Copyright
©The Author(s) 2023.
World J Gastroenterol. Mar 7, 2023; 29(9): 1492-1508
Published online Mar 7, 2023. doi: 10.3748/wjg.v29.i9.1492
Published online Mar 7, 2023. doi: 10.3748/wjg.v29.i9.1492
Table 3 Quality indicators and results of colonoscopies by period of performance of colonoscopy in people aged 50-74, residing in Ile-de-France, n (%)
| Quality indicator | Period | ||||
| gFOBT | FIT | STOP-FIT | COVID | P value1 | |
| Total number (n) of colonoscopies | 28679 | 46087 | 8767 | 9783 | |
| Existence of a GE consultation before colonoscopy | |||||
| Nb (A) colonoscopies with date of consultation | 5267 (18.4) | 1517 (3.3) | 406 (4.6) | 198 (2.0) | < 10-3 |
| Date of consultation ≠ Date of colonoscopy | |||||
| Nb colonoscopies of which date of consultation ≠ colon date (% in A) | 298.4 (56.7) | 883 (58.2) | 402 (99.0) | 191 (96.5) | < 10-3 |
| Time to colonoscopy | |||||
| Average (in mean ± SD) | 2.6 ± 2.9 | 3.0 ± 3.0 | 3.9 ± 3.9 | 3.5 ± 2.9 | < 10-3* |
| Number of colonoscopies performed within one month | 4957 (17.3) | 4572 (9.9) | 458 (5.2) | 726 (7.4) | < 10-3 |
| Number of colonoscopies performed beyond 7 mo | 1520 (5.3) | 2949 (6.4) | 1034 (11.8) | 933 (9.5) | < 10-3 |
| Complete colonoscopy | < 10-3 | ||||
| Nb colonoscopies without information on performance | 1263 (4.4) | 2360 (5.1) | 410 (4.7) | 432 (4.4) | |
| Number of complete colonoscopies | 26530 (92.5) | 41695(90.5) | 8004 (91.3) | 8981 (91.8) | |
| Nb (B) of incomplete colonoscopies | 886 (3.1) | 2032 (4.4) | 357 (4.1) | 376 (3.8) | |
| Reasons for incomplete colonoscopies | < 10-3 | ||||
| Unspecified: n (% in B) | 206 (23.3) | 617 (30.4) | 109 (30.5) | 114 (30.3) | |
| Anatomical reason/Obstruction by lesion: n (% in B) | 537 (60.6) | 845 (41.6) | 150 (42.0) | 161 (42.8) | |
| Insufficient preparation: n (% in B) | 143 (16.1) | 570 (28.1) | 98 (27.5) | 101 (26.9) | |
| Redone incomplete colonoscopy | |||||
| Number of redone colonoscopies (% B) | 183 (20.7) | 960 (47.2) | 158 (44.3) | 163 (43.3) | < 10-3 |
| Frequency of incidents | 0.14 | ||||
| No incidents reported: n | 28873 (99.6) | 45947 (99.7) | 8740 (99.7) | 9763 (99.8) | |
| Related to anaesthesia/general condition: n | 18 (0.06) | 24 (0.05) | 3 (0.03) | 2 (0.02) | |
| Related to endoscopy: n | 88 (0.3) | 116 (0.3) | 22 (0.3) | 18 (0.2) | |
| Frequency of accidents | 0.17 | ||||
| No accidents reported: n | 28589 (99.7) | 45970 (99.8) | 8749 (99.8) | 9763 (99.8) | |
| Suspected complication: n | 24 (0.08) | 23 (0.05) | 5 (0.04) | 3 (0.03) | |
| Exterior bleeding: n | 57 (0.2) | 66 (0.1) | 14 (0.2) | 12 (0.1) | |
| Perforation: n | 8 (0.03) | 28 (0.06) | 3 (0.03) | 4 (0.04) | |
| Deaths: n | 1 (0.0) | 0 | 0 | 0 | |
| Colonoscopies results | |||||
| Detection rate: Nb of lesions | 14857 (51.8) | 29843 (64.8) | 5565 (63.5) | 5967 (60.1) | < 10-3 |
| Nb Polyps (% HRP) | 12947 (44.2) | 26624 (56.4) | 5040 (53.3) | 5425 (51.8) | < 10-3 |
| Nb of CRC (% CRC seen at colonoscopy) | 1910 (61.4) | 3219 (55.2) | 525 (57.3) | 542 (56.1) | < 10-3 |
| % CRC with severity stage specified among Nb CRC2 | 90.3 | 80.5 | 74.3 | 72.3 | < 10-3 |
| Nb CRC with severity stage specified (% severe CRC) 2 | 1724 (50.7) | 2592 (40.9) | 390 (39.5) | 392 (39.5) | < 10-3 |
- Citation: Koïvogui A, Vincelet C, Abihsera G, Ait-Hadad H, Delattre H, Le Trung T, Bernoux A, Carroll R, Nicolet J. Supply and quality of colonoscopy according to the characteristics of gastroenterologists in the French population-based colorectal-cancer screening program. World J Gastroenterol 2023; 29(9): 1492-1508
- URL: https://www.wjgnet.com/1007-9327/full/v29/i9/1492.htm
- DOI: https://dx.doi.org/10.3748/wjg.v29.i9.1492