A consensus process defines key performance indicators to enhance the quality of diagnosis and reduce the risk for post-endoscopy upper gastrointestinal cancers.
A consensus on major and minor key performance indicators was established to improve the quality of upper gastrointestinal endoscopy and reduce post-endoscopy upper GI cancer. The adoption of the proposed recommendations could minimise the threefold variation in post-endoscopy cancer rates among providers in England.
Researchers identified potential KPIs from the systematic review , National Cancer Registry and Hospital Episode Statistics Database Analysis, and National Endoscopy Database Analysis. The cancer registry analysis included the data of 98,801 patients diagnosed with upper GI cancer within 3 years of a cancer-negative endoscopy in England between 2009 and 2018. Researchers used the modified nominal group technique through two online workshops moderated by James Lind Alliance facilitators. Overall, this study included 14 clinicians, three nurse endoscopists, two upper GI cancer nurse specialists, 14 patients and their relatives and representatives, and four observers.The ranking of KPIs was based on their relative importance in reducing post-endoscopy upper GI cancer, where the top 10 with lower scores were designated as major indicators and the remaining ones minor.Four major provider-related KPIs were identified, of which the monitoring of post-endoscopy upper GI cancer rates with minimum standards of 7% or less and maintaining less intense endoscopy lists with less than 10 points per list were ranked the highest. A total of six major endoscopist-related KPIs were specified, of which adequate examination time of at least 7 minutes and dedicated training in the recognition of early upper GI neoplasia were ranked the highest. Five KPIs were ranked as minor, which included the detection rate for premalignant conditions, use of image enhancement techniques, photo documentation of anatomical sites for minimum standards of more than 90% of diagnostic upper GI endoscopies, neoplasia detection rate, and use of artificial intelligence."This consensus provides a list of major and minor KPIs to improve the quality of endoscopy and reduce PEUGIC ," the authors wrote, suggesting that, "this framework will enable endoscopy providers to monitor their performance and ensure the provision of a high-quality UGI endoscopy service for their patients."Most of the evidence examined was graded as low-to-moderate quality due to the lack of well-designed trials. The applicability of the recommendations may be limited outside the UK because the consensus included only UK participants. Additional limitations included insufficient evidence to suggest minimum standards for some measures and bias in consensus statements due to weak evidence. This study received funding from the National Institute for Health and Care Research under its Research for Patient Benefit Programme. The authors declared having no conflicts of interest. This article was created using several editorial tools, including AI, as part of the process. Human editors reviewed this content before publication.Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our
Cancer Malignant Neoplasia Carcinoma Malignant Neoplasm Gastrointestinal Malignancy Gi Malignancy UK Site Content United Kingdom Site Content Noncolorectal Gastrointestinal Cancer Noncolorectal GI Cancer
United States Latest News, United States Headlines
Similar News:You can also read news stories similar to this one that we have collected from other news sources.
Mercedes-AMG GT63 S E Performance Review: Monster Performance With a Mild Hybrid ExcuseDespite boasting a 4.0-litre V8 and a 201bhp electric motor, the Mercedes-AMG GT63 S E Performance suffers from underwhelming efficiency, a tiny battery, and questionable electric running range. While it delivers blistering performance with 831bhp and 1084lb ft of torque, its disappointing brakes and unrefined electric sound detract from the driving experience.
Read more »
San Francisco-based company gets FDA approval to produce plant-based salmonOne San Francisco-based company aims to find a sustainable alternative by creating plant-based salmon, and with its recent FDA approval, the founders are even more optimistic about the future.
Read more »
Sodium-ion batteries get longer life, deliver high performance with manganese-based breakthroughJapanese researchers' new approach involving copper doping, solves the long-standing issue of stacking faults in sodium batteries.
Read more »
BMW M's signature engines live on! Straight six and V8 to be updated for new emissions rulesPerformance arm’s signature engines will suffer no loss in performance, claims M’s boss
Read more »
Shibarium Alpha Layer Testnet Goes Live, Key Performance Stats to NoteShibarium innovating with rollups, with testnet launch of SHIB Alpha Layer
Read more »
Utahns weigh in on Trump's job performance and key issues 6 months inIn a new poll, Utahns were asked if they approve or disapprove of President Donald Trump's job performance during his first six months in office.
Read more »