

Compliance with quality criteria for endoscopic examinations (sociological aspects)
https://doi.org/10.33667/2078-5631-2023-35-22-27
Abstract
The article presents the results of a sociological study conducted at the Penza Institute for Advanced Medical Studies with the aim of studying the level of knowledge of endoscopists about the quality criteria for performing endoscopic examinations and equipping endoscopic rooms with specialized equipment. The questionnaires of 47 endoscopists who were trained at the Department of Surgery and Endoscopy were analyzed. 57 % of respondents are aware of the need to comply with quality criteria in endoscopy; all doctors take informed voluntary consent from the patient before the study; when formulating a conclusion, 15 % use validated international classifications; the detection rate of adenomas during colonoscopy is calculated to be 2 %; 21 % perform photo documentation; 6 % comply with biopsy protocols. This is largely due to the incomplete technical equipment of endoscopy rooms: only 17 % of doctors described the number of biopsy forceps as sufficient (20 or more), 43 % of doctors note the presence of video endoscopic equipment at the workplace, however, the condition of endoscopes in most budgetary medical institutions is satisfactory, closer to bad.
About the Authors
О. А. BaulinaRussian Federation
Baulina Olga A., PhD Med, dean of Faculty of Surgery, associate professor at Dept of Surgery and Endoscopy n.a. prof. N. A. Baulin
Penza
A. A. Gulyaev
Russian Federation
Gulyaev Andrey A., DM Sci (habil.), professor, head of Dept of Surgery and Endoscopy n.a. prof. N. A. Baulin; chief researcher at Scientific Dept of Emergency Surgery, Endoscopy and Intensive Care; professor at Dept of Emergency and General Surgery n.a. prof. A. S. Ermolov
Penza
Moscow
References
1. Kuvaev R. O., Nikonov E. L., Kashin S. V., Kapranov V. A., Gvozdev A. A. Quality control of endoscopic studies, prospects for automated analysis of endoscopic images. Kremlin Medicine. Clinical Bulletin. 2013 (2): 51–56. (In Russ.)
2. Januszewicz W., Kaminski M. F. Quality indicators in diagnostic upper gastro intestinal endoscopy. Therapeutic Advances in Gastroenterolog. 2020; 13: 1756284820916693. https://doi.org/10.1177/1756284820916693eCollection 2020.
3. Dumonceau J. M., Hassan С., Riphaus A., Ponchon Т. European Society of Gastrointestinal Endoscopy (ESGE) Guideline Development Policy. Endoscopy. 2012; 44 (6): 626–629. https://doi.org/10.1055/s0031–1291747
4. Palevskaya S. A., Shcherbakov P. L., Ivantsova M. A., Belova G. V. Clinical guidelines for endoscopy as basic documents in the structure of Russian and European legal regulation: Methodology, issues of risk management and quality control. Ural Medical Journal. 2019 (9): 101–110. (In Russ.) https://doi/org/25694/urw.2019.09.29
5. Burdyukov M. S., Vatolin V. M., Petrov S. P., Gusev D. V., Kashin S. V., Korolev V. N., et al. Key results of the seminar ‘Informed Consent in Endoscopy’ organized by experts’ association in quality assessment in medical care. EvidenceBased Gastroenterology. 2020; 9 (4): 102–110. (In Russ.) https://doi.org/10.17116/dokgastro20209041102
6. Galkova Z. V., Logunova P. V., Zharova M. E., Nikonov E. L. Informed voluntary consent in endoscopy. Examples of protocols. EvidenceBased Gastroen terology. 2023; 12 (3): 101–114. (In Russ.) https://doi.org/10.17116/dokgastro202312031101
7. Order of the Ministry of Health of the Russian Federation dated December 6, 2017 No. 974n ‘On approval of the Rules for conducting endoscopic exam inations.’ URL: https://zdravalt.ru/upload/iblock/7f3/974n.pdf (Date of access: 10/19/2023).
8. Emura F., Sharma P., Arantes V., Cerisoli C., ParraBlanco A., Sumiyama K., et al. Principles and practice to facilitate complete photodocumentation of the upper gastrointestinal tract: World Endoscopy Organization position statement. Dig Endosc. 2020; 32 (2): 168–179. https://doi.org/10.1111/den.13530
9. Gastritis and duodenitis. Clinical recommendations. Moscow, 2021. URL: https://cr.minzdrav.gov.ru/schema/708_1 (Access date 10.19.2023).
Review
For citations:
Baulina О.А., Gulyaev A.A. Compliance with quality criteria for endoscopic examinations (sociological aspects). Medical alphabet. 2023;(35):22-27. (In Russ.) https://doi.org/10.33667/2078-5631-2023-35-22-27