Education improves colonoscopy appropriateness

BackgroundAppropriateness in GI endoscopy is critical to face the rising amount of demands. Education of physicians has been advocated to reduce the level of inappropriateness.ObjectiveOur purpose was to assess the effectiveness of an educational program in determining a reduction of inappropriate colonoscopies in an open access system.DesignProspective study.SettingA single endoscopy unit in Italy.PatientsA total of 495 consecutive outpatients referred to our endoscopy unit by family physicians for diagnostic colonoscopy before the educational course and 522 after its completion, for a total of 1017 patients.Main Outcome MeasurementsInappropriate colonoscopy reduction rates, cost savings, and reduction of waiting lists were evaluated.ResultsWith regard to inappropriate colonoscopies, the post-course group rate of inappropriateness was significantly lower than that of the pre-course group (P ≤ .001). The economic savings for 1 year was estimated to be €19,000. The reduction of the waiting list was about 15% of the original value.ConclusionsEducation has a high incidence in reducing inappropriate colonoscopies in an open-access system determining reduction of costs and waiting lists.