PTH-046 Benchmarking Endoscopy Services In Iraq – Results Of A National Survey

Hawkes, Neil; Alrubaiy, Laith; Hawkes, Bernadette; Aziz, Muhammad Tariq

doi:10.1136/gutjnl-2014-307263.492

Cited by 3 publications

(5 citation statements)

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“…The international impact of JAG is summarised in table 4. Adoption of the GRS has been described in studies from Ireland,78 Canada,66 73 79 the Netherlands,69 84 New Zealand,85 Iraq75 and Malawi80 following collaborative efforts with JAG International, which has been successfully used to benchmark quality of service and identify areas for improvement. In a service development initiative supported by BSG and JAG International in Malawi, Nyahoda et al 80 presented their experience of implementing a GI bleeding service, and Geraghty et al 86 described how a training network was established in three Malawian hospitals using JAG-based training, DOPS assessments, development of a local faculty and the application of a modified GRS for service evaluation.…”

Section: Resultsmentioning

confidence: 99%

“…In a service development initiative supported by BSG and JAG International in Malawi, Nyahoda et al 80 presented their experience of implementing a GI bleeding service, and Geraghty et al 86 described how a training network was established in three Malawian hospitals using JAG-based training, DOPS assessments, development of a local faculty and the application of a modified GRS for service evaluation. A similar international collaboration led to the introduction of a GRS in Iraq 75. Carpentier et al provided evidence of test–retest reliability of the Canadian GRS (GRS-C), modified from the UK version, with evidence of quality improvement 79.…”

Section: Resultsmentioning

confidence: 99%

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Impact of the Joint Advisory Group on Gastrointestinal Endoscopy (JAG) on endoscopy services in the UK and beyond

Siau

Green

Hawkes

et al. 2018

Frontline Gastroenterol

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The Joint Advisory Group on Gastrointestinal Endoscopy (JAG) was initially established in 1994 to standardise endoscopy training across specialties. Over the last two decades, the position of JAG has evolved to meet its current role of quality assuring all aspects of endoscopy in the UK to provide the highest quality, patient-centred care. Drivers such as changes to healthcare agenda, national audits, advances in research and technology and the advent of population-based cancer screening have underpinned this shift in priority. Over this period, JAG has spearheaded various quality assurance initiatives with support from national stakeholders. These have led to the achievement of notable milestones in endoscopy quality assurance, particularly in the three major areas of: (1) endoscopy training, (2) accreditation of endoscopy services (including the Global Rating Scale), and (3) accreditation of screening endoscopists. These developments have changed the landscape of UK practice, serving as a model to promote excellence in endoscopy. This review provides a summary of JAG initiatives and assesses the impact of JAG on training and endoscopy services within the UK and beyond.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Impact of the Joint Advisory Group on Gastrointestinal Endoscopy (JAG) on endoscopy services in the UK and beyond

Siau

Green

Hawkes

et al. 2018

Frontline Gastroenterol

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“…Although physicians and healthcare providers perceived the value of bowel cancer screening programmes, a national program has not been undertaken because of Iraq’s unstable political and security situation. There have been several attempts to set up a national programme, but the regional challenges limit the setting up and rolling out of such a programme [ 7 , 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…Many problems have been historically rooted in the Iraqi health system. A previous BSG-funded visit to Iraq identified that there is a lack of national standards and guidelines, a lack of organisation and ineffective resource allocation [ 7 ]. Despite the ongoing political division and poor security situation, damage to the health infrastructure and loss of many health professionals who fled the country, there has been significant momentum in Iraq to start cancer screening programmes which started a few years ago.…”

Section: Introductionmentioning

confidence: 99%

Colonoscopy Colorectal Cancer Screening Programme in Southern Iraq: Challenges, Knowledge Gaps and Future Potential

