Measure of Outpatient Colonoscopy Quality Developed

This article originally appeared here.
Share this content:
Measure of Outpatient Colonoscopy Quality Developed
Measure of Outpatient Colonoscopy Quality Developed

MONDAY, Jan. 11, 2016 (HealthDay News) -- A risk-adjusted measure of outpatient colonoscopy quality can help inform patient choices and assist in quality-improvement efforts, according to research published in the January issue of Gastroenterology.

Isuru Ranasinghe, M.B.Ch.B., Ph.D., from the Yale-New Haven Hospital in Connecticut, and colleagues used a 20 percent sample of 2010 Medicare outpatient colonoscopy claims from patients aged 65 years or older to develop a patient-level model for estimating the risk of unplanned hospital visits within seven days of colonoscopy (331,880 colonoscopies performed at 8,140 facilities). Using data from the Healthcare Cost and Utilization Project (325,811 colonoscopies at 992 facilities) and patient-level risk model variables, the authors estimated facility rates of risk-standardized unplanned hospital visits.

The researchers found that 5,412 unplanned hospital visits followed outpatient colonoscopies within seven days (16.3/1,000 colonoscopies). Fifteen variables were independently linked to unplanned hospital visits, with the strongest associations seen for a history of fluid and electrolyte imbalance, psychiatric disorders, and increasing age past 65 years in the absence of prior arrhythmia (odds ratios, 1.43, 1.34 and 1.87, respectively). Significant variation was seen in the facility risk-standardized unplanned hospital visits (median, 12.3/1,000); the median risk-standardized unplanned hospital visits were similar for ambulatory surgical centers and hospital outpatient departments (each, 10.2/1,000), and ranged from 16.1 to 17.2/1,000 from the Northeast to the Midwest, respectively.

"This measure can make transparent the extent to which patients require follow-up hospital care, help inform patient choices, and assist in quality-improvement efforts," the authors write.

Several authors disclosed financial ties to the pharmaceutical and medical device industries.

Abstract
Full Text

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Drug Lookup

Browse drugs by: BrandGenericDisease

Trending Activities

All Professions



Sign up for myCME e-newsletters




More in Home

Non-Nutritive Sweeteners Don't Up Blood Glucose Levels

Non-Nutritive Sweeteners Don't Up Blood Glucose Levels

Concentration of NNSs decreases gradually over the course of observation after consumption

Laws Allowing Service Denial to Sexual Minorities Tied to Distress

Laws Allowing Service Denial to Sexual Minorities Tied ...

Laws permitting denial of services linked to increase in mental distress among sexual minorities

Antidepressant Prescribing Linked to Lasting Weight Gain

Antidepressant Prescribing Linked to Lasting Weight Gain

Risk of weight gain remained increased during at least six years of follow-up