Endoscopy in China: a national survey on the services, quality and safety of digestive endoscopy in 2021
10.3760/cma.j.cn321463-20220222-00046
- VernacularTitle:2021国家消化内镜诊疗服务与质量安全报告
- Author:
Tianjiao WANG
1
;
Lei XIN
;
Luowei WANG
;
Xudong MA
;
Zhaoshen LI
Author Information
1. 国家消化内镜专业质控中心，上海 200433
- Keywords:
Quality control;
Digestive endoscopy;
National report;
National digestive endoscopy improvement system
- From:
Chinese Journal of Digestive Endoscopy
2022;39(11):879-884
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the services, quality and safety of digestive endoscopy in China in 2020.Methods:Data of digestive endoscopy in 2020 collected by the national medical quality information network were included. After data quality evaluation, the basic information of digestive endoscopy centers in different types of hospitals, the diagnosis and treatment of digestive endoscopy, the process and outcome indicators of digestive endoscopy were analyzed and compared.Results:A total of 3 714 hospitals were included in this survey. The digestive endoscopy operations completed by each hospital was 3 562.5 (1 299.75, 8 426.75), the digestive endoscopists was 4 (2, 7), and the endoscopic operations completed per capita per year was 900 (500, 1 452). The detection rate of early gastrointestinal cancer was 17.46% (110 069/630 265). The success rates of cecal intubation under colonoscopy and selective intubation of endoscopic retrograde cholangiopancreatography were 95.43% (6 976 521/7 310 970) and 94.21% (121 666/129 149) respectively. The complete resection rate of endoscopic submucosal dissection was 92.68% (93 536/100 924). The incidence of serious complications related to digestive endoscopic operations [0.05‰ (1 316/26 499 108)] and mortality [0.003‰ (80/26 499 108)] remained at a low level.Conclusion:The quality and safety of digestive endoscopy in China in 2020 is improved, but there are still some problems, such as the shortage of digestive endoscopists, the poor ability of endoscopists in the diagnosis of early gastrointestinal cancer.
