Factors Associated with Polyp Detection Rate in European Colonoscopy Practice : Findings of The European Colonoscopy Quality Investigation (ECQI) Group
(2022) In International Journal of Environmental Research and Public Health 19(6).- Abstract
Background: The European Colonoscopy Quality Investigation (ECQI) Group aims to raise awareness for improvement in colonoscopy standards across Europe. We analysed data collected on a sample of procedures conducted across Europe to evaluate the achievement of the polyp detection rate (PDR) target. We also investigated factors associated with PDR, 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 analysislooking at PDR according to European Society of Gastrointestinal Endoscopy (ESGE) definition. Stepwise multivariable logistic regression analysis was conducted to... (More)
Background: The European Colonoscopy Quality Investigation (ECQI) Group aims to raise awareness for improvement in colonoscopy standards across Europe. We analysed data collected on a sample of procedures conducted across Europe to evaluate the achievement of the polyp detection rate (PDR) target. We also investigated factors associated with PDR, 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 analysislooking at PDR according to European Society of Gastrointestinal Endoscopy (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 our sample therewere 3365 screening and diagnostic procedures performed in those over 50 years. The PDR was 40.5%, which is comparable with the ESGE minimum standard of 40%. The variables found to be associated with PDR were in descending order: Use of high-definition equipment, body mass index (BMI), patient gender, age group, and the reason for the procedure. Use of HD equipment was associated with a significant increase in the reporting of flat lesions (14.3% vs. 5.7%, p < 0.0001) and protruded lesions (34.7% vs. 25.4%, p < 0.0001). Conclusions: On average, the sample of European practice captured by the ECQI survey meets the minimum PDR standard set by the ESGE. Our findings support the ESGE recommendation for routine use of HD colonoscopy.
(Less)
- author
- author collaboration
- organization
- publishing date
- 2022-03
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Colonoscopy, Colonoscopy standards, Polyp detection rate, Quality measures, Survey
- in
- International Journal of Environmental Research and Public Health
- volume
- 19
- issue
- 6
- article number
- 3388
- publisher
- MDPI AG
- external identifiers
-
- scopus:85127047233
- pmid:35329077
- ISSN
- 1661-7827
- DOI
- 10.3390/ijerph19063388
- language
- English
- LU publication?
- yes
- id
- b9522fd3-f369-48ca-b26f-84780a71aaec
- date added to LUP
- 2022-06-07 15:21:52
- date last changed
- 2024-04-18 04:29:21
@article{b9522fd3-f369-48ca-b26f-84780a71aaec,
abstract = {{<p>Background: The European Colonoscopy Quality Investigation (ECQI) Group aims to raise awareness for improvement in colonoscopy standards across Europe. We analysed data collected on a sample of procedures conducted across Europe to evaluate the achievement of the polyp detection rate (PDR) target. We also investigated factors associated with PDR, 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 analysislooking at PDR according to European Society of Gastrointestinal Endoscopy (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 our sample therewere 3365 screening and diagnostic procedures performed in those over 50 years. The PDR was 40.5%, which is comparable with the ESGE minimum standard of 40%. The variables found to be associated with PDR were in descending order: Use of high-definition equipment, body mass index (BMI), patient gender, age group, and the reason for the procedure. Use of HD equipment was associated with a significant increase in the reporting of flat lesions (14.3% vs. 5.7%, p < 0.0001) and protruded lesions (34.7% vs. 25.4%, p < 0.0001). Conclusions: On average, the sample of European practice captured by the ECQI survey meets the minimum PDR standard set by the ESGE. Our findings support the ESGE recommendation for routine use of HD colonoscopy.</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, Jürgenferdinand and Staines, Harry and Stringer, Ann L. and Toth, Ervin and Antonelli, Giulio and Fuccio, Lorenzo}},
issn = {{1661-7827}},
keywords = {{Colonoscopy; Colonoscopy standards; Polyp detection rate; Quality measures; Survey}},
language = {{eng}},
number = {{6}},
publisher = {{MDPI AG}},
series = {{International Journal of Environmental Research and Public Health}},
title = {{Factors Associated with Polyp Detection Rate in European Colonoscopy Practice : Findings of The European Colonoscopy Quality Investigation (ECQI) Group}},
url = {{http://dx.doi.org/10.3390/ijerph19063388}},
doi = {{10.3390/ijerph19063388}},
volume = {{19}},
year = {{2022}},
}