کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3266286 1207841 2007 12 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Factors associated with the technical performance of colonoscopy: An EPAGE Study
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی غدد درون ریز، دیابت و متابولیسم
پیش نمایش صفحه اول مقاله
Factors associated with the technical performance of colonoscopy: An EPAGE Study
چکیده انگلیسی

BackgroundVariations in colonoscopy practice exist, which may be related to healthcare quality.AimsTo determine factors associated with three performance indicators of colonoscopy: complete colonoscopy, adenomatous polyp diagnosis, and duration.PatientsConsecutive patients referred for colonoscopy from 21 centres in 11 countries.MethodsThis prospective observational study used multiple variable regression analyses to identify determinants of the quality indicators.ResultsSix thousand and four patients were included in the study. Patients from private, open-access centres (odds ratio: 3.17, 95% confidence interval: 1.87–5.38) were more likely to have a complete colonoscopy than patients from public, gatekeeper centres. Patients from centres where over 50% of the endoscopists were of senior rank were roughly twice as likely to have an adenoma diagnosed, and longer average withdrawal duration (odds ratio: 1.08, 95% confidence interval: 1.07–1.09) was associated with more frequent adenoma diagnoses. Patients who had difficulty during colonoscopy had longer durations to caecum (time ratio: 2.87, 95% confidence interval: 2.72–3.01) and withdrawal durations (time ratio: 1.26, 95% confidence interval: 1.18–1.33) than patients who had no difficulties.ConclusionsMultiple factors have been identified as being associated with key quality indicators. The non-modifiable factors permit the identification of patients who may be at greater risk of not having quality colonoscopy, while changes to the modifiable factors may help improve the quality of colonoscopy.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Digestive and Liver Disease - Volume 39, Issue 7, July 2007, Pages 678–689
نویسندگان
, , , , , ,