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Accuracy of administrative claim data for gastric adenoma after endoscopic resection
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Ga-Yeong Shin, Hyun Ho Choi, Jae Myung Park, Sang Yoon Kim, Jun Young Park, Donghoon Kang, Yu Kyung Cho, Sung Soo Kim, Myung-Gyu Choi
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Clin Endosc 2023;56(3):325-332. Published online March 21, 2023
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DOI: https://doi.org/10.5946/ce.2022.147
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Graphical Abstract
Abstract
PDFPubReaderePub
- Background
/Aims: Administrative databases provide valuable information for large-cohort studies. This study aimed to evaluate the diagnostic accuracy of an administrative database for resected gastric adenomas.
Methods Data of patients who underwent endoscopic resection for benign gastric lesions were collected from three hospitals. Gastric adenoma cases were identified in the hospital database using International Classification of Diseases (ICD) 10-codes. The non-adenoma group included patients without gastric adenoma codes. The diagnostic accuracy for gastric adenoma was analyzed based on the pathological reports of the resected specimen.
Results Among 5,095 endoscopic resections with codes for benign gastric lesions, 3,909 patients were included in the analysis. Among them, 2,831 and 1,078 patients were allocated to the adenoma and non-adenoma groups, respectively. Regarding the overall diagnosis of gastric adenoma with ICD-10 codes, the sensitivity, specificity, positive predictive value, and negative predictive value were 98.7%, 88.5%, 95.2%, and 96.8%, respectively. There were no significant differences in these parameters between the tertiary and secondary centers.
Conclusions Administrative codes of gastric adenoma, according to ICD-10 codes, showed good accuracy and can serve as a useful tool to study prognosis of these patients in real-world data studies in the future.
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Citations
Citations to this article as recorded by
- Gastric Cancer Incidence and Mortality After Endoscopic Resection of Gastric Adenoma: A Nationwide Cohort Study
Jae Myung Park, Songhee Cho, Ga-Yeong Shin, Jayoun Lee, Minjee Kim, Hyeon Woo Yim American Journal of Gastroenterology.2023; 118(12): 2166. CrossRef
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Quality indicators in esophagogastroduodenoscopy
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Sang Yoon Kim, Jae Myung Park
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Clin Endosc 2022;55(3):319-331. Published online May 16, 2022
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DOI: https://doi.org/10.5946/ce.2022.094
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Abstract
PDFPubReaderePub
- Esophagogastroduodenoscopy (EGD) has been used to diagnose a wide variety of upper gastrointestinal diseases. In particular, EGD is used to screen high-risk subjects of gastric cancer. Quality control of EGD is important because the diagnostic rate is examiner-dependent. However, there is still no representative quality indicator that can be uniformly applied in EGD. There has been growing awareness of the importance of quality control in improving EGD performance. Therefore, we aimed to review the available and emerging quality indicators for diagnostic EGD.
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Citations
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- Current status of quality control in screening esophagogastroduodenoscopy and the emerging role of artificial intelligence
Lihui Zhang, Liwen Yao, Zihua Lu, Honggang Yu Digestive Endoscopy.2024; 36(1): 5. CrossRef - Simethicone and N-acetyl cysteine in improving mucosal visibility: Towards a “clearer view” during endoscopy
Akash Roy, Mahesh K. Goenka Indian Journal of Gastroenterology.2024; 43(5): 863. CrossRef - Relationship between observation time and detection rate of focal lesions in Esophagogastroduodenoscopy: a single-center, retrospective study
Li Dong, Xiaodan Zhang, Yuting Xuan, Peiling Xiong, Yumei Ning, Bing Zhang, Fan Wang, Qiu Zhao, Jun Fang BMC Gastroenterology.2024;[Epub] CrossRef - The Effect of Esophagogastroduodenoscopy on Intraocular Pressure
Maddalena De Bernardo, Antonella Santonicola, Marco Gioia, Livio Vitiello, Ferdinando Cione, Sergio Pagliarulo, Paola Iovino, Nicola Rosa Journal of Clinical Medicine.2024; 13(5): 1224. CrossRef - The Diagnostic Performance of Linked Color Imaging Compared to White Light Imaging in Endoscopic Diagnosis of Helicobacter pylori Infection: A Systematic Review and Meta-Analysis
Jae Gon Lee, In Kyung Yoo, Abdullah Ozgur Yeniova, Sang Pyo Lee Gut and Liver.2024; 18(3): 444. CrossRef - Optimal number of images and 2-year interval affect cancer detection in screening esophagogastroduodenoscopy: An observational study
