Assurance de qualité pour le cancer rectal – phase 2 ...

More documents

Recommendations

Info

112 PROCARE – phase 2 KCE reports 81Table 73. Nomenclature codes for CEA measurement.Nomenclature Description (Dutch)Description (French)code548332 – 548343 Doseren van C.E.A. met nietisotopen-methode (Maximum 1)(Cumulregel 201, 317) (Diagnoseregel46) Klasse 1546) Classe 15436192 – 436203 Doseren van C E A (Maximum 1)(Cumulregel 201, 317) (Diagnoseregel46) Klasse 15Dosage de C.E.A. par méthode nonisotopique(Maximum 1) (Règle decumul 201, 317) (Règle diagnostiqueDosage de C E A (Maximum 1)(Règle de cumul 201, 317) (Règlediagnostique 46) Classe 15PROPORTION OF PATIENTS UNDERGOING PREOPERATIVECOMPLETE LARGE BOWEL-IMAGINGMeasurement in prospective PROCARE database (Figure 28)Again, variable ‘AD_V111’ is used to select patients undergoing surgery. Variable‘SG_V109’ enables the selection of elective/scheduled vs. urgent/emergency surgery. Inthe pre-treatment section of the data entry, total colonoscopy is registered through thevariable ‘SPR_V149’. The default value of this variable is ‘0’ (i.e. no colonoscopy;however, missing values also received a value ‘0’), making it impossible to distinguishnon-performance of colonoscopy from missing values. Also in the pre-treatmentsection, complete double contrast barium enema (DCBE) is registered through variable‘SPR_V171’.If a patient did not undergo colonoscopy, the reason is registered through variablesSPR_V154 – V159.Measurement in coupled administrative databaseNomenclature codes are available for both total colonoscopy (codes for leftcolonoscopy were not included) and DCBE (Table 74). Above this, ICD-9-CM codesare available for both procedures (ICD-9-CM code 45.24 is for a left colonoscopy, andwas not used), although the code of Barium Swallow is unspecific (Table 75).Furthermore, coding of DCBE in ICD-9-CM is not obligatory. The correspondence ofthe nomenclature and ICD-9-CM codes for colonoscopy for the 4556 patients that haveboth data is shown in Table 76.Since complete large bowel-imaging can be done during the diagnostic work-up beforethe incidence date, a timeframe of 1 month before the incidence date was chosen. Thesurgery date was identified through specific nomenclature codes and ICD-9-CM codesfor rectal surgery (Table 64, 65, 66, 67 and 68). The elective character of surgery wasidentified through nomenclature codes of urgency (exclusion of patients with thesecodes) (Table 77). However, these codes can only be used for interventions between 21pm and 8 am or during the weekend. Urgent interventions between 8 am and 21 pm onworking days are not captured with these codes. Apart from these codes, the MCDdatabase also allows differentiation between urgent (code 1, within 6 hours afterdiagnosis) or elective (code 2, after 6 hours after diagnosis).
KCE Reports 81 PROCARE – phase 2 113Figure 28. Algorithm for QI 1214 (PROCARE database).All patientsN=1071Coloscopy and/orBarium X-ray before surgerySurgeryN=1058Electiveor scheduled surgeryN=1003N=81181,10%Surgery?Elective orscheduledsurgery?Total coloscopy orcomplete doublecontrast barium enema?NO coloscopyand/or Barium X-ray before surgeryorcoloscopyand/or Barium X-ray before surgery= missing in databaseN=189Urgent surgeryor surgery through emergencyN=22Elective or scheduled surgery=MISSINGN=33No pre-surgeryquestionnaire filled outN=3No surgeryN=13Table 74. Nomenclature codes for total colonoscopy and DCBE.Nomenclature Description (Dutch)Description (French)code473174 –473185Volledige colonoscopie, d.w.z. tot derechterhoek van het colon of deileocoecale klepColonoscopie totale, c.à.d. atteignantl'angle droit du côlon ou la valvuleiléocoecale473432 – IleoscopieIléoscopie473443451710 –451721451754 –451765462711 –462722Radiografie van het colon inclusiefeventueel de ileocoecale streek metbariumlavement, na vulling, evacuatie eneventueel insufflatie, minimum vierclichés, met radioscopisch onderzoekmet beeldversterker en televisie ingesloten ketenRadiografie van het colon, inclusiefeventueel de ileocoecale streek, metbariumlavement, na vulling, evacuatie eninsufflatie, volgens dedubbelcontrasttechniek, minimum achtclichés, met radioscopisch onderzoekmet beeldversterker en televisie ingesloten ketenRadiografie van het colon inclusiefeventueel de ileocoecale streek metbariumlavement, na vulling, evacuatie eneventueel insufflatie, minimum 4 clichés,met radioscopisch onderzoek metbeeldversterker en televisie in geslotenRadiographie du côlon, y compriséventuellement la région iléocoecale,par lavement baryté après remplissage,évacuation et éventuellementinsufflation, minimum 4 clichés avecexamen radioscopique avecamplificateur de brillance et chaîne detélévisionRadiographie du côlon, y compriséventuellement la région iléocoecale,par lavement baryté après remplissage,évacuation et insufflation par latechnique du double contraste,minimum 8 clichés avec examenradioscopique avec amplificateur debrillance et chaîne de télévisionRadiographie du côlon, y compriséventuellement la région iléocoecale,par lavement baryté après remplissage,évacuation et éventuellementinsufflation, minimum 4 clichés avecexamen radioscopique avec
Page 1 and 2:
Assurance de qualitépour le cancer
Page 3 and 4:
Assurance de qualité pour lecancer
Page 5 and 6:
KCE Reports 81B Cancer rectal - pha
Page 7:
KCE Reports 81B Cancer rectal - pha
Page 10 and 11:
vi Cancer rectal - phase 2 KCE Repo
Page 12 and 13:
2 PROCARE - phase 2 KCE reports 81A
Page 14 and 15:
4 PROCARE - phase 2 KCE reports 811
Page 16 and 17:
6 PROCARE - phase 2 KCE reports 81F
Page 19 and 20:
KCE Reports 81 PROCARE - phase 2 92
Page 21 and 22:
Page 23 and 24:
Page 25 and 26:
Page 27 and 28:
Page 29 and 30:
Page 31 and 32:
Page 33 and 34:
Page 35 and 36:
Page 37 and 38:
Page 39 and 40:
Page 41 and 42:
Page 43 and 44:
Page 45 and 46:
Page 47 and 48:
Page 49 and 50:
Page 51 and 52:
Page 53 and 54:
Page 55 and 56:
Page 57 and 58:
Page 59 and 60:
Page 61 and 62:
Page 63 and 64:
Page 65 and 66:
Page 67 and 68:
Page 69 and 70:
Page 71 and 72: KCE Reports 81 PROCARE - phase 2 61
Page 87 and 88: KCE Reports 81 PROCARE - Phase 2 77
Page 121: KCE Reports 81 PROCARE - phase 2 11
Page 169: KCE Reports 81 PROCARE - phase 2 15
Page 172 and 173:
Dépôt légal : D/2008/10.273/39
Page 174 and 175:
35. Etude relative aux coûts poten
show all

Assurance de qualité pour le cancer rectal – phase 2 ...

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?