Original Article
Endoscopy in China: a national survey on the services, quality and safety of digestive endoscopy in 2021
Wang Tianjiao, Xin Lei, Wang Luowei, Ma Xudong, Li Zhaoshen
Published 2022-11-20
Cite as Chin J Dig Endosc, 2022, 39(11): 879-884. DOI: 10.3760/cma.j.cn321463-20220222-00046
Abstract
ObjectiveTo evaluate the services, quality and safety of digestive endoscopy in China in 2020.
MethodsData 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.
ResultsA 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.
ConclusionThe 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.
Key words:
Quality control; Digestive endoscopy; National report; National digestive endoscopy improvement system
Contributor Information
Wang Tianjiao
National Digestive Endoscopy Improvement System, Shanghai 200433, China
Department of Gastroenterology, The First Affiliated Hospital of Naval Medical University, Shanghai 200433, China
Xin Lei
National Digestive Endoscopy Improvement System, Shanghai 200433, China
Department of Gastroenterology, The First Affiliated Hospital of Naval Medical University, Shanghai 200433, China
Wang Luowei
National Digestive Endoscopy Improvement System, Shanghai 200433, China
Department of Gastroenterology, The First Affiliated Hospital of Naval Medical University, Shanghai 200433, China
Ma Xudong
Department of Healthcare Quality Evaluation, Bureau of Medical Administration, National Health Commission of the People's Republic of China, Beijing 100044, China
Li Zhaoshen
National Digestive Endoscopy Improvement System, Shanghai 200433, China
Department of Gastroenterology, The First Affiliated Hospital of Naval Medical University, Shanghai 200433, China
