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Quality improvement gastroenterology

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https://www.readbyqxmd.com/read/27855107/first-quality-score-for-referral-letters-in-gastroenterology-a-validation-study
#1
Sigrun Losada Eskeland, Cathrine Brunborg, Birgitte Seip, Kristine Wiencke, Øistein Hovde, Tanja Owen, Erik Skogestad, Gert Huppertz-Hauss, Fred-Arne Halvorsen, Kjetil Garborg, Lars Aabakken, Thomas de Lange
OBJECTIVE: To create and validate an objective and reliable score to assess referral quality in gastroenterology. DESIGN: An observational multicentre study. SETTING AND PARTICIPANTS: 25 gastroenterologists participated in selecting variables for a Thirty Point Score (TPS) for quality assessment of referrals to gastroenterology specialist healthcare for 9 common indications. From May to September 2014, 7 hospitals from the South-Eastern Norway Regional Health Authority participated in collecting and scoring 327 referrals to a gastroenterologist...
October 8, 2016: BMJ Open
https://www.readbyqxmd.com/read/27824308/-comorbidity-of-psychiatric-disorders-and-the-characteristics-of-the-therapy-of-the-hospitalized-patients
#2
Balazs Mora, Laszlo Peter
The aim of our retrospective study was to evaluate the diagnostic and therapeutic characteristics of 100 patients who were admitted in our psychiatric department from an index date. Previous investigation showed high prevalence of comorbidity in patients with psychiatric disorders. The most common psychiatric comorbidities included dementia (20%), alcohol dependence (14%) and unipolar depression (8%). The presence of somatic diseases was also high (73%), including cardiovascular (55%), endocrine (30%), neurological (17%), and gastroenterological (16 %) comorbid disorders...
September 2016: Neuropsychopharmacologia Hungarica
https://www.readbyqxmd.com/read/27761565/institute-for-scientific-information-indexed-biomedical-journals-of-saudi-arabia-their-performance-from-2007-2014
#3
Dileep K Rohra, Vikram K Rohra, Peter Cahusac
To compare the journal impact factor (JIF) and Eigenfactor score (ES) of Institute for Scientific Information (ISI)-indexed biomedical journals published from the Kingdom of Saudi Arabia (KSA) over the last 8 years. Methods: This is a retrospective study, conducted at Alfaisal University, Riyadh, KSA from January to March 2016. The Journal Citation Reports of ISI Web of Knowledge were accessed, and 6 Saudi biomedical journals were included for analysis. Results: All Saudi journals have improved their IF compared with their baseline...
November 2016: Saudi Medical Journal
https://www.readbyqxmd.com/read/27761233/using-best-practice-to-create-a-pathway-to-improve-management-of-irritable-bowel-syndrome-aiming-for-timely-diagnosis-effective-treatment-and-equitable-care
#4
Marianne Williams, Yvonne Barclay, Rosie Benneyworth, Steve Gore, Zoe Hamilton, Rudi Matull, Iain Phillips, Leah Seamark, Kate Staveley, Steve Thole, Emma Greig
BACKGROUND: Irritable bowel syndrome (IBS) costs the National Health Service almost £12 million per annum. Despite national guidelines advising primary care management, these have failed to stem secondary care referrals of patients with likely IBS for unnecessary and costly assessment and investigation without necessarily achieving resolution of their symptoms. METHODS: In 2011, an integrated team from primary and secondary care developed a business case using baseline data to create a Somerset-wide IBS pathway using Clinical Commissioning Group funding...
October 2016: Frontline Gastroenterology
https://www.readbyqxmd.com/read/27755268/variation-in-care-of-inflammatory-bowel-diseases-patients-in-crohn-s-and-colitis-foundation-of-america-partners-role-of-gastroenterologist-practice-setting-in-disease-outcomes-and-quality-process-measures
#5
Kimberly N Weaver, Michael D Kappelman, Robert S Sandler, Christopher F Martin, Wenli Chen, Kristen Anton, Millie D Long
BACKGROUND: As variation in care has previously been linked to quality, we aimed to describe variations in inflammatory bowel diseases care by gastroenterology (GI) practice setting. METHODS: We performed a cross-sectional study within the Crohn's and Colitis Foundation of America Partners and used bivariate analyses to compare patient characteristics by GI practice setting (GI-academic [GIA], GI-private, or GI-other). Regression models were used to describe the effects of provider type on steroid use, disease activity, and the quality of life...
