Variations in colonoscopy practice in Europe: a multicentre descriptive study (EPAGE)

Details

Serval ID
serval:BIB_9B02EB66B7BC
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Variations in colonoscopy practice in Europe: a multicentre descriptive study (EPAGE)
Journal
Scandinavian Journal of Gastroenterology
Author(s)
Harris Jennifer K., Vader John-Paul, Wietlisbach Vincent, Burnand Bernard, Gonvers Jean-Jacques, Froehlich Florian
Working group(s)
European EPAGE Study Group
ISSN
0036-5521
Publication state
Published
Issued date
2007
Peer-reviewed
Oui
Volume
42
Number
1
Pages
126-134
Language
english
Notes
SAPHIRID:60479
Abstract
Objective. The volume of colonoscopies performed is increasing and differences in colonoscopy practice over time and between centres have been reported. Examination of current practice is important for benchmarking quality. The objective of this study was to examine variations in colonoscopy practice in endoscopy centres internationally. Material and methods. This observational study prospectively included consecutive patients referred for colonoscopy from 21 centres in 11 countries. Patient, procedure and centre characteristics were collected through questionnaires. Descriptive statistics were performed and the variation between centres while controlling for case-mix was examined. Results. A total of 6004 patients were included in the study. Most colonoscopies (93%; range between centres 70-100%) were performed for diagnostic purposes. The proportion of main indications for colonoscopy showed wide variations between centres, the two most common indications, surveillance and haematochezia, ranging between 7-24% and 5-38%, respectively. High-quality cleansing occurred in 74% (range 51-94%) of patients, and 30% (range 0-100%) of patients received deep sedation. Three-quarters (range 0-100%) of the patients were monitored during colonoscopy, and one-quarter (range 14-35%) underwent polypectomy. Colonoscopy was complete in 89% (range 69-98%) of patients and the median total duration was 20 min (range of centre medians 15-30 min). The variation between centres was not reduced when case-mix was controlled for. Conclusions. This study documented wide variations in colonoscopy practice between centres. Controlling for case-mix did not remove these variations, indicating that centre and procedure characteristics play a role. Centres generally were within the existing guidelines, although there is still some work to be done to ensure that all centres attain the goal of providing high-quality colonoscopy. [Authors]
Keywords
Colonoscopy
Pubmed
Web of science
Create date
05/02/2008 12:22
Last modification date
20/08/2019 15:02
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