Development of a Database Quality Assurance Score (dQAS) to Validate the Nigeria AIDS Indicator and Impact Survey (NAIIS) Database (Preprint)

2020 ◽  
Author(s):  
Deepa Dongarwar
Keyword(s):  
Quality Assurance ◽  
Population Based ◽  
Performance Measure ◽  
Evaluation Tool ◽  
Expert Review ◽  
Technical Performance ◽  
Database Evaluation ◽  
Validation Score ◽  
Quality Assessment Score ◽  
Database Quality

BACKGROUND In 2018, Nigeria implemented the world’s largest HIV survey “The Nigeria AIDS Indicator and Impact survey (NAIIS)”, with the overarching goal of obtaining more reliable metrics regarding the national scope of HIV epidemic control in Nigeria. OBJECTIVE To (1) describe the processes involved in the development of a new database evaluation tool (“Database Quality Assurance Score [dQAS]) (2) Assess the application of the dQAS in the evaluation and validation of the NAIIS database. METHODS With the assistance of expert review panelists, the dQAS tool was created using an online Delphi (e-Delphi) methodology. Thematic categories were developed to form superordinate categories that grouped themes together. Subordinate categories were then created that decomposed themes down for more specificity. A validation score was employed to assess the technical performance of the NAIIS database. This culminated in the development of the dQAS. RESULTS The finalized dQAS tool was composed of 34 items with a total score of 81.The tool has two sections; a validation item section - which contains 5 sub-sections; and a quality assessment score section, which assigns a score of “1” for “Yes” to indicate that the performance measure item was present and “0” for “No” to indicate that the measure was absent. There were also additional scaling scores ranging from “0” to a maximum of “4” depending on the measure. The NAIIS database achieved 78 out of the maximum total score of 81, yielding an overall technical performance score of 96.3%, which placed it in the highest category denoted as “Exceptional”. CONCLUSIONS This study showed the feasibility of remote internet-based collaboration for the development of dQAS - a tool to assess the validity of a locally-created database infrastructure for a developing setting. Using dQAS, the NAIIS database was found to be valid, reliable and a valuable source of data for future population-based HIV-related studies.

scholarly journals Development of a Database Quality Assurance Score (dQAS) to validate the Nigeria AIDS Indicator and Impact Survey (NAIIS) Database. (Preprint)

10.2196/25752 ◽  
2020 ◽  
Author(s):  
Hamisu M. Salihu ◽  
Zenab Yusuf ◽  
Deepa Dongarwar ◽  
Sani H. Aliyu ◽  
Rafeek A. Yusuf ◽  
...  
Keyword(s):  
Quality Assurance ◽  
Database Quality

scholarly journals Development and Validation of Three Regional Microsimulation Models for Predicting Colorectal Cancer Screening Benefits in Europe

2021 ◽  
Vol 6 (1) ◽  
pp. 238146832098497
Author(s):  
Andrea Gini ◽  
Maaike Buskermolen ◽  
Carlo Senore ◽  
Ahti Anttila ◽  
Dominika Novak Mlakar ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Occult Blood ◽  
Population Based ◽  
Incidence Rates ◽  
Fecal Occult Blood ◽  
Evaluation Tool ◽  
Additional Tool ◽  
Crc Screening ◽  
Published Evidence ◽  
Microsimulation Models

Background. Validated microsimulation models have been shown to be useful tools in providing support for colorectal cancer (CRC) screening decisions. Aiming to assist European countries in reducing CRC mortality, we developed and validated three regional models for evaluating CRC screening in Europe. Methods. Microsimulation Screening Analysis–Colon (MISCAN-Colon) model versions for Italy, Slovenia, and Finland were quantified using data from different national institutions. These models were validated against the best available evidence for the effectiveness of screening from their region (when available): the Screening for COlon REctum (SCORE) trial and the Florentine fecal immunochemical test (FIT) screening study for Italy; the Norwegian Colorectal Cancer Prevention (NORCCAP) trial and the guaiac fecal occult blood test (gFOBT) Finnish population-based study for Finland. When published evidence was not available (Slovenia), the model was validated using cancer registry data. Results. Our three models reproduced age-specific CRC incidence rates and stage distributions in the prescreening period. Moreover, the Italian and Finnish models replicated CRC mortality reductions (reasonably) well against the best available evidence. CRC mortality reductions were predicted slightly larger than those observed (except for the Florentine FIT study), but consistently within the corresponding 95% confidence intervals. Conclusions. Our findings corroborate the MISCAN-Colon reliability in supporting decision making on CRC screening. Furthermore, our study provides the model structure for an additional tool (EU-TOPIA CRC evaluation tool: http://miscan.eu-topia.org ) that aims to help policymakers and researchers monitoring or improving CRC screening in Europe.

