Skip to main content
. 2019 May 15;7(5):614–641. doi: 10.1177/2050640619850365
Key performance measure Lesion detection rate
Description Diagnostic yield of SBCE per indication
Domain Identification of pathology
Category Process
Rationale Lesion detection reflects adequate inspection of the small-bowel mucosa Lesion detection rates by indication predict quality in SBCE
Construct Denominator: All SBCEs performed Numerator: SBCEs which provide a diagnosis or a finding considered significant and related to the indication, including: – P2 and P1 lesions according to the Saurin classification for intestinal bleeding – ulceration, erosions, or strictures in the context of suspected/established Crohn disease – small-bowel tumors – small-bowel polyps Exclusions: None Calculation: Proportion (%) Level of analysis: Service level Frequency: Yearly and/or for a sample of 100 SBCEs
Standards Minimum standard: ≥50% Target standard: ≥50% A written description and photodocumentation of significant lesions should be included in the report Overall diagnostic yields per indication should be audited. Variations from expected rates raise the possibility of suboptimal patient selection, procedure quality, and/or reading, and reporting After evaluation and adjustment, close monitoring should be performed with a further audit
Consensus agreement 100%
PICO number 1.2 (see Supporting information, CE file)
Evidence grading Low-quality evidence