoscopy: audit and feedback - Abstracts des congr\u00e8s de l&#039;ANGH","description":"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/angh.net\/abstracts\/quality-indicators-in-colonoscopy-audit-and-feedback\/","og_locale":"fr_FR","og_type":"article","og_title":"Quality indicators in colonoscopy: audit and feedback - Abstracts des congr\u00e8s de l&#039;ANGH","og_description":"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study","og_url":"https:\/\/angh.net\/abstracts\/quality-indicators-in-colonoscopy-audit-and-feedback\/","og_site_name":"Abstracts des congr\u00e8s de l&#039;ANGH","article_publisher":"https:\/\/www.facebook.com\/ANGH-2136322560030484\/","article_published_time":"2020-09-25T20:13:28+00:00","author":"Bruno Lesgourgues","twitter_card":"summary_large_image","twitter_misc":{"\u00c9crit par":"Bruno Lesgourgues","Dur\u00e9e de lecture estim\u00e9e":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/angh.net\/abstracts\/quality-indicators-in-colonoscopy-audit-and-feedback\/#article","isPartOf":{"@id":"https:\/\/angh.net\/abstracts\/quality-indicators-in-colonoscopy-audit-and-feedback\/"},"author":{"name":"Bruno Lesgourgues","@id":"https:\/\/angh.net\/abstracts\/#\/schema\/person\/d70d83701c6dda5f93e12e8bafca7d7d"},"headline":"Quality indicators in colonoscopy: audit and feedback","datePublished":"2020-09-25T20:13:28+00:00","mainEntityOfPage":{"@id":"https:\/\/angh.net\/abstracts\/quality-indicators-in-colonoscopy-audit-and-feedback\/"},"wordCount":248,"commentCount":0,"publisher":{"@id":"https:\/\/angh.net\/abstracts\/#organization"},"keywords":["2020"],"articleSection":["Endoscopie"],"inLanguage":"fr-FR"},{"@type":"WebPage","@id":"https:\/\/angh.net\/abstracts\/quality-indicators-in-colonoscopy-audit-and-feedback\/","url":"https:\/\/angh.net\/abstracts\/quality-indicators-in-colonoscopy-audit-and-feedback\/","name":"Quality indicators in colonoscopy: audit and feedback - Abstracts des congr\u00e8s de l&#039;ANGH","isPartOf":{"@id":"https:\/\/angh.net\/abstracts\/#website"},"datePublished":"2020-09-25T20:13:28+00:00","description":"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study","breadcrumb":{"@id":"https:\/\/angh.net\/abstracts\/quality-indicators-in-colonoscopy-audit-and-feedback\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/angh.net\/abstracts\/quality-indicators-in-colonoscopy-audit-and-feedback\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/angh.net\/abstracts\/quality-indicators-in-colonoscopy-audit-and-feedback\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Accueil","item":"https:\/\/angh.net\/abstracts\/"},{"@type":"ListItem","position":2,"name":"Quality indicators in colonoscopy: audit and feedback"}]},{"@type":"WebSite","@id":"https:\/\/angh.net\/abstracts\/#website","url":"https:\/\/angh.net\/abstracts\/","name":"Abstracts des congr\u00e8s de l&#039;ANGH","description":"Base de donn\u00e9es des abstracts du congr\u00e8s depuis 2003","publisher":{"@id":"https:\/\/angh.net\/abstracts\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/angh.net\/abstracts\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Organization","@id":"https:\/\/angh.net\/abstracts\/#organization","name":"ANGH","url":"https:\/\/angh.net\/abstracts\/","logo":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/angh.net\/abstracts\/#\/schema\/logo\/image\/","url":"https:\/\/angh.net\/abstracts\/wp-content\/uploads\/sites\/2\/2018\/10\/logo_angh_2018_-48px.jpg","contentUrl":"https:\/\/angh.net\/abstracts\/wp-content\/uploads\/sites\/2\/2018\/10\/logo_angh_2018_-48px.jpg","width":48,"height":18,"caption":"ANGH"},"image":{"@id":"https:\/\/angh.net\/abstracts\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/ANGH-2136322560030484\/"]},{"@type":"Person","@id":"https:\/\/angh.net\/abstracts\/#\/schema\/person\/d70d83701c6dda5f93e12e8bafca7d7d","name":"Bruno Lesgourgues","image":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/secure.gravatar.com\/avatar\/5c737979cf1cff53a280fef17e77a5e495d143e87a53eee6fcc0b272bb973c75?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/5c737979cf1cff53a280fef17e77a5e495d143e87a53eee6fcc0b272bb973c75?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/5c737979cf1cff53a280fef17e77a5e495d143e87a53eee6fcc0b272bb973c75?s=96&d=mm&r=g","caption":"Bruno Lesgourgues"},"url":"https:\/\/angh.net\/abstracts\/author\/blesgourgues-2\/"}]}},"_links":{"self":[{"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/posts\/2342","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/comments?post=2342"}],"version-history":[{"count":0,"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/posts\/2342\/revisions"}],"wp:attachment":[{"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/media?parent=2342"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/categories?post=2342"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/tags?post=2342"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}