Alrubaiy

Al-Rubaye

Alrudainy³

et al. 2023

JPM

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Data on current colorectal cancer screening practices in Iraq are limited. This study aimed to better understand the current colorectal cancer screening practice and perceived barriers. The project also aimed to use UK expertise to introduce Bowel Cancer Screening Programme (BCSP) in Basra, Iraq. The study consisted of two parts: A pre-visit online survey of clinicians to test the project’s feasibility. A public survey was conducted to understand and gauge the general knowledge and perceived barriers to having colorectal cancer screening. The second phase included a short visit to Basra and the delivery of a multidisciplinary meeting for bowel screening colonoscopists. Fifty healthcare providers completed the survey. Basra has no established bowel cancer screening programme, let alone the country. Opportunistic colonoscopy surveillance is done on an ad hoc base. A total of 350 individuals completed the public survey. The survey showed that more than 50% of participants were not familiar with the concept of a BCSP and less than 25% were aware of “red flag” symptoms of bowel cancer. The short visit to Basra included a roundtable discussion and delivered a training workshop for screening colonoscopists using UK training materials in conjunction with the Iraqi Medical Association. Feedback from the course was extremely positive. Several potential barriers were identified to participate in BCSP. The study highlighted potential barriers, including a lack of public awareness and insufficient training resources to be addressed in future screening programmes. The study has identified several potential areas for future collaboration to support the development of a BCSP centre in Basra.

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“…In Iraq, a high prevalence of iron deficiency anemia leads to a high referral rate of patients with bleeding symptoms or unexplained aetiology to bi-directional endoscopy examination (23) . These patients required further assessment and interventions, which also might need hospital admission and cause a heavy burden on health institutes.…”

Section: Introductionmentioning

confidence: 99%

Diagnostic Yield of Bi-Directional Endoscopy in the Evaluation of Patients With Iron Deficiency Anemia Visiting the Kurdistan Center for Gastroenterology and Hepatology (Kcgh)

Ahmed,

Al-Karboly,

Mohammed

et al. 2022

JSMC

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Background Iron Deficiency Anemia (IDA) is the most common cause of anemia worldwide. IDA occurs in 2-5% of adult men and postmenopausal women in the developed world and is a common reason for gastroenterology referral. Bi-directional endoscopy is required to identify the cause of iron deficiency anemia. Objectives To assess different upper and lower gastrointestinal causes of IDA in patients who attend Kurdistan Centre for Gastroenterology and Hepatology diagnosed with iron deficiency anemia and referred for endoscopy. Patients and Methods It is a cross-sectional study implemented in the Kurdistan centre of Gastroenterology and Hepatology (KCGH) in Sulaimani City, Kurdistan region-Iraq for one year from 1st October 2020 to 30th September 2021 on a sample of one hundred and seventy patients with iron deficiency anemia. The diagnosis and severity classification of iron deficiency anemia was done according to the World Health Organization definition and classification. The gastrointestinal Specialist in the centre implemented the bi-directional endoscopy. Results The diagnostic yield of esophagogastroduodenoscopy findings of iron deficiency anemia patients 51.8% were gastropathy (41%), gastroesophageal reflux disease (32%), gastric ulcer (6%), duodenal ulcer (4%), hiatus hernia (4%), celiac sprue (4%), gastric antral vascular ectasia (3%), tumour (3%) and others (3%). While the diagnostic yield of colonoscopy findings of iron deficiency anemia patients, 43.5% were haemorrhoids (42%), polyps (37%), ulcers (12%), colorectal tumour (5%), and diverticulosis (5%). Conclusion Bi-directional endoscopy is safe in diagnosing and evaluating patients with iron deficiency anemia with high diagnostic yields.

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PTH-046 Benchmarking Endoscopy Services In Iraq – Results Of A National Survey

Cited by 3 publications

References 0 publications

Impact of the Joint Advisory Group on Gastrointestinal Endoscopy (JAG) on endoscopy services in the UK and beyond

Impact of the Joint Advisory Group on Gastrointestinal Endoscopy (JAG) on endoscopy services in the UK and beyond

Colonoscopy Colorectal Cancer Screening Programme in Southern Iraq: Challenges, Knowledge Gaps and Future Potential

Diagnostic Yield of Bi-Directional Endoscopy in the Evaluation of Patients With Iron Deficiency Anemia Visiting the Kurdistan Center for Gastroenterology and Hepatology (Kcgh)

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