Aims:
To carry out a qualitative analysis of the colonoscopy reports (CR) established in
individuals examined for a positive FIT in Finistere during year 2016. This study
was based on the ESGE quality indicators for colonoscopy.
Methods:
All CR sent to the structure in charge of the screening program have been reviewed.
Fifteen indicators were analyzed.
Results:
1401 reports were analysed: 1135 colonoscopies were performed in private practice
and 266 in public hospitals. The indication for colonoscopy was mentioned in 99.6%
of CR; 14.6% of CR did not contain data related to sedation or anesthesia. Data relative
to the bowel preparation were present in 90.6% of CR; the Boston classification was
used in 35.0% of cases. The most proximal colonic segment reached was mentioned in
99.0% of cases; 95.0% of colonoscopies were complete. 947 CR described at least one
colonic lesion. The number and location of lesions was mentioned in 98.9% and 95.3%
of cases. The estimated size of the lesions was present in 84.3% of CR. A macroscopic
description of the lesions was provided in 76.4% of CR; the Paris and Kudo classifications
were used in only 7.4% and 1.2% of cases respectively. The modalities of polyp removal
were described in 84.8% of cases. No report mentioned complications during colonoscopy.
Recommendations for further colonoscopic surveillance were mentioned in 36.4% of CR.
64.2% of the CR met at least 4 of the 5 major quality indicators to be included in
the report (Adenoma detection rate and patient's experience were note assessed in
individual CR).
Conclusions:
One third of the CR performed as part of a colorectal screening campaign do not meet
the required quality criteria and can be improved. The implementation of a standardized
report software would improve quality and allow quality indicators extraction.
