Document Detail


Minimal standard terminology for digestive endoscopy: results of prospective testing and validation in the GASTER project.
MedLine Citation:
PMID:  10774976     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND STUDY AIMS: Standardization of the endoscopic report is a key issue for future research in the field of digestive endoscopy. The Minimal Standard Terminology (MST) has been proposed by the European Society for Gastrointestinal Endoscopy (ESGE) as a structured language for production of computerized endoscopic reports. The aim of this study was to validate version 1.0 of this terminology prospectively, by collecting cases in a multicenter, multilingual trial. METHODS: Endoscopic cases (esophagogastroduodenoscopy [EGD], colonoscopy, endoscopic retrograde cholangiopancreatography [ERCP]) were prospectively collected in nine university hospitals in Europe, using the same software. Reports were produced in the local language, but the software allowed comparison of reports between languages, and global analysis of the database. Outcome measures were the adequacy of terms proposed in the MST to describe "reasons for performing an endoscopy", "findings", and "endoscopic diagnoses", frequency of use and content of free-text fields, and types of lesions described. RESULTS: A total of 6,232 reports were analyzed, including 3,447 gastroscopies, 1,743 colonoscopies, and 1,042 ERCPs. Overall, terms originally contained in the MST were adequate to describe fully 91.0% of all examinations where "reasons for endoscopy" were described, 99.5 % of examinations where "findings" were described, 95.8% of all examinations containing descriptions of "endoscopic diagnosis", 98.9% of examinations containing descriptions of "additional diagnostic procedures", and 94.8 % of examinations containing descriptions of "additional therapeutic procedures". Free-text fields were only used in the other cases (less than 5% of cases in average). CONCLUSIONS: The MST appeared adequate to cover a large part of routine endoscopy reports, and could thus be used as a tool for standardization of endoscopic reports in clinical practice. The latter could be significantly improved by the use of a structured and standardized terminology for the production of endoscopic reports.
Authors:
M Delvaux; M Crespi; J R Armengol-Miro; F Hagenmüller; W Teuffel; K B Spencer; J Stettin; F M Zwiebel
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Endoscopy     Volume:  32     ISSN:  0013-726X     ISO Abbreviation:  Endoscopy     Publication Date:  2000 Apr 
Date Detail:
Created Date:  2000-06-20     Completed Date:  2000-06-20     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0215166     Medline TA:  Endoscopy     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  345-55     Citation Subset:  IM    
Affiliation:
Gastroenterology Unit, CHU Rangueil, Toulouse, France. 106521.3337@compuserve.com
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MeSH Terms
Descriptor/Qualifier:
Clinical Trials as Topic / statistics & numerical data
Data Collection
Databases, Factual
Endoscopy, Gastrointestinal / standards*,  statistics & numerical data
Europe
Female
Forms and Records Control
Guidelines as Topic*
Humans
Male
Medical Records Systems, Computerized*
Multicenter Studies as Topic / statistics & numerical data
Prospective Studies
Registries
Reproducibility of Results
Software
Statistics as Topic
Terminology as Topic*
Vocabulary, Controlled*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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