18. Measuring Utilization of Endoscopy in Clinical Practice

  1. Nicholas J. Talley MD, PhD, M Med Sci (Clin Epi), FRACP, FAFPHM, FRCP, FACP, FACG, AGAF3,
  2. G. Richard Locke III MD4,
  3. Paul Moayyedi BSc, MB ChB, PhD, MPH, FRCP, FRCPC, AGAF, FACG5,
  4. Joe West BMedSci, BM BS, MRCP, MSc, PhD, PGDip6,
  5. Alexander C. Ford MBChB, MD, FRCP7 and
  6. Yuri A. Saito MD, MPH8
  1. Frances Tse1 and
  2. Alan Barkun2

Published Online: 10 JAN 2014

DOI: 10.1002/9781118727072.ch18

GI Epidemiology: Diseases and Clinical Methodology, Second Edition

GI Epidemiology: Diseases and Clinical Methodology, Second Edition

How to Cite

Tse, F. and Barkun, A. (2014) Measuring Utilization of Endoscopy in Clinical Practice, in GI Epidemiology: Diseases and Clinical Methodology, Second Edition (eds N. J. Talley, G. R. Locke, P. Moayyedi, J. West, A. C. Ford and Y. A. Saito), John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/9781118727072.ch18

Editor Information

  1. 3

    Pro Vice-Chancellor and Dean (Health and Medicine), and Professor, Senior Staff Specialist (Gastroenterology), John Hunter Hospital, University of Newcastle, Callaghan, NSW, Australia

  2. 4

    Professor of Medicine, GI Epidemiology/Outcomes Unit, Division of Gastroenterology and Hepatology, Mayo Clinic College of Medicine, Rochester, MN, USA

  3. 5

    Acting Director of the Farncombe Family Digestive Health Research Institute, Director of Division of Gastroenterology, McMaster University, Hamilton, ON, Canada

  4. 6

    Associate Professor and Reader in Epidemiology; Honorary Consultant Gastroenterologist, Division of Epidemiology and Public Health, University of Nottingham, Nottingham, UK

  5. 7

    Associate Professor and Honorary Consultant Gastroenterologist, Leeds Teaching Hospitals Trust, Leeds, West Yorkshire, UK

  6. 8

    Assistant Professor of Medicine, Director, GI Epidemiology/Outcomes Unit, Division of Gastroenterology and Hepatology, Mayo Clinic College of Medicine, Rochester, MN, USA

Author Information

  1. 1

    Division of Gastroenterology, McMaster University, McMaster University Medical Centre, Hamilton, ON, Canada

  2. 2

    Division of Gastroenterology, Montreal General Hospital Site, The McGill University, Health Centre, Montreal, QC, Canada

Publication History

  1. Published Online: 10 JAN 2014
  2. Published Print: 6 FEB 2014

ISBN Information

Print ISBN: 9780470672570

Online ISBN: 9781118727072

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Keywords:

  • administrative databases;
  • clinical registries;
  • electronic health record;
  • gastrointestinal endoscopy;
  • benchmarking;
  • quality indicators

Summary

The safety and effectiveness of endoscopy depend on the quality of examination, and there is increasing evidence to suggest that the quality of endoscopy varies in clinical practice. With increasing emphasis placed on measurement of quality and patient-centered outcomes for endoscopy, there is a growing interest in collecting real-life safety and effectiveness data. While randomized controlled trials (RCTs) remain the “gold standard” for determining the efficacy of interventions, they cannot provide information about the effectiveness and quality of endoscopy in real-world settings. Administrative databases, clinical registries, and electronic health record databases are important tools that can complement RCTs for clinical outcomes research and quality improvement initiatives. This chapter explores the use of these databases in assessing the effectiveness and quality of endoscopy, looking for current examples of their use, and considering the strengths and limitations of each.