EVALUATION OF INTRAPROCEDURE QUALITY INDICATORS IN ESOPHAGOGASTRODUODENOSCOPY IN FEDERAL UNIVERSITY OF PELOTAS HOSPITAL SCHOOL

Elza Cristina Miranda da Cunha, Lucas Martins Freire, Marina de Borba Freire, Lysandro Alsina Nader

Abstract


Aim:  to evaluate the quality of the esophagogastroduodenoscopy offered at Pelotas Federal University Hospital School, focusing on intraprocedure quality indicators.

Material and Methods: A cross-sectional study was carried out, with a retrospective analysis of the reports of all esophagogastroduodenoscopies performed between March and December 2020.

Results:  793 reports were analyzed, 59.3% of the sample were female patients. The median age was 59 years. The overall rate of complete exams was 96.4%. Regarding the diagnoses,      among patients with Barrett's esophagus, 58.3% had the measures adequately described. 91.7% underwent biopsies from the area of the ​​suspected metaplastic epithelium, esophageal varices were present in 6.8% of the exams. The prevalence of erosive esophagitis was 20.7%. The prevalence of hiatal hernia was 14.9%, and out of them, 56.5%      had its measurement adequately described. The prevalence of neoplasms in the reports was 3.7%. Peptic ulcers in 7.4% and in 93% of the cases at least one of the following characteristics was adequately described: active bleeding, visible non-bleeding vessel, adhered clot, hematin remains or clean base; which allows  use of the Forrest classification.

Conclusion: I      is important to evaluate the quality of the service to carry out specific planning to improve the points to be corrected. In addition, it is essential to highlight the indicators that surpassed the recommended targets, which should be treated as achievements of the endoscopy team, serving as a motivation for the professionals seeking correction of the identified flaws, aiming to reach an even higher level of excellence in patient care.


Keywords


endoscopy; quality; health care

References


Park WG SN, Cohen J, Pike IM, Adler DG, Inadomi JM, Laine LA, Lieb JG et al. Quality indicators for EGD. Am J Gastroenterol 2015 Jan;110(1):60-71.

Sharma P, Parasa S, Shaheen N. Developing Quality Metrics For Upper Endoscopy. Gastroenterology. 2020;158(1):9-13.

Rutter MD, Senore C, Bisschops R, Domagk D, Valori R, Kaminski MF, et al. The European Society of Gastrointestinal Endoscopy Quality Improvement Initiative: developing performance measures. Endoscopy. 2016;48(1):81-9.

Pérez Romero S, Alberca de Las Parras F, Sánchez Del Río A, López-Picazo J, Júdez Gutiérrez J, León Molina J. Quality indicators in gastroscopy. Gastroscopy procedure. Rev esp enferm dig. 2019;111(9):699-709.

Valori R, Cortas G, de Lange T, Balfaqih OS, de Pater M, Eisendrath P, et al. Performance measures for endoscopy services: a European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative. Endoscopy. 2018;50(12):1186-204.

Bisschops R, Areia M, Coron E, Dobru D, Kaskas B, Kuvaev R, et al. Performance measures for upper gastrointestinal endoscopy: a European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative. Endoscopy. 2016;48(9):843-64.

Beg S, Ragunath K, Wyman A, Banks M, Trudgill N, Pritchard DM, et al. Quality standards in upper gastrointestinal endoscopy: a position statement of the British Society of Gastroenterology (BSG) and Association of Upper Gastrointestinal Surgeons of Great Britain and Ireland (AUGIS). Gut. 2017;66(11):1886-99.

de Franchis, Roberto, and Baveno VI Faculty. “Expanding consensus in portal hypertension: Report of the Baveno VI Consensus Workshop: Stratifying risk and individualizing care for portal hypertension.” J of hepatol, 2015. (63): 743-52.

Giordano-Nappi, José, & Maluf Filho, Fauze. Aspectos endoscópicos no manejo da úlcera péptica gastroduodenal. Rev Col Bras Cir, 2008. 35(2), 124-131.

Park JM, Lim CH, Cho YK, Lee BI, Cho YS, Song HJ, et al. The effect of photo-documentation of the ampulla on neoplasm detection rate during esophagogastroduodenoscopy. Endoscopy. 2019;51(2):115-24.

Boys JA, Azadgoli B, Martinez M, Oh DS, Hagen JA, DeMeester SR. Adequacy of EGD Reporting: a Review of 100 Reports from 100 Endoscopists. J gastroint surg. 2021.25(5): 1117-1123.


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