AB169. SOH21AS173. Audit for quality improvement of endoscopic diagnosis of Barrett’s oesophagus in model 3 HSE hospital

Mortada, A.; Fatima, Iayla

doi:10.21037/map-21-ab169

Cited by 1 publication

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“…This study represents the complete audit cycle of a quality improvement project of our endoscopic practice of BO as there was a great variability of endoscopic description and reporting of BO in our unit. The results of the first audit were presented and published by the first author in October 2020 and showed poor compliance with the guidelines of BSG/AUGIS [5] .…”

Section: Discussionmentioning

confidence: 99%

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Compliance with Standard Protocol for the Diagnosis of Barrett’s Oesophagus: Significance of The Complete Audit Cycle

Elnabil-Mortada

Shabana²,

Albalkiny³

et al. 2023

The Egyptian Journal of Hospital Medicine

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Background:The key to effective therapeutic endoscopic therapy is early dysplastic Barrett's oesophagus (BO) alteration detection. Oesophago-gastro-duodenoscopy (OGD) technical proficiency is quickly attained, but the diagnosis accuracy is still quite variable, especially in non-specialized endoscopic facilities. Objective: We aimed to evaluate the quality of endoscopic diagnosis and the adherence to guidelines of BO in our unit. Patients and Methods: A retrospective cohort analysis was done for 436 eligible endoscopic reports after independent review for confirmation of BO. Cohorts represent the complete audit cycle during the period from 01/01/2018 till 01/07/2022. Group A represented first audit data, and group B represented re-audit data. Results: A total eligible reports of 256 of BO in group A, and 180 reports in group B were reviewed. There was no significant difference between the groups regarding the age (62.7 ± 13.5 and 60.1 ± 15.1 years), male sex (68% and 70 %), and endoscopist specialty respectively. Surveillance was the most common indication (32.4% vs 35.5%), followed by Reflux (16.7% and 15%) in both groups respectively. Compliance with Prague, Paris, and Seattle protocol was significantly higher in group B (P value ≤0.05). Lack of awareness of the new guidelines, surgeon specialty, older age of the endoscopist, long segment of BO were the main factors of poor results in group A. Conclusions: In the absence of local standard protocol for endoscopic diagnosis of BO, the adherence to the guidelines was poor. Compliance with the guidelines after implementing new recommendations results in better outcomes. It is important to complete the audit cycle to ensure that the quality improvement was achieved.

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Section: Discussionmentioning

confidence: 99%

“…Mortada and Fatima [5] recommended firstly, to increase the awareness of all current endoscopists about the recommended diagnostic protocol of BO by circulating the guidelines, attending courses or lists with the compliant endoscopists. Secondly to ensure that newly joined/locum endoscopists are aware or trained in BO.…”

Section: Discussionmentioning

confidence: 99%