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. 2019 May 15;7(5):614–641. doi: 10.1177/2050640619850365
Key performance measure Timing of SBCE for overt bleeding
Description Timing of SBCE in small-bowel bleeding
Domain Identification of pathology
Category Process
Rationale In patients with overt small-bowel bleeding, timing of the performance of SBCE impacts the diagnostic yield. Earlier performance of SBCE achieves a higher diagnostic yield in this subgroup
Construct Denominator: Proportion of SBCEs performed in the context of overt bleeding Numerator: SBCEs performed within 14 days of overt bleeding episode Exclusions: None Calculation: Proportion (%) Level of analysis: Service level Frequency: Yearly and/or for a sample of 100 SBCEs
Standards Minimum standard: ≥90% Target standard: ≥90% Cutoff for timing varies among studies; however, earlier performance of SBCE achieves a higher diagnostic yield for patients with overt small-bowel bleeding. Interval from last bleeding episode should be documented in a written report The timing of capsule endoscopy in patients with overt small-bowel bleeding should be audited. Variations from expected rates may suggest suboptimal timing After evaluation and adjustment, close monitoring should be performed with a further audit
Consensus agreement 100%
PICO number 13.1 (see Supporting information, CE file)
Evidence grading Moderate-quality evidence