Upper Gastrointestinal Endoscopy Quality in Italy: A Nationwide Study.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Zullo Angelo, De Francesco Vincenzo, Amato Arnaldo, Bergna Irene, Bendia Emanuele, Giorgini Giorgia, Buscarini Elisabetta, Manfredi Guido, Cadoni Sergio, Cannizzaro Renato, Realdon Stefano, Ciuffi Mario, Ignomirelli Orazio, Da Massa Carrara Paola, Finucci Giovanni, Di Somma Antonietta, Frandina Chiara, Loria Mariafrancesca, Galeazzi Francesca, Ferrara Francesco, Gemme Carlo, Bertetti Noemi Sara, Gentili Federica, Lotito Antonio, Germanà Bastianello, Russo Nunzia, Grande Giuseppe, Conigliaro Rita, Cravero Federico, Venezia Giovanna, Marmo Riccardo, Senneca Piera, Milano Angelo, Efthymakis Konstantinos, Monica Fabio, Montalto Paolo, Lombardi Mario, Morelli Olivia, Castellani Danilo, Nigro Daniela, Festa Roberto, Peralta Sergio, Grasso Maria, Privitera Antonello, Distefano Maria Emanuela, Scaccianoce Giuseppe, Loiacono Mariangela, Segato Sergio, Balzarini Marco, Usai Satta Paolo, Lai Mariantonia, Manta Raffaele
Аннотация
METHODS: Clinical, endoscopic, and procedural data of consecutive EGDs performed in one month in the participating centers were reviewed and collected in a specific database. Some quality indicators before and during endoscopic procedures were evaluated.
RESULTS: A total of 3,219 EGDs performed by 172 endoscopists in 28 centers were reviewed. Data found that some relevant information (family history for GI cancer, smoking habit, use of proton pump inhibitors) were not collected before endoscopy in 58.5-80.7% of patients. Pre-endoscopic preparation for gastric cleaning was routinely performed in only 2 (7.1%) centers. Regarding the procedure, sedation was not performed in 17.6% of patients, and virtual chromoendoscopy was frequently (>75%) used in only one (3.6%) center. An adequate sampling of the gastric mucosa (i.e., antral and gastric body specimens) was heterogeneously performed, and it was routinely performed only by 23% of endoscopists, and in 14.3% centers.
CONCLUSIONS: Our analysis showed that the quality of EGD performed in clinical practice in Italy deserves to be urgently improved in different aspects.