A wide variation of the quality of colonoscopy reporting system in the real clinical practice in southeastern area of Korea

Abstract

Background/AimsEstablishment of a colonoscopy reporting system is a prerequisite to determining and improving quality. This study aimed to investigate colonoscopists' opinions and the actual situation of a colonoscopy reporting system in a clinical practice in southeastern area of Korea and to assess the factors predictive of an inadequate reporting system.MethodsPhysicians who performed colonoscopies in the Daegu-Gyeongbuk province of Korea and were registered with the Korean Society of Gastrointestinal Endoscopy (KSGE) were interviewed via mail about colonoscopy reporting systems using a standardized questionnaire.ResultsOf 181 endoscopists invited to participate, 125 responded to the questionnaires (response rate, 69%). Most responders were internists (105/125, 84%) and worked in primary clinics (88/125, 70.4%). Seventy-one specialists (56.8%) held board certifications for endoscopy from the KSGE. A median of 20 colonoscopies (interquartile range, 10–47) was performed per month. Although 88.8% of responders agreed that a colonoscopy reporting system is necessary, only 18.4% (23/125) had achieved the optimal reporting system level recommended by the Quality Assurance Task Group of the National Colorectal Cancer Roundtable. One-third of endoscopists replied that they did not use a reporting document for the main reasons of "too busy" and "inconvenience." Non-endoscopy specialists and primary care centers were independent predictive factors for failure to use a colonoscopy reporting system.ConclusionsThe quality of colonoscopy reporting systems varies widely and is considerably suboptimal in actual clinical practice settings in southeastern Korea, indicating considerable room for quality improvements in this field.

Derivation and validation of a risk scoring model to predict advanced colorectal neoplasm in adults of all ages

“…Screening colonoscopy is associated with an approximately half reduction in the incidence and two‐thirds reduction in mortality from CRC . However, limited resources and low adherence have been major obstacles for the implementation of CRC screening …”

“…5,6 However, limited resources and low adherence have been major obstacles for the implementation of CRC screening. [7][8][9] Universal application of CRC screening to asymptomatic adults aged 50 years or older has been questioned because of the uneven distribution of CRC risks according to sex, smoking, and obesity. 10 To deal with these problems, several risk prediction models for advanced colorectal neoplasia (ACN) have been proposed.…”

Association of Poor Differentiation or Positive Vertical Margin with Residual Disease in Patients with Subsequent Colectomy after Complete Macroscopic Endoscopic Resection of Early Colorectal Cancer

“…The increased availability and widespread use of colonoscopy have allowed the early detection of colorectal polyps [ 1 – 3 ]. The proportion of polyps that contain invasive cancer is not high; nonetheless, 0.2–8.3% of them are malignant polyps, which invade through the muscularis mucosa and can metastasize to regional lymph nodes.…”