Endoscopy Quality Indicators, Version # V 0.3 dated 14.12.20
Research type
Research Study
Full title
Identifying procedure adjusted quality indicators for upper gastrointestinal endoscopy from multivariable analysis of cohorts with post endoscopy upper gastrointestinal cancer (POUGIC) in the national endoscopy database (NED)
IRAS ID
289695
Contact name
Nigel Trudgill
Contact email
Sponsor organisation
Sandwell and West Birmingham NHS Trust
Duration of Study in the UK
1 years, 11 months, 30 days
Research summary
Aims
We want to see how accurate endoscopy (flexible telescope examination of the gullet and stomach) is in finding cancer and to find measures of endoscopy performance that help to reduce the risk of not finding signs of a cancer at endoscopy.
Background
16,800 people in the UK are diagnosed with oesophageal (gullet) or stomach cancer each year. Their outlook is often poor. 10% of people may have had an endoscopy that did not find their cancer in the three years before their diagnosis.There are no reliable measures of endoscopy quality to help reduce this risk and improve cancer diagnosis.
Design and methods
For the first time, using national records of all endoscopies in each hospital and of all people with oesophageal, stomach and duodenal (first part of small bowel)cancer, we will find out how many people had an endoscopy that did not find their cancer at each hospital, compared with other hospitals. We will then look for differences in endoscopy quality measures in the National Endoscopy Database records of all endoscopies undertaken within the UK, comparing hospitals with the lowest (best) missed cancer rates with hospitals with the highest (worst) rates.This will allow us to identify evidence based endoscopy quality measures that we can use to improve endoscopy standards and reduce the risk of patients having endoscopies that do not diagnose their cancer.REC name
London - South East Research Ethics Committee
REC reference
20/PR/1003
Date of REC Opinion
19 Jan 2021
REC opinion
Favourable Opinion