An Online Quality Assurance Program for Colposcopy in a Population-Based Cervical Screening Setting in Italy

2014 ◽  
Vol 18 (4) ◽  
pp. 309-313 ◽  
Author(s):  
Paolo Cristiani ◽  
Silvano Costa ◽  
Patrizia Schincaglia ◽  
Paola Garutti ◽  
Priscilla Sassoli de Bianchi ◽  
...  
Keyword(s):  
Quality Assurance ◽  
Cervical Screening ◽  
Population Based ◽  
Quality Assurance Program

scholarly journals Quality assured implementation of the Slovenian breast cancer screening programme

PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0258343
Author(s):  
Katja Jarm ◽  
Maksimiljan Kadivec ◽  
Cveto Šval ◽  
Kristijana Hertl ◽  
Maja Primic Žakelj ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Assurance ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Screening Programme ◽  
Population Based ◽  
Professional Staff ◽  
Successful Implementation ◽  
Breast Cancer Screening Programme ◽  
Cancer Screening Programme

Setting The organised, population-based breast cancer screening programme in Slovenia began providing biennial mammography screening for women aged 50–69 in 2008. The programme has taken a comprehensive approach to quality assurance as recommended by the European guidelines for quality assurance in breast cancer screening and diagnosis (4th edition), including centralized assessment, training and supervision, and proactive monitoring of performance indicators. This report describes the progress of implementation and rollout from 2003 through 2019. Methods The screening protocol and key quality assurance procedures initiated during the planning from 2003 and rollout from 2008 of the screening programme, including training of the professional staff, are described. The organisational structure, gradual geographical rollout, and coverage by invitation and examination are presented. Results The nationwide programme was up and running in all screening regions by the end of 2017, at which time the nationwide coverage by invitation and examination had reached 70% and 50%, respectively. Nationwide rollout of the population-based programme was complete by the end of 2019. By this time, coverage by invitation and examination had reached 98% and 76%, respectively. The participation rates consistently exceeded 70% from 2014 to 2019. Conclusions The successful implementation of the screening programme can be attributed to an independent central management, external guidance, and strict adherence to quality assurance procedures, all of which contributed to increasing governmental and popular support. The benefits of quality assurance have influenced all aspects of breast care and have provided a successful model for multidisciplinary management of other diseases.

Changes in Intubation Rates and Outcome of Very Low Birth Weight Infants: A Population-based Study

PEDIATRICS ◽  
1996 ◽  
Vol 98 (1) ◽  
pp. 24-27 ◽  
Author(s):  
Christian F. Poets ◽  
Brigitte Sens
Keyword(s):  
Quality Assurance ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Very Low Birth Weight ◽  
Controlled Trial ◽  
Population Based ◽  
Quality Assurance Program ◽  
Low Birth Weight Infants ◽  
Vlbw Infants ◽  
Selective Approach

Objective. There have been indications of a recent decrease in intubation rates of very low birth weight (VLBW) infants in Germany. We wanted to quantify this decrease and analyze its effect on clinical outcome. Methods. Population-based data on the treatment and outcome at hospital discharge from a statewide quality assurance program were analyzed for 2001 VLBW infants (500 to 1499 g) born from 1992 to 1994 in Lower Saxony, North Germany. Results. The proportion of patients not intubated and mechanically ventilated increased from 7% to 14% in infants less than 1000 g and from 28% to 44% in those greater than or equal to 1000 g (P < .02 and < .01, respectively). This increase was not associated with any significant increase in adverse outcome such as death, intraventricular hemorrhage, periventricular leucomalacia, or bronchopulmonary dysplasia (BPD). Instead, there was an increase in the proportion of infants less than 1000 g who survived without BPD (from 38% in 1992 to 48% in 1994; P > .05) and a decrease in the proportion of infants greater than or equal to 1000 g in whom BPD developed (from 14% to 9%; P < .05). Conclusions. The data from a statewide quality assurance program show a significant reduction in the aggressiveness of the treatment of VLBW infants, which was not associated with an increased mortality or morbidity. This observational study, however, cannot define whether a more selective approach to the intubation of VLBW infants will ultimately result in a better outcome. A randomized, controlled trial would be required to answer this clinically important question.

scholarly journals Implementation of the first worldwide quality assurance program for cystic fibrosis multiple mutation detection in population-based screening

2011 ◽  
Vol 412 (15-16) ◽  
pp. 1376-1381 ◽  
Author(s):  
Marie C. Earley ◽  
Anita Laxova ◽  
Philip M. Farrell ◽  
Rena Driscoll-Dunn ◽  
Suzanne Cordovado ◽  
...  
Keyword(s):  
Cystic Fibrosis ◽  
Quality Assurance ◽  
Mutation Detection ◽  
Population Based ◽  
Quality Assurance Program ◽  
Multiple Mutation

scholarly journals Sarcoma: concordance between initial diagnosis and centralized expert review in a population-based study within three European regions

2012 ◽  
Vol 23 (9) ◽  
pp. 2442-2449 ◽  
Author(s):  
I. Ray-Coquard ◽  
M.C. Montesco ◽  
J.M. Coindre ◽  
A.P. Dei Tos ◽  
A. Lurkin ◽  
...  
Keyword(s):  
Population Based ◽  
Initial Diagnosis ◽  
European Regions ◽  
Population Based Study ◽  
Expert Review
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