Publications by authors named "R M Valori"
Background: This study investigated the application of Duty of Candour (DoC) legislation in the context of post-colonoscopy colorectal cancers (PCCRCs). DoC mandates transparent disclosure of notifiable safety incidents to patients in the English National Health Service, including incidences leading to severe or moderate harm. This study aimed to analyze the application of DoC in PCCRCs, improve understanding of the legislation, and identify challenges in DoC implementation.
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- In 2018, the World Endoscopy Organization (WEO) established standardized methods to calculate post-colonoscopy colorectal cancer rates over three years (PCCRC-3yr), prompting a systematic review to assess global rates and associated risk factors.
- The review analyzed studies from five databases and included eight studies totaling over 220,000 colorectal cancer cases, finding a pooled PCCRC-3yr rate of 7.5% that significantly decreased from 7.9% in 2006 to 6.7% in 2012.
- Higher PCCRC rates were linked to specific risk factors, including inflammatory bowel disease, prior colorectal cancer, proximal cancer location, diverticular disease, and being female, undersc
Article Synopsis
- The study looked at how much it would cost and how it would affect people's health if England improved their endoscopy (a type of medical test) services to be the best they can be.
- They used a model to compare three types of endoscopy services: high, middle, and low performing, by simulating the experience of 40-year-olds until they are 90 years old.
- The findings suggest that if all lower-performing services were improved, it could provide significant health benefits and save the NHS around £5 million each year.
Article Synopsis
- The study used the UK's National Endoscopy Database to evaluate if feedback on polyp detection rates could improve endoscopists' performance during colonoscopies.
- It involved a randomized trial with 541 endoscopists across 36 centers, where those in the intervention group received monthly performance reports based on behavior change theories.
- Although there was no significant increase in the average number of polyps detected, there were notable improvements in overall polyp detection rates during the intervention, particularly among those who actively engaged with the feedback, but these gains did not carry over after the intervention.
Editorial: Making lower GI endoscopy referrals more FIT for purpose.
Aliment Pharmacol Ther
July 2024