Factors Associated with Withdrawal Time in European Colonoscopy Practice: Findings of the European Colonoscopy Quality Investigation (ECQI) Group.
Por:
Spada C, Koulaouzidis A, Hassan C, Amaro P, Agrawal A, Brink L, Fischbach W, Hünger M, Jover R, Kinnunen U, Ono A, Patai Á, Pecere S, Petruzziello L, Riemann JF, Staines H, Stringer AL, Toth E, Antonelli G and Fuccio L
Publicada:
15 feb 2022
Ahead of Print:
15 feb 2022
Resumen:
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 proportion 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. However, there was variation and potential for improvement.
Filiaciones:
Spada C:
Digestive Endoscopy Unit and Gastroenterology, Fondazione Poliambulanza, 25124 Brescia, Italy
Digestive Endoscopy Unit, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
Koulaouzidis A:
Department of Medicine, OUH Svendborg Sygehus, 5700 Svendborg, Denmark
Department of Clinical Research, University of Southern Denmark (SDU), 5000 Odense, Denmark
Surgical Research Unit, OUH, 5000 Odense, Denmark
Department of Social Medicine and Public Health, Pomeranian Medical University, 70-204 Szczecin, Poland
Hassan C:
Endoscopy Unit, IRCCS Humanitas Clinical and Research Center, 20089 Milan, Italy
Amaro P:
Gastroenterology Department, Centro Hospitalar e Universitário de Coimbra, 3000-075 Coimbra, Portugal
Agrawal A:
Gastroenterology, Doncaster Royal Infirmary, Doncaster DN2 5LT, UK
Brink L:
Gastro Unit, Division of Endoscopy, Herlev and Gentofte Hospital, Copenhagen University, 2730 Herlev, Denmark
Fischbach W:
Gastroenterologie und Innere Medizin, 63739 Aschaffenburg, Germany
Hünger M:
Independent Researcher for Internal Medicine, 97070 Würzburg, Germany
:
Instituto de Investigación Sanitaria ISABIAL-Servicio de Medicina Digestiva, Hospital General Universitario de Alicante, 03010 Alicante, Spain
Kinnunen U:
Department of Gastroenterology, Tampere University Hospital, 33521 Tampere, Finland
Ono A:
Department of Gastroenterology, Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar, 30120 Murcia, Spain
Patai Á:
Department of Gastroenterology and Medicine, Markusovszky University Teaching Hospital, 9700 Szombathely, Hungary
Pecere S:
Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy
Petruzziello L:
Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy
Riemann JF:
Department of Medicine C, Klinikum Ludwigshafen, 67063 Ludwigshafen, Germany
LebensBlicke Foundation, 67063 Ludwigshafen, Germany
Staines H:
Sigma Statistical Services Ltd., Saint Andrews KY16 0BD, UK
Stringer AL:
ECQI Secretariat, Buckinghamshire HP17 8ET, UK
Toth E:
Department of Gastroenterology, Skåne University Hospital, Lund University, 205 02 Malmö, Sweden
Antonelli G:
Department of Anatomical, Histological, Forensic Medicine and Orthopedics Sciences, "Sapienza" University of Rome, 00185 Rome, Italy
Gastroenterology and Digestive Endoscopy Unit, Ospedale dei Castelli, Ariccia, 00040 Rome, Italy
Fuccio L:
Gastroenterology Unit, Department of Medical and Surgical Sciences, S. Orsola-Malpighi Hospital, 40138 Bologna, Italy
Green Published
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