November 2016: Inflammatory Bowel Diseases
https://www.readbyqxmd.com/read/27752319/-the-constipation-conundrum-improving-recognition-of-constipation-on-a-gastroenterology-ward
#6
Robert Jackson, Philip Cheng, Sarah Moreman, Nicola Davey, Lisa Owen
Constipation is a common and often overlooked problem, but it can cause serious complications for patients including pain, nausea, urinary retention, and prolonged hospital admission. There are no recognised criteria for the diagnosis of constipation in the acute hospital setting, and it is often the role of the ward doctor to identify and manage this problem. Completion and monitoring of "stool charts" by nursing and medical staff is key to proper recognition and management of constipation. A baseline study found that while charts were completed well, they were only monitored by doctors 17...
2016: BMJ Quality Improvement Reports
https://www.readbyqxmd.com/read/27697869/improving-the-well-being-of-men-by-evaluating-and-addressing-the-gastrointestinal-late-effects-eagle-of-radical-treatment-for-prostate-cancer-study-protocol-for-a-mixed-method-implementation-project
#7
Sophia Taylor, Weyinmi Demeyin, Ann Muls, Catherine Ferguson, Damian J J Farnell, David Cohen, Jervoise Andreyev, John Green, Lesley Smith, Sam Ahmedzai, Sara Pickett, Annmarie Nelson, John Staffurth
INTRODUCTION: Radiotherapy treatment for prostate cancer can cause bowel problems, which may lead to severe difficulties for cancer survivors including limiting travel, work or socialising. These symptoms can appear at any time following radiotherapy. This study focuses on the early identification and protocol-based management of effects known to cause long-term, or even permanent, changes to the well-being of prostate cancer survivors. The rationale of this study is to improve the care offered to men and their families following pelvic radiotherapy for prostate cancer...
October 3, 2016: BMJ Open
https://www.readbyqxmd.com/read/27622698/variation-in-preventive-care-in-children-receiving-chronic-glucocorticoid-therapy
#8
Matthew L Basiaga, Evanette K Burrows, Michelle R Denburg, Kevin E Meyers, Andrew B Grossman, Petar Mamula, Robert W Grundmeier, Jon M Burnham
OBJECTIVE: To assess preventive care measure prescribing in children exposed to glucocorticoids and identify prescribing variation according to subspecialty and patient characteristics. STUDY DESIGN: Retrospective cohort study of children initiating chronic glucocorticoids in the gastroenterology, nephrology, and rheumatology divisions at a pediatric tertiary care center. Outcomes included 25-hydroxyvitamin D (25OHD) and lipid testing, pneumococcal polysaccharide (PPV) and influenza vaccination, and stress dose hydrocortisone prescriptions...
December 2016: Journal of Pediatrics
https://www.readbyqxmd.com/read/27600190/quality-of-meta-analyses-in-major-leading-gastroenterology-and-hepatology-journals-a-systematic-review
#9
Pengfei Liu, Yuanyu Qiu, Yuting Qian, Xiao Chen, Yiran Wang, Jin Cui, Xiao Zhai
BACKGROUND AND AIM: To appraise the current reporting methodological quality of meta-analyses in five leading gastroenterology and hepatology journals, and to identify the variables associated with the reporting quality. METHODS: We systematically searched the literature of meta-analyses in Gastroenterology, Gut, Hepatology, Journal of Hepatology (J HEPATOL) and American Journal of Gastroenterology (AM J GASTROENTEROL) from 2006 to 2008 and from 2012 to 2014. Characteristics were extracted based on the PRISMA statement and the AMSTAR tool...
September 6, 2016: Journal of Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/27588295/quality-assurance-in-endoscopy-which-parameters
#10
REVIEW
Ulrike W Denzer
BACKGROUND: The verbalisation of quality standards and parameters by medical societies are relevant for qualitative improvement but may also be an instrument to demand more resources for health care or be a unique characteristic. Within the health care system 3 different quality levels can be defined: structure, process and result quality. METHODS: The current S2k guideline of the German Society for Gastroenterology (quality requirements for gastrointestinal endoscopy) AWMF registry no...
