FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3033621874> ?p ?o ?g. }

• W3033621874 endingPage "AB572" @default.
• W3033621874 startingPage "AB571" @default.
• W3033621874 abstract "A multi-society task force on endoscopic quality published a list of evidence-based quality indicators to measure endoscopic retrograde cholangiopancreatography (ERCP) outcomes in 2015. There are five high priority indicators, of which three measure intraprocedural outcomes in patients with native, non-surgically altered biliary anatomy. These include (1) frequency of native papilla cannulation; (2) Frequency of extraction of common bile duct stones <1 cm; (3) Frequency of stent placement for biliary obstruction below the bifurcation. The performance targets for each are recommended to be greater than 90%. Methods to increase compliance in capturing and documenting these measures would enable outcomes analyses and allow healthcare systems to monitor ERCP quality. We developed a method to universally capture these three intraprocedural quality indicators. In our health system, three hospitals perform the majority of ERCPs, and all share the same endoscopy reporting software (ProVationMD, ProVation Medical, Minneapolis, MN). We created “hard stops” in this software that requires the endoscopist to record an outcome of either success, failure, or not applicable (N/A) for each measure before the report can be finalized. These data can be exported to a spreadsheet for analysis. We analyzed intraprocedural ERCP quality metrics since instituting these “hard stops” at each hospital, and compared outcomes by (a) annual hospital volume- low (<100) vs high (>200), and (b) annual endoscopist volume- low (<50) vs high (>200). A total of 3395, 800, and 112 ERCPs were performed at three hospitals (2 high volume; 1 low volume) in our health system over 46, 41, and 39-month periods respectively. These procedures were performed by 12 different endoscopists (5 high volume; 7 low volume). Documentation of success, failure, or N/A for each quality indicator was captured in all ERCPs (100%). The average cannulation success rate at all sites was 95%. Cannulation success was higher for the high volume endoscopists (97% vs 90%; p=0.0001), and at high volume centers (97% vs 91%; p=0.009). Success for extracting biliary stones <1 cm was 97%, with higher success for high volume endoscopists (97% vs 93%; p=0.0441), and at high volume centers (97% vs 90%; p=0.0047). Success for stenting strictures was 98%, with higher success for high volume endoscopists (99% vs 81%; p=0.001), and at high volume centers (98% vs 76%; p=0.002). The metrics measuring stent placement were below recommended targets for low volume endoscopists and at low volume centers. Endoscopy documentation software can be formatted to force “hard stops” to prospectively capture intraprocedural quality indicators for ERCP. Implementing such methods allows for 100% collection of these outcomes, and can be used to analyze ERCP quality metrics in a health care system." @default.
• W3033621874 created "2020-06-12" @default.
• W3033621874 creator A5016099408 @default.
• W3033621874 creator A5017343024 @default.
• W3033621874 creator A5030014168 @default.
• W3033621874 creator A5070494862 @default.
• W3033621874 creator A5080616960 @default.
• W3033621874 date "2020-06-01" @default.
• W3033621874 modified "2023-09-23" @default.
• W3033621874 title "Tu1160 “HARD STOPS” TO CAPTURE ERCP QUALITY METRICS." @default.
• W3033621874 doi "https://doi.org/10.1016/j.gie.2020.03.3332" @default.
• W3033621874 hasPublicationYear "2020" @default.
• W3033621874 type Work @default.
• W3033621874 sameAs 3033621874 @default.
• W3033621874 citedByCount "0" @default.
• W3033621874 crossrefType "journal-article" @default.
• W3033621874 hasAuthorship W3033621874A5016099408 @default.
• W3033621874 hasAuthorship W3033621874A5017343024 @default.
• W3033621874 hasAuthorship W3033621874A5030014168 @default.
• W3033621874 hasAuthorship W3033621874A5070494862 @default.
• W3033621874 hasAuthorship W3033621874A5080616960 @default.