Kazuhiro Ksahiwagi, Toshifumi Yoshida, Kayoko Fukuhara, Rieko Bessho, Hitoshi Ichikawa, Nagamu Inoue, Hiromasa Takaishi, Yasushi Iwao, Takanori Kanai Medicine.2024; 103(26): e38774. CrossRef - Sistema de auditoría automática para la exploración endoscópica del estómago con Inteligencia Artificial – Gastro UNAL: Gastroendoscopy UNit for Automatic Labeling
Martín Alonso Gómez Zuleta, Diego Fernando Bravo Higuera, Josué Andre Ruano Balseca, María Jaramillo González, Fabio Augusto González Osorio, Edgar Eduardo Romero Castro Revista colombiana de Gastroenterología.2024; 39(2): 133. CrossRef - Optimal Surveillance of Metachronous Gastric Lesion after Endoscopic Resection of Early Gastric Cancer
Dong Chan Joo, Gwang Ha Kim Gut and Liver.2024; 18(5): 781. CrossRef - Chronic Atrophic Gastritis and Intestinal Metaplasia: A Latin American Perspective
Arnoldo Riquelme, Felipe Silva, Diego Reyes, Gonzalo Latorre The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2024; 24(3): 218. CrossRef - Esophagogastroduodenoscopy Quality Improvement and the Role of Topical Antiperistaltic Agents: A Systematic Review and Meta-Analysis
Eoghan Burke, Patricia Harkins, Mayilone Arumugasamy Cureus.2024;[Epub] CrossRef - Endoscopic Imaging for the Diagnosis of Neoplastic and Pre-Neoplastic Conditions of the Stomach
Bruno Costa Martins, Renata Nobre Moura, Angelo So Taa Kum, Carolina Ogawa Matsubayashi, Sergio Barbosa Marques, Adriana Vaz Safatle-Ribeiro Cancers.2023; 15(9): 2445. CrossRef - The effect of short-term training about depth predicting score on the diagnostic ability of invasion depth for differentiated early gastric Cancer among non-expert endoscopists
Hui Li, Hui Hu, Ping Geng, Panhui Guo, Yuanrong Zhu, Lulu Zeng, Jun Liu, Xiangpeng Hu BMC Medical Education.2023;[Epub] CrossRef - Variation in the rate of detection of minute and small early gastric cancers at diagnostic endoscopy may reflect the performance of individual endoscopists
Daisuke Murakami, Masayuki Yamato, Yuji Amano, Takayoshi Nishino, Makoto Arai BMJ Open Gastroenterology.2023; 10(1): e001143. CrossRef - Improving the quality of the esophagogastroduodenoscopy in Helicobacter pylori-naïve gastric cancer
Jae Myung Park Clinical Endoscopy.2023; 56(4): 453. CrossRef - Enhancing the Quality of Upper Gastrointestinal Endoscopy: Current Indicators and Future Trends
Caesar Ferrari, Micheal Tadros Gastroenterology Insights.2023; 15(1): 1. CrossRef - Antispasmodic Agent Administration Improves Gastric Neoplasm Detection Rates during Esophagogastroduodenoscopy
Sang Yoon Kim, Jae Myung Park The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2022; 22(3): 246. CrossRef - Clinical features of gastric adenoma detected within 3 years after negative screening endoscopy in Korea
Hyun Young Kim Gastroenterology Report.2022;[Epub] CrossRef
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Comparison of the Diagnostic Ability of Endoscopic Ultrasonography and Abdominopelvic Computed Tomography in the Diagnosis of Gastric Subepithelial Tumors
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Sang Yoon Kim, Ki-Nam Shim, Joo-Ho Lee, Ji Young Lim, Tae Oh Kim, A. Reum Choe, Chung Hyun Tae, Hye-Kyung Jung, Chang Mo Moon, Seong-Eun Kim, Sung-Ae Jung
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Clin Endosc 2019;52(6):565-573. Published online July 17, 2019
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DOI: https://doi.org/10.5946/ce.2019.019
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Abstract
PDFPubReaderePub
- Background
/Aims: Endoscopic ultrasonography (EUS) is the most efficient imaging modality for gastric subepithelial tumors (SETs). However, abdominopelvic computed tomography (APCT) has other advantages in evaluating the characteristics, local extension, or invasion of SETs to adjacent organs. This study aimed to compare the diagnostic ability of EUS and APCT based on surgical histopathology results.
Methods We retrospectively reviewed data from 53 patients who underwent both EUS and APCT before laparoscopic wedge resection for gastric SETs from January 2010 to December 2017 at a single institution. On the basis of histopathology results, we assessed the diagnostic ability of the 2 tests.
Results The overall accuracy of EUS and APCT was 64.2% and 50.9%, respectively. In particular, the accuracy of EUS vs. APCT for the diagnosis of gastrointestinal stromal tumors (GISTs), leiomyomas, and ectopic pancreas was 83.9% vs. 74.2%, 37.5% vs. 0.0%, and 57.1% vs. 14.3%, respectively. Most of the incorrect diagnoses with EUS involved hypoechoic lesions originating in the fourth echolayer, with the most common misdiagnosed lesions being GISTs mistaken for leiomyomas and vice versa.
Conclusions APCT showed a lower overall accuracy than EUS; however, APCT remains a useful modality for malignant/potentially malignant gastric SETs.
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