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

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116 PROCARE – phase 2 KCE reports 81PROPORTION OF PATIENTS IN WHOM A TRUS AND PELVIC CTAND/OR MRI WAS PERFORMED BEFORE ANY TREATMENTMeasurement in prospective PROCARE database (Figure 29)Patients undergoing treatment are again selected using the variables ‘AD_V111’,‘AD_V113’, ‘AD_V114’, ‘AD_V117’, ‘AD_V118’, ‘AD_V121’ and ‘AD_V122’ (hospitaldata section of data entry form). In the pre-treatment section, 2 variables are availablefor TRUS (‘SPR_V124’ and ‘SPR_V128’) and pelvic CT (‘SPR_V122’ and ‘SPR_V126’).Four variables are available for pelvic MRI (‘SPR_V123’, ‘SPR_V125’, ‘SPR_V127’ and‘SPR_V129’). For al these variables, it is asked to fill in all available data. However, ablank field does not necessarily mean that the investigation was not carried out, but thatit was not registered in the database.Measurement in coupled administrative databaseSpecific nomenclature codes exist for TRUS (Table 78). Also, a nomenclature codeexists for the performance of a CT (Table 62) or MRI (Table 79), although withoutspecification of the anatomic region. Table 80 provides an overview of the possible ICD-9-CM codes for TRUS, pelvic CT and MRI. However, these codes are too unspecific toselect these procedures.In conclusion, this QI is not measurable for the administrative cohort due to an absenceof specific administrative codes.Figure 29. Algorithm for QI 1215 (PROCARE database).All patientsN=1071TreatmentN=1067TRUS and(pelvic CT and/or pelvic MRI)N=36634,30%Treatment(surgery-radiochemo)?Clinical TNMbased onCT-MRi-EUS-KSTis filled out?No treatmentN=4TRUS and(pelvic CT and/or pelvic MRI)ORTRUS and(pelvic CT and/or pelvic MRI)=MISSING in databaseORno questionnaire filled in(N=8)N=701
KCE Reports 81 PROCARE – phase 2 117Table 78. Nomenclature codes for TRUS.Nomenclature Description (Dutch)Description (French)code460493 –460504469571 –469582473896 –473900Bidimensionele echografie metgeschreven protocol en iconografischedrager die ontstaat na digitalebeeldverwerking van de gegevensongeacht het aantal echogrammen :Transrectale echografieBidimensionele echografie metgeschreven protocol en iconografischedrager die ontstaat na digitalebeeldverwerking van de gegevensongeacht het aantal echogrammen - Vanhet abdomen : Transrectale echografieAnorectale echo-endoscopieEchographie bidimensionnelle avecprotocole écrit et supporticonographique issu d'un traitementdigital des données quel que soit lenombre d'échogrammes : EchographietransrectaleEchographie bidimensionnelle avecprotocole écrit et supporticonographique issu d'un traitementdigital des données quel que soit lenombre d'échogrammes - Del'abdomen : Echographie transrectaleEchoendoscopie ano-rectaleTable 79. Nomenclature code for MRI.Nomenclature Description (Dutch)code459410 – NMR-onderzoek van de hals of van de459421 thorax of van het abdomen of van hetbekken, minstens drie sequenties, metof zonder contrast, met registratie opoptische of elektromagnetische dragerDescription (French)Examen d'IRM du cou ou du thorax oude l'abdomen ou du bassin, minimum 3séquences, avec ou sans contraste, avecenregistrement sur support soitoptique, soit électromagnétiqueTable 80. Possible ICD-9-CM codes for TRUS, CT pelvis and MRI pelvis.Code Description CommentTRUS88.74 Diagnostic ultrasound of digestive system Not specific for TRUS88.76 Diagnostic ultrasound of abdomen and retroperitoneum Not specific for TRUSPelvic CT88.38 C.A.T scan NOSNot specific for pelvic CTExcludes :C.A.T. scan of :abdomen (88.01)head (87.03)kidney (87.71)thorax (87.41)Pelvic MRI88.95 Magnetic resonance imaging of pelvis, prostate andbladder
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