Factors Associated with Polyp Detection Rate in European Colonoscopy