February 2016: Visceral Medicine
https://www.readbyqxmd.com/read/27579299/the-quality-of-colonoscopy-reporting-in-usual-practice-are-endoscopists-reporting-key-data-elements
#11
S D Hadlock, N Liu, M Bernstein, M Gould, L Rabeneck, A Ruco, R Sutradhar, J M Tinmouth
Background. High quality reporting of endoscopic procedures is critical to the implementation of colonoscopy quality assurance programs. Objective. The aim of our research was to (1) determine the quality of colonoscopy (CS) reporting in "usual practice," (2) identify factors associated with good quality reporting, and (3) compare CS reporting in open-access and non-open-access procedures. Methods. 557 CS reports were randomly selected and assigned a score based on the number of mandatory data elements included in the report...
2016: Canadian Journal of Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/27485483/european-society-of-gastrointestinal-endoscopy-establishing-the-key-unanswered-research-questions-within-gastrointestinal-endoscopy
#12
Colin J Rees, Wee Sing Ngu, Jaroslaw Regula, Raf Bisschops, Adrian Saftoiu, Evelien Dekker, Ian Gralnek, Mihai Ciocirlan, Mario Dinis-Ribeiro, Rodrigo Jover, Søren Meisner, Cristiano Spada, Cesare Hassan, Roland Valori, Tomas Hucl, Olivier Le Moine, Dirk Domagk, Michal F Kaminski, Michael Bretthauer, Matthew D Rutter, Lars Aabakken, Thierry Ponchon, Paul Fockens, Peter D Siersema
Background and study aim: Gastrointestinal endoscopy is a rapidly evolving research field. The European Society of Gastrointestinal Endoscopy (ESGE) plays a key role in shaping opinion and endoscopy activity throughout Europe and further afield. Establishing key unanswered questions within the field of endoscopy and prioritizing those that are important enables researchers and funders to appropriately allocate resources. Methods: Over 2 years, the ESGE Research Committee gathered information on research priorities and refined them through a modified Delphi approach...
October 2016: Endoscopy
https://www.readbyqxmd.com/read/27471402/proton-pump-inhibitors-for-the-treatment-of-patients-with-erosive-esophagitis-and-gastroesophageal-reflux-disease-current-evidence-and-safety-of-dexlansoprazole
#13
REVIEW
Joseph Mermelstein, Alanna Chait Mermelstein, Maxwell M Chait
Gastroesophageal reflux disease is the most common upper gastroenterology disorder in the US. It is associated with a variety of complications and significantly impacts quality of life. Proton pump inhibitors are the most effective treatment. Dexlansoprazole modified release (MR) is a proton pump inhibitor that employs a novel release formulation that prolongs its absorption and allows for more flexibility in dosing. Dexlansoprazole MR can be dosed without regard to food intake or time of day, and once-daily dosing may replace twice-daily dosing of other agents...
2016: Clinical and Experimental Gastroenterology
https://www.readbyqxmd.com/read/27455082/hospital-utilization-pattern-in-a-hepatogastroenterology-department-of-a-research-institute-hospital-from-2004-to-2013
#14
Afaf H A Elayyat, Ahmed Sadek
BACKGROUND: The Theodor Bilharz Research Institute (TBRI) Hospital is a research and referral center for gastroenterology and hepatology. The Hepatogastroenterology (HGE) Department in TBRI Hospital is a center for endoscopy and sonography. The department also has a hepatology ICU. As a part of hospital performance improvement, medical records that satisfy the needs and demands of the healthcare team, setting a practical framework to improve the quality of medical care in TBRI Hospital, were generated...
June 2016: Journal of the Egyptian Public Health Association
https://www.readbyqxmd.com/read/27265510/british-dietetic-association-systematic-review-of-systematic-reviews-and-evidence-based-practice-guidelines-for-the-use-of-probiotics-in-the-management-of-irritable-bowel-syndrome-in-adults-2016-update
#15
Y A McKenzie, J Thompson, P Gulia, M C E Lomer
BACKGROUND: Probiotics are often taken by individuals with irritable bowel syndrome (IBS). Which products are effective is unclear, despite an increasing research base. This project will systematically review which strain- and dose- specific probiotics can be recommended to adults with IBS to improve symptoms and quality of life (QoL). It is part of a broader systematic review to update British Dietetic Association guidelines for the dietary management of IBS in adults. METHODS: CINAHL, Cochrane, Embase, Medline, Scopus and Web of Science were searched for systematic reviews (SRs) of randomised controlled trial (RCT)s recruiting adults with IBS comparing probiotic intervention with placebo...
