Research
A key goal of the CORI project is to use the National Endoscopic
Database (NED) to improve the
quality of clinical practice in gastroenterology. Specific
research goals include the following:
- Perform descriptive analyses of endoscopic utilization,
frequency and severity of endoscopic findings, endoscopic
treatment and medical management. Document changes in
practice patterns over time, identify practice variation
based on
geographic region, type of clinical practice , or patient
demographics (age, gender, race). These descriptive analyses
may form the basis for developing hypothesis for clinical
studies and improving risk stratification in the selection
of patients most likely to benefit from endoscopy.
- Observe
the natural history of chronic GI diseases for which
endoscopic surveillance is used. Perform clinical studies
to determine appropriate intervals for surveillance.
- Determine
the success and effectiveness of endoscopic therapies.
- Determine
the impact of endoscopic diagnoses and therapies on patient
outcomes, such as morbidity, mortality, disease-specific
quality of life, functional status, and health care utilization.
- Evaluate
the frequency of endoscopic complications, and risk factors
for complications.
- Prospectively monitor the results of new
endoscopic innovations.
- Use the endoscopic database for specific
research projects.
- Create patient registries for clinical
trials.
CORI has been effective in supporting the research needs
of its physician participants. CORI data has already been
utilized to support many research initiatives. Many of these
initiatives have resulted in presentations at premier GI
conferences and publications in prominent GI medical journals.
Please visit our publications page for a full listing and
medline links to articles. You may also view a complete list
of DDW abstracts using CORI data.
Examples of recent successful research projects include:
- Colonoscopy practice patterns since introduction
of medicare coverage for average-risk screening, published
in Clinical Gastroenterology Hepatology, January
2004.
- The impact of a celebrity promotional campaign on
the use of colon cancer screening, pubished in Archives
of Internal Medicine, July 2003.
- Utilization of colonoscopy in the United States:
results from a national consortium, published in
Gastrointestinal Endoscopy, December 2005.
- Prevalence of polyps greater than 9 mm in a consortium
of diverse clinical practice settings in the United States,
published in Clinical Gastroenterology and Hepatology,
August 2005
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