Optimal decision-making domain summary
| Domain | Optimal decision-making |
|---|---|
| Objective | Assessment of the appropriateness of decision-making in the management of LNPCPs |
| KPI | Surgery rate for LNPCPs |
| Denominator | Include all patients with NPCPs, including lesions that prove to be cancers Exclude patients with LNPCPs undergoing primary surgery for cancer (where no endoscopic resection has been attempted). Do not exclude patients with cancers who undergo endoscopic therapy |
| Numerator | Patients with LNPCPs undergoing surgery for that lesion |
| Analysis | Calculate at patient level (not LNPCP level) Report as percentage (proportion of patients) |
| Frequency | Calculate annually |
| Level of analysis | Service level |
| Minimum standard | No current standard defined |
| Aspirational standard | No current standard defined |
| Action | Qualitative review of each case |
| Evidence | Swan et al44 Longcroft-Wheaton et al29 Bertelson et al45 Lee et al7 Moss et al9 Buchner et al31 |
KPI, key performance indicators; LNPCPs, large non-pedunculated colorectal polyps.