October 2016: Journal of Human Nutrition and Dietetics: the Official Journal of the British Dietetic Association
https://www.readbyqxmd.com/read/27255334/can-technology-improve-the-quality-of-colonoscopy
#16
REVIEW
Selvi Thirumurthi, William A Ross, Gottumukkala S Raju
In order for screening colonoscopy to be an effective tool in reducing colon cancer incidence, exams must be performed in a high-quality manner. Quality metrics have been presented by gastroenterology societies and now include higher adenoma detection rate targets than in the past. In many cases, the quality of colonoscopy can often be improved with simple low-cost interventions such as improved procedure technique, implementing split-dose bowel prep, and monitoring individuals' performances. Emerging technology has expanded our field of view and image quality during colonoscopy...
July 2016: Current Gastroenterology Reports
https://www.readbyqxmd.com/read/27246107/evidence-based-clinical-practice-guidelines-for-liver-cirrhosis-2015
#17
REVIEW
Hiroshi Fukui, Hidetsugu Saito, Yoshiyuki Ueno, Hirofumi Uto, Katsutoshi Obara, Isao Sakaida, Akitaka Shibuya, Masataka Seike, Sumiko Nagoshi, Makoto Segawa, Hirohito Tsubouchi, Hisataka Moriwaki, Akinobu Kato, Etsuko Hashimoto, Kojiro Michitaka, Toshikazu Murawaki, Kentaro Sugano, Mamoru Watanabe, Tooru Shimosegawa
The Japanese Society of Gastroenterology revised the evidence-based clinical practice guidelines for liver cirrhosis in 2015. Eighty-three clinical questions were selected, and a literature search was performed for the clinical questions with use of the MEDLINE, Cochrane, and Igaku Chuo Zasshi databases for the period between 1983 and June 2012. Manual searching of the latest important literature was added until August 2015. The guidelines were developed with use of the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system...
July 2016: Journal of Gastroenterology
https://www.readbyqxmd.com/read/27241799/gastric-electrical-stimulation-is-an-option-for-patients-with-refractory-cyclic-vomiting-syndrome
#18
Inderpreet Grover, Richard Kim, Danielle C Spree, Christopher J Lahr, Archana Kedar, Shivangi Kothari, David Fleisher, Thomas L Abell
Background/Aims: Cyclic vomiting syndrome (CVS) is a disabling migraine variant manifesting as severe episodes of nausea and vomiting and often refractory to many therapies. Gastric electrical stimulation (GES), which can reduce nausea and vomiting in gastroparesis, may provide symptomatic relief for drug-refractory CVS. This study assessed the utility GES in reducing the symptoms of CVS and improving the quality of life. Methods: A one-year, non-randomized, clinical study was conducted...
October 30, 2016: Journal of Neurogastroenterology and Motility
https://www.readbyqxmd.com/read/27217671/colonoscopy-in-colorectal-cancer-screening-current-aspects
#19
REVIEW
John K Triantafillidis, Constantine Vagianos, George Malgarinos
Colonoscopy represents a very important diagnostic modality for screening for colorectal cancer, because it has the ability to both detect and effectively remove pro-malignant and malignant lesions. It is recommended by almost all international and national gastroenterology and cancer societies, as an initial screening modality or, following a positive fecal occult blood test, to be performed every 10 years in individuals of average risk starting from the age of 50. However, a significant problem is the so-called post-screening (interval) polyps and cancers found some years after the index colonoscopy...
September 2015: Indian Journal of Surgical Oncology
https://www.readbyqxmd.com/read/27213092/viral-load-pattern-among-hepatitis-b-surface-antigen-positive-patients-laboratory-perspective-and-implications-for-therapy
#20
K C Iregbu, P I Nwajiobi-Princewill
BACKGROUND: Hepatitis B viral infection is an old medical problem with worldwide distribution. It is usually diagnosed using serologic methods. However, the decision as to which patient to treat or not remains challenging due to the poor sensitivity of serologic markers as prognostic or severity markers. Viral load (VL) determination using polymerase chain reaction techniques is a useful tool in decision-making. AIM: To determine the proportion of hepatitis B-positive patients who fall into different care groups based on the Society for Gastroenterology and Hepatology in Nigeria (SOGHIN) and National Institute for Health and Care Excellence guidelines, respectively, using result of hepatitis B virus (HBV) DNA determination...
March 2016: Annals of Medical and Health Sciences Research
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