Evidence map›Paper›PMID 22308578›Full record

GuidelineCanadian journal of gastroenterology = Journal canadien de gastroenterologie2012

Canadian Association of Gastroenterology consensus guidelines on safety and quality indicators in endoscopy.

David Armstrong, Alan Barkun, Ron Bridges, Rose Carter, Chris de Gara, Catherine Dube, Robert Enns, Roger Hollingworth, Donald Macintosh, Mark Borgaonkar and 6 more

Abstract readConsensus StatementPractice Guideline
In one paragraph

Guideline in Canadian journal of gastroenterology = Journal canadien de gastroenterologie, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

71 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Guideline
  5. Guideline
  6. Colorectal cancer surveillance after index colonoscopy: guidance from the Canadian Association of Gastroenterology.Canadian journal of gastroenterology = Journal canadien de gastroenterologie · 2013
    Guideline
  7. Indicators of safety compromise in gastrointestinal endoscopy.Canadian journal of gastroenterology = Journal canadien de gastroenterologie · 2012
    Guideline
  8. Trial
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. An Innovative, Quick and Cost-Effective Technique of Dispensing Endoscopy Reports.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2023
    Article
  18. Article
  19. Article
  20. Small Bowel Video Capsule Endoscopy Guidance in Practice: Expert Opinion Report.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2023
    Review

11 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

David ArmstrongDivision of Gastroenterrology, McMaster University, Hamilton, Ontario, Canada. armstro@mcmaster.ca
Alan Barkun
Ron Bridges
Rose Carter
Chris de Gara
Catherine Dube
Robert Enns
Roger Hollingworth
Donald Macintosh
Mark Borgaonkar
Sylviane Forget
Grigorios Leontiadis
Jonathan Meddings
Peter Cotton
Ernst J Kuipers
Canadian Association of Gastroenterology Safety and Quality Indicators in Endoscopy Consensus Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIncreasing use of gastrointestinal endoscopy, particularly for colorectal cancer screening, and increasing emphasis on health care quality, highlight the need for clearly defined, evidence-based processes to support quality improvement in endoscopy.

objectiveTo identify processes and indicators of quality and safety relevant to high-quality endoscopy service delivery.

methodsA multidisciplinary group of 35 voting participants developed recommendation statements and performance indicators. Systematic literature searches generated 50 initial statements that were revised iteratively following a modified Delphi approach using a web-based evaluation and voting tool. Statement development and evidence evaluation followed the AGREE (Appraisal of Guidelines, REsearch and Evaluation) and GRADE (Grading of Recommendations, Assessment, Development and Evaluation) guidelines. At the consensus conference, participants voted anonymously on all statements using a 6-point scale. Subsequent web-based voting evaluated recommendations for specific, individual quality indicators, safety indicators and mandatory endoscopy reporting fields. Consensus was defined a priori as agreement by 80% of participants.

resultsConsensus was reached on 23 recommendation statements addressing the following: ethics (statement 1: agreement 100%), facility standards and policies (statements 2 to 9: 90% to 100%), quality assurance (statements 10 to 13: 94% to 100%), training, education, competency and privileges (statements 14 to 19: 97% to 100%), endoscopy reporting standards (statements 20 and 21: 97% to 100%) and patient perceptions (statements 22 and 23: 100%). Additionally, 18 quality indicators (agreement 83% to 100%), 20 safety indicators (agreement 77% to 100%) and 23 recommended endoscopy-reporting elements (agreement 91% to 100%) were identified. DISCUSSION: The consensus process identified a clear need for high-quality clinical and outcomes research to support quality improvement in the delivery of endoscopy services.

conclusionsThe guidelines support quality improvement in endoscopy by providing explicit recommendations on systematic monitoring, assessment and modification of endoscopy service delivery to yield benefits for all patients affected by the practice of gastrointestinal endoscopy.

Indexed as

Ambulatory Care FacilitiesCanadaClinical CompetenceEndoscopy, GastrointestinalHumansInformed ConsentPatient DischargeQuality Indicators, Health Care

Identifiers

PMID22308578
PMCPMC3275402

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.