Endoscopy 2018; 50(04): S112-S113
DOI: 10.1055/s-0038-1637363
ESGE Days 2018 ePoster Podium presentations
20.04.2018 – Colonoscopy: quality
Georg Thieme Verlag KG Stuttgart · New York

FULFILMENT OF COLONOSCOPY QUALITY INDICATORS

C Mangas
1   Hospital General Universitario de Alicante, Alicante, Spain
,
E Santana
1   Hospital General Universitario de Alicante, Alicante, Spain
,
J Cubiella
2   Complexo Hospitalario Universitario de Ourense, Ourense, Spain
,
A Suárez
3   Hospital Universitario Central de Asturias, Oviedo, Spain
,
I Portillo
4   Hospital Donostia/Instituto Biodonostia, Universidad del País Vasco, San Sebastián, Spain
,
A Seoane
5   Parc de Salut Mar, Hospital del Mar, Barcelona, Spain
,
M Ponce
6   Hospital Universitari i Politècnic La Fe, Valencia, Spain
,
P Díez
7   Hospital Universitario Río Hortega, Valladolid, Spain
,
E Quintero
8   Hospital Universitario de Canarias, Universidad de La Laguna, Santa Cruz de Tenerife, Spain
,
M Herráiz
9   Clínica Universitaria de Navarra, Pamplona, Spain
,
M Pellisé
10   Hospital Clínic, CIBERehd, IDIBAPS, University of Barcelona, Barcelona, Spain
,
Á Fernández
11   Hospital Clínico Lozano Blesa, Universidad de Zaragoza, CIBERehd, Zaragoza, Spain
,
V Hernández
12   Grupo de Investigación en Patología Digestiva, Vigo, Spain
,
Á Pizarro
13   Hospital Universitario Virgen del Rocío, Sevilla, Spain
,
R Jover
1   Hospital General Universitario de Alicante, Alicante, Spain
› Author Affiliations
Further Information

Publication History

Publication Date:
27 March 2018 (online)

Also available at
 

Aims:

Colonoscopy plays a key role in prevention and diagnosis of colorectal cancer (CRC), and it's quality influences the amount of interval cancer. However, we have little information on quality compliance standards in Spain. The aim was to evaluate the fulfilment of colonoscopy quality indicators in a sample of centres in Spain.

Methods:

Observational, multicenter cross-sectional study. We included colonoscopies performed during 2016. We included patients aged 40 – 80 years old, and four colonoscopy indications: gastrointestinal symptoms, fecal immunochemical test positive (FIT+), post-polypectomy surveillance and primary screening colonoscopy. We excluded people diagnosed with CRC or adenomas < 6 months, review of incomplete excision or piecemeal resection, treatment of colon stricture, abdominal or rectal mass, and people diagnosed with IBD or hereditary cancer syndrome.

Results:

8895 colonoscopies were included. 52.5% (4665) were men and the median age was 62 years-old. 36.7% (3261) of the procedures were due to gastrointestinal symptoms, 39% (3463) because of FIT+, 16.9% (1500) due to post-polypectomy surveillance and 7.4% (654) for primary screening colonoscopy. 64.8% (5709) of the colonoscopies were performed during morning shift (< 3'00pm). 39.0% (3447) used PEG2L, 35.5% (3134) sodium picosulphate/Mgcitrate and 22.3% (1970) used PEG4L. The rate of adequate colon cleansing was 87.3% (7284). The cecal intubation rate was 95.6% (8472). The rate of sedation was 94.4% (8239), and 77% (6322) of sedations were performed by gastroenterologists. 73.4% (6471) of the colonoscopies were with Olympus endoscope, 16.9% (1492) with Pentax and 9.2% (811) with Fuji.

Polyp detection rate was 54.8% (4871). 7084 adenomas and 314 sessile serrated and traditional adenomas were found. The adenoma detection rate was 38.9% (2761), sessile serrated and traditional adenomas detection rate was 3.0% (186), advanced adenomas detection rate 19.4% (1233) and CRC detection rate 4.3% (376).

Conclusions:

In Spain, the fulfilment of colonoscopy quality indicators is adequate. However looking for factors related to an inadequate colon cleansing might improve the rate of adequate colon cleansing so the efficacy of colonoscopies as well.