Endoscopy 2020; 52(S 01): S140
DOI: 10.1055/s-0040-1704432
ESGE Days 2020 ePoster Podium presentations
Quality assurance in colonoscopy 11:00 – 11:30 Thursday, April 23, 2020 ePoster Podium 4
© Georg Thieme Verlag KG Stuttgart · New York

IMPACT OF COLONOSCOPY ON WORKING ACTIVITY (CO-WORK): A PROSPECTIVE MULTICENTER OBSERVATIONAL STUDY

L Fuccio
1   University of Bologna, Department of Medical and Surgical Sciences, Bologna, Italy
,
L Frazzoni
1   University of Bologna, Department of Medical and Surgical Sciences, Bologna, Italy
,
AC Paoloni
2   Sant’Orsola-Malpighi Hospital, Bologna, Italy
,
S Cadoni
3   Digestive Endoscopy Unit, Centro Traumatologico-Ortopedico Hospital, Iglesias, Italy
,
F Rogai
4   AOU Careggi, Florence, Italy
,
L Laterza
5   Endoscopy Unit, AUSL Reggio Emilia, Reggio-Emilia, Italy
,
C Trovato
6   Division of Endoscopy, European Institute of Oncology, IRCCS, Milan, Italy
,
A Anderloni
7   Humanitas Clinical and Research Center, Rozzano (Milan), Italy
,
F Radaelli
8   Gastroenterology Unit, Valduce Hospital, Como, Italy
,
A Montale
1   University of Bologna, Department of Medical and Surgical Sciences, Bologna, Italy
,
C Fabbri
9   Unit of Gastroenterology and Digestive Endoscopy, Forli-Cesena Hospital, AUSL Romagna, Forlì-Cesena, Italy
,
G Vitale
10   Azienda Ospedaliera Regionale ‘S. Carlo’, Potenza, Italy
,
ML Marca
1   University of Bologna, Department of Medical and Surgical Sciences, Bologna, Italy
,
F Pigò
11   Digestive Endoscopy Unit, Ospedale Civile di Baggiovara, Azienda Ospedaliero-Universitaria di Modena, Baggiovara (Modena), Italy
,
A Musso
12   Gastroenterology Unit, Città della Salute e della Scienza, Turin, Italy
,
A Mussetto
13   Gastroenterology Unit, S. Maria delle Croci Hospital, Ravenna, Italy
,
G Fiori
6   Division of Endoscopy, European Institute of Oncology, IRCCS, Milan, Italy
,
M Manno
14   UOSD Gastroenterologia ed Endoscopia Digestiva, Azienda USL di Modena, Carpi, Italy
,
A Repici
7   Humanitas Clinical and Research Center, Rozzano (Milan), Italy
,
F Bazzoli
1   University of Bologna, Department of Medical and Surgical Sciences, Bologna, Italy
,
C Hassan
15   Endoscopy Unit, Nuovo Regina Margherita Hospital, Rome, Italy
,
A Farioli
1   University of Bologna, Department of Medical and Surgical Sciences, Bologna, Italy
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

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Aims Colonoscopy is a complex and invasive procedure possibly affecting patient’s working activity, both before and after its performance. Aim was to assess the impact of colonoscopy on patient working activity.

Methods Multicenter prospective observational study conducted in 10 Italian Centres from April 2016 to May 2017. Consecutive adult workers who underwent colonoscopy as outpatient were included. Data were recorded at time of colonoscopy and through a diary for the following 7 days. The primary outcome was the impact of the procedure on the working activity.

Results 1,102 subjects (56% male, mean age 51 years) were included. Overall, 745 (68%) subjects were employees, whereas 273 (25%) were freelance workers; 301 (27%) worked 6-7 days a week, 702 (64%) had flexible timetable, 153 (14%) worked also at night. Travel time to work was < 30 minutes in 724 (66%) subjects, and >1 hour in 68 (6%) subjects. Split-dose or same-day bowel prep regimen was followed by 772 (70%) subjects. Low- and high-volume bowel prep was taken by 494 (45%) and 608 (55%) subjects, respectively. Colonoscopy was complete in 1,038 (94%) subjects. Colon cleansing was adequate in 1,006 (91%) cases. Overall, 244 (22%) subjects reported that bowel prep significantly interfered with their working activity; this figure was higher for same-day (35%) and day-before (25%) vs. split-dose (20%) regimen (p=0.01), whereas no significant impact was found for high- (24%) vs. low-volume (20%) prep (p=0.07). Among 910 patients with follow-up data, 103 (11%) reported a worse working performance, and 50 (6%) lost ≥1 day of work. A higher proportion of subjects who reported pain during colonoscopy later had a worse working performance vs. those who did not (17% vs. 8%, p=0.01), whereas intravenous sedation did not affect this outcome (p=0.200).

Conclusions Bowel preparation undertaken as a same-day or day-before regimen, and pain during colonoscopy significantly affect working activity.