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 |