Data quality of the German screening colonoscopy registry
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Data quality of the German screening colonoscopy registry. / Adler, Andreas; Lieberman, David; Aminalai, Alireza; Aschenbeck, Jens; Drossel, Rolf; Mayr, Michael; Mroß, Michael; Scheel, Mathias; Schröder, Andreas; Keining, Christoph; Stange, Gabriela; Wiedenmann, Bertram; Gauger, Ulrich; Altenhofen, Lutz; Rösch, Thomas.
in: ENDOSCOPY, Jahrgang 45, Nr. 10, 01.10.2013, S. 813-8.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Data quality of the German screening colonoscopy registry
AU - Adler, Andreas
AU - Lieberman, David
AU - Aminalai, Alireza
AU - Aschenbeck, Jens
AU - Drossel, Rolf
AU - Mayr, Michael
AU - Mroß, Michael
AU - Scheel, Mathias
AU - Schröder, Andreas
AU - Keining, Christoph
AU - Stange, Gabriela
AU - Wiedenmann, Bertram
AU - Gauger, Ulrich
AU - Altenhofen, Lutz
AU - Rösch, Thomas
N1 - © Georg Thieme Verlag KG Stuttgart · New York.
PY - 2013/10/1
Y1 - 2013/10/1
N2 - BACKGROUND AND STUDY AIMS: The German screening colonoscopy program is accompanied by a central registry that records the main outcome quality indicators, namely colonoscopy completion rate, adenoma detection rate (ADR), and complication rate. The aim of the present study was to assess the quality of these registry data by comparing them with data from a prospective quality assurance study based on a self-reporting audit and patient feedback of screening colonoscopy.PATIENTS AND METHODS: The completeness of registry information was analyzed by comparing it with prospective data gathered by audit and patient feedback in a previous quality assurance study (ClinicalTrials.gov registration number: NCT00860665) between October 2006 and March 2008. The main outcome parameters were colonoscopy completion rate, ADR, and complication rate. Complications were recorded in three steps in the audit study using case report forms (immediate and subsequent documentation by physicians [CRF-1 and CRF-2], and patient follow-up [CRF-3]), but were documented in the registry without differentiation.RESULTS: A total of 12 134 individuals (mean age 64.5 years; 47 % men) who underwent screening colonoscopy at 19 private practices in Berlin over the 18-month period were included in the audit study. Patient feedback was obtained for 90.1 %. A total of 12 150 cases had been recorded in the registry by the same private practices during the same period. Colonoscopy completion rate and ADR data were comparable in the audit study and registry (completion rate 98.2 % vs. 97.7 %; ADR 21.0 % vs. 20.5 %). However, compared with the registry data, the complication rate was 3.1-fold higher in the audit (0.46 % vs. 0.15 %; P < 0.001), and double (0.33 % vs. 0.15 %; P < 0.05) when patient feedback was not included.CONCLUSIONS: Of the screening colonoscopy quality parameters, colonoscopy completion rate and ADR, but not complication rates, were reliably documented in the German national screening colonoscopy registry. Data on complications need to be appropriately standardized and audited in order to be used for credentialing and benchmarking purposes.
AB - BACKGROUND AND STUDY AIMS: The German screening colonoscopy program is accompanied by a central registry that records the main outcome quality indicators, namely colonoscopy completion rate, adenoma detection rate (ADR), and complication rate. The aim of the present study was to assess the quality of these registry data by comparing them with data from a prospective quality assurance study based on a self-reporting audit and patient feedback of screening colonoscopy.PATIENTS AND METHODS: The completeness of registry information was analyzed by comparing it with prospective data gathered by audit and patient feedback in a previous quality assurance study (ClinicalTrials.gov registration number: NCT00860665) between October 2006 and March 2008. The main outcome parameters were colonoscopy completion rate, ADR, and complication rate. Complications were recorded in three steps in the audit study using case report forms (immediate and subsequent documentation by physicians [CRF-1 and CRF-2], and patient follow-up [CRF-3]), but were documented in the registry without differentiation.RESULTS: A total of 12 134 individuals (mean age 64.5 years; 47 % men) who underwent screening colonoscopy at 19 private practices in Berlin over the 18-month period were included in the audit study. Patient feedback was obtained for 90.1 %. A total of 12 150 cases had been recorded in the registry by the same private practices during the same period. Colonoscopy completion rate and ADR data were comparable in the audit study and registry (completion rate 98.2 % vs. 97.7 %; ADR 21.0 % vs. 20.5 %). However, compared with the registry data, the complication rate was 3.1-fold higher in the audit (0.46 % vs. 0.15 %; P < 0.001), and double (0.33 % vs. 0.15 %; P < 0.05) when patient feedback was not included.CONCLUSIONS: Of the screening colonoscopy quality parameters, colonoscopy completion rate and ADR, but not complication rates, were reliably documented in the German national screening colonoscopy registry. Data on complications need to be appropriately standardized and audited in order to be used for credentialing and benchmarking purposes.
KW - Adenoma
KW - Adolescent
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Child
KW - Child, Preschool
KW - Colonoscopy
KW - Colorectal Neoplasms
KW - Female
KW - Germany
KW - Humans
KW - Male
KW - Medical Audit
KW - Middle Aged
KW - Patient Satisfaction
KW - Quality Assurance, Health Care
KW - Quality Indicators, Health Care
KW - Registries
KW - Self Report
KW - Young Adult
U2 - 10.1055/s-0033-1344583
DO - 10.1055/s-0033-1344583
M3 - SCORING: Journal article
C2 - 24019130
VL - 45
SP - 813
EP - 818
JO - ENDOSCOPY
JF - ENDOSCOPY
SN - 0013-726X
IS - 10
ER -
