Colonoscopies in Portuguese district hospitals: a multicentric transverse study.

Détails

ID Serval
serval:BIB_44E24EC6B75F
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Colonoscopies in Portuguese district hospitals: a multicentric transverse study.
Périodique
Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver
Auteur(s)
Cremers M.I., Marques-Vidal P.
Collaborateur(s)
NGHD (Núcleo de Gastrenterologia dos Hospitais Distritais)
ISSN
1590-8658 (Print)
ISSN-L
1590-8658
Statut éditorial
Publié
Date de publication
12/2006
Peer-reviewed
Oui
Volume
38
Numéro
12
Pages
912-917
Langue
anglais
Notes
Publication types: Evaluation Studies ; Journal Article ; Multicenter Study
Publication Status: ppublish

Résumé
To characterise the colonoscopies performed in the Portuguese District Hospitals.
Transverse study conducted between 7 and 18 March 2005 amongst the 33 District Hospitals throughout Portugal. Data collected included the following: gender, age, geographical origin, ambulatory or hospitalised, routine or emergency, type of preparation, sedation practice (if any), informed consent, indication, extent of the visualisation of the colon and final result (endoscopic and histological).
Thirty-one of the 33 District Hospitals (94%) sent the reports of colonoscopies and biopsies performed during the aforementioned period, resulting in 1245 colonoscopies. The majority of colonoscopies were ambulatory (80.7%); in 12 centres informed consent was obtained. The main indications were the following: polipectomy (20%), haematochezia (15%) and polyp follow-up (10%), whereas screening for colorectal cancer was the sixth most frequent indication. Sedation was administered in 24.5% of procedures. Colonoscopies were complete in 69.6% of cases. The main reasons for incomplete colonoscopies were poor bowel preparation, patient discomfort or technical difficulty. Colonoscopies were normal in 36% of cases; 40.3% had polyps, 16.4% had diverticulosis, 4.8% had colorectal cancer, 3.5% had inflammatory bowel disease and 1.1% had angiodisplasias.
There was a high interest in participating in this study by Endoscopy Units in Portuguese District Hospitals. There is a low number of units using informed consent, which is mandatory by law, and this should be corrected. There is a need to increase sedation practice and to find better ways for preparing the colon, in order to achieve a higher percentage of complete colonoscopies and of polypectomies. The numbers of polyps detected and of colorectal cancers diagnosed confirm the importance of screening for colorectal cancer.

Mots-clé
Adolescent, Adult, Aged, Aged, 80 and over, Colonoscopy/methods, Conscious Sedation, Female, Hospitals, District, Humans, Male, Middle Aged, Portugal, Quality of Health Care, Retrospective Studies
Pubmed
Création de la notice
01/12/2016 15:01
Dernière modification de la notice
20/08/2019 13:49
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