• W3033621874 hasBestOaLocation W30336218741 @default.
• W3033621874 hasConcept C121332964 @default.
• W3033621874 hasConcept C124101348 @default.
• W3033621874 hasConcept C134984996 @default.
• W3033621874 hasConcept C141071460 @default.
• W3033621874 hasConcept C160735492 @default.
• W3033621874 hasConcept C162324750 @default.
• W3033621874 hasConcept C194828623 @default.
• W3033621874 hasConcept C19527891 @default.
• W3033621874 hasConcept C198783460 @default.
• W3033621874 hasConcept C20556612 @default.
• W3033621874 hasConcept C21547014 @default.
• W3033621874 hasConcept C2775967933 @default.
• W3033621874 hasConcept C2776820786 @default.
• W3033621874 hasConcept C2778444009 @default.
• W3033621874 hasConcept C2780009758 @default.
• W3033621874 hasConcept C2988170871 @default.
• W3033621874 hasConcept C41008148 @default.
• W3033621874 hasConcept C50522688 @default.
• W3033621874 hasConcept C61434518 @default.
• W3033621874 hasConcept C62520636 @default.
• W3033621874 hasConcept C71405471 @default.
• W3033621874 hasConcept C71924100 @default.
• W3033621874 hasConceptScore W3033621874C121332964 @default.
• W3033621874 hasConceptScore W3033621874C124101348 @default.
• W3033621874 hasConceptScore W3033621874C134984996 @default.
• W3033621874 hasConceptScore W3033621874C141071460 @default.
• W3033621874 hasConceptScore W3033621874C160735492 @default.
• W3033621874 hasConceptScore W3033621874C162324750 @default.
• W3033621874 hasConceptScore W3033621874C194828623 @default.
• W3033621874 hasConceptScore W3033621874C19527891 @default.
• W3033621874 hasConceptScore W3033621874C198783460 @default.
• W3033621874 hasConceptScore W3033621874C20556612 @default.
• W3033621874 hasConceptScore W3033621874C21547014 @default.
• W3033621874 hasConceptScore W3033621874C2775967933 @default.
• W3033621874 hasConceptScore W3033621874C2776820786 @default.
• W3033621874 hasConceptScore W3033621874C2778444009 @default.
• W3033621874 hasConceptScore W3033621874C2780009758 @default.
• W3033621874 hasConceptScore W3033621874C2988170871 @default.
• W3033621874 hasConceptScore W3033621874C41008148 @default.
• W3033621874 hasConceptScore W3033621874C50522688 @default.
• W3033621874 hasConceptScore W3033621874C61434518 @default.
• W3033621874 hasConceptScore W3033621874C62520636 @default.
• W3033621874 hasConceptScore W3033621874C71405471 @default.
• W3033621874 hasConceptScore W3033621874C71924100 @default.
• W3033621874 hasIssue "6" @default.
• W3033621874 hasLocation W30336218741 @default.
• W3033621874 hasOpenAccess W3033621874 @default.
• W3033621874 hasPrimaryLocation W30336218741 @default.
• W3033621874 hasRelatedWork W1588866857 @default.
• W3033621874 hasRelatedWork W2010096050 @default.
• W3033621874 hasRelatedWork W2017699956 @default.
• W3033621874 hasRelatedWork W2037795503 @default.
• W3033621874 hasRelatedWork W2086536731 @default.
• W3033621874 hasRelatedWork W2163960356 @default.
• W3033621874 hasRelatedWork W2171272771 @default.
• W3033621874 hasRelatedWork W2328710287 @default.
• W3033621874 hasRelatedWork W2392661004 @default.
• W3033621874 hasRelatedWork W3088908670 @default.
• W3033621874 hasVolume "91" @default.
• W3033621874 isParatext "false" @default.
• W3033621874 isRetracted "false" @default.
• W3033621874 magId "3033621874" @default.
• W3033621874 workType "article" @default.