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 |