Evaluation of French guidelines on the indications of colonoscopy: Results of a regional practice survey - 10/12/11
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for the Poitou-Charentes Gastroenterologist Network
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Summary |
Background and aims |
Compliance with guidelines on colonoscopic indications can improve colorectal cancer screening efficiency. We conducted a regional practice survey of gastroenterologists working in the public and private sectors in France, and compared the results with French national guidelines.
Methods |
Four consecutive yearly questionnaire-based practice surveys were conducted, and remedial measures were recommended on the basis of the results.
Results |
We analyzed 5128 colonoscopies carried out by 65 practitioners. Of these, 4266 (83.2%) conformed to contemporary guidelines, 391 (7.6%) did not conform, and 471 (9.2%) could not be classified, owing to a lack of information. Remedial measures led to a significant increase in the number of colonoscopies conforming to guidelines (p=0.037) and to a significant fall in the number of unclassified procedures (p=0.0018). The distribution of colonic lesions differed between procedures that did and did not conform to guidelines (2.4% versus 0.3% of colorectal cancers, 11.4% vs. 6.9% of advanced adenomas, and 17.5% vs. 14.6% of non-advanced adenomas; p<0.0001).
Conclusion |
This longitudinal multicenter survey shows that national colonoscopy guidelines are largely respected in France and improve the detection of colonic neoplasia. Practices improved following implementation of remedial measures.
Il testo completo di questo articolo è disponibile in PDF.Keywords : Adenoma, Colorectal cancer, Colonoscopy, Screening
Mappa
Vol 35 - N° 12
P. 839-844 - Dicembre 2011 Ritorno al numeroBenvenuto su EM|consulte, il riferimento dei professionisti della salute.
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