Study: Colonoscopy Reporting in Clinical Practice High but Varied

Researchers in the Netherlands assessed the quality of colonoscopy reporting in daily clinical practice and found colonoscopy reporting varied significantly, according to findings published in GIE: Gastrointestinal Endoscopy.

Researchers studied 4,800 colonoscopy reports from 12 endoscopy departments in the Netherlands. The procedures were done by 116 endoscopists: 70 percent by gastroenterologists, 16 percent by gastroenterology fellows, 10 percent by internists, 3 percent by nurse-endoscopists and 1 percent by surgeons. More than 90 percent of reports contained information on indication, sedation practice and extent of the procedure. However, only 62 percent mentioned quality of bowel preparation with a range of 7-100 percent. Photographic documentation of cecal landmarks was present in 71 percent with a range of 22-97 percent. Cecal intubation rate was 92 percent with a range of 84-97 percent. Adenoma detection rate was 24 percent with a range of 13-32 percent.

The researchers concluded that while the quality of reporting was generally high, the large variance between departments suggests that quality can be greatly improved with small changes.

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