Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

Factors Associated with Withdrawal Time in European Colonoscopy Practice : Findings of the European Colonoscopy Quality Investigation (ECQI) Group

Spada, Cristiano ; Koulaouzidis, Anastasios LU ; Hassan, Cesare ; Amaro, Pedro ; Agrawal, Anurag ; Brink, Lene ; Fischbach, Wolfgang ; Hünger, Matthias ; Jover, Rodrigo and Kinnunen, Urpo , et al. (2022) In Diagnostics 12(2).
Abstract

The European Colonoscopy Quality Investigation (ECQI) Group aims to raise awareness for improvement in colonoscopy standards across Europe. We analyzed data collected on a sample of procedures conducted across Europe to evaluate the achievement of the European Society of Gastrointestinal Endoscopy (ESGE) mean withdrawal time (WT) target. We also investigated factors associated with WT, in the hope of establishing areas that could lead to a quality improvement. Methods: 6445 form completions from 12 countries between 2 June 2016 and 30 April 2018 were considered for this analysis. We performed an exploratory analysis looking at WT according to the ESGE definition. Stepwise multivariable logistic regression analysis was conducted to... (More)

The European Colonoscopy Quality Investigation (ECQI) Group aims to raise awareness for improvement in colonoscopy standards across Europe. We analyzed data collected on a sample of procedures conducted across Europe to evaluate the achievement of the European Society of Gastrointestinal Endoscopy (ESGE) mean withdrawal time (WT) target. We also investigated factors associated with WT, in the hope of establishing areas that could lead to a quality improvement. Methods: 6445 form completions from 12 countries between 2 June 2016 and 30 April 2018 were considered for this analysis. We performed an exploratory analysis looking at WT according to the ESGE definition. Stepwise multivariable logistic regression analysis was conducted to determine the most influential associated factors after adjusting for the other pre-specified variables. Results: In 1150 qualifying colonoscopies, the mean WT was 7.8 min. Stepwise analysis, including 587 procedures where all inputs were known, found that the variables most associated with mean WT were a previous total colonoscopy in the last five years (p = 0.0011) and the time of day the colonoscopy was performed (p = 0.0192). The main factor associated with a WT < 6 min was the time of day that a colonoscopy was performed. Use of sedation was the main factor associated with a higher propor-tion of WT > 10 min, along with a previous colonoscopy. Conclusions: On average, the sample of European practice captured by the ECQI survey met the minimum standard set by the ESGE. How-ever, there was variation and potential for improvement.

(Less)
Please use this url to cite or link to this publication:
author
; ; ; ; ; ; ; ; and , et al. (More)
; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; and (Less)
author collaboration
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Colonoscopy, Colonoscopy standards, Quality measures, Withdrawal time
in
Diagnostics
volume
12
issue
2
article number
503
publisher
MDPI AG
external identifiers
  • pmid:35204593
  • scopus:85125036134
ISSN
2075-4418
DOI
10.3390/diagnostics12020503
language
English
LU publication?
yes
id
9c618875-7e0b-46f3-bcc7-cad00c5d6407
date added to LUP
2022-04-26 15:47:23
date last changed
2025-03-07 14:21:48
@article{9c618875-7e0b-46f3-bcc7-cad00c5d6407,
  abstract     = {{<p>The European Colonoscopy Quality Investigation (ECQI) Group aims to raise awareness for improvement in colonoscopy standards across Europe. We analyzed data collected on a sample of procedures conducted across Europe to evaluate the achievement of the European Society of Gastrointestinal Endoscopy (ESGE) mean withdrawal time (WT) target. We also investigated factors associated with WT, in the hope of establishing areas that could lead to a quality improvement. Methods: 6445 form completions from 12 countries between 2 June 2016 and 30 April 2018 were considered for this analysis. We performed an exploratory analysis looking at WT according to the ESGE definition. Stepwise multivariable logistic regression analysis was conducted to determine the most influential associated factors after adjusting for the other pre-specified variables. Results: In 1150 qualifying colonoscopies, the mean WT was 7.8 min. Stepwise analysis, including 587 procedures where all inputs were known, found that the variables most associated with mean WT were a previous total colonoscopy in the last five years (p = 0.0011) and the time of day the colonoscopy was performed (p = 0.0192). The main factor associated with a WT &lt; 6 min was the time of day that a colonoscopy was performed. Use of sedation was the main factor associated with a higher propor-tion of WT &gt; 10 min, along with a previous colonoscopy. Conclusions: On average, the sample of European practice captured by the ECQI survey met the minimum standard set by the ESGE. How-ever, there was variation and potential for improvement.</p>}},
  author       = {{Spada, Cristiano and Koulaouzidis, Anastasios and Hassan, Cesare and Amaro, Pedro and Agrawal, Anurag and Brink, Lene and Fischbach, Wolfgang and Hünger, Matthias and Jover, Rodrigo and Kinnunen, Urpo and Ono, Akiko and Patai, Árpád and Pecere, Silvia and Petruzziello, Lucio and Riemann, Jürgen F. and Staines, Harry and Stringer, Ann L. and Toth, Ervin and Antonelli, Giulio and Fuccio, Lorenzo}},
  issn         = {{2075-4418}},
  keywords     = {{Colonoscopy; Colonoscopy standards; Quality measures; Withdrawal time}},
  language     = {{eng}},
  number       = {{2}},
  publisher    = {{MDPI AG}},
  series       = {{Diagnostics}},
  title        = {{Factors Associated with Withdrawal Time in European Colonoscopy Practice : Findings of the European Colonoscopy Quality Investigation (ECQI) Group}},
  url          = {{http://dx.doi.org/10.3390/diagnostics12020503}},
  doi          = {{10.3390/diagnostics12020503}},
  volume       = {{12}},
  year         = {{2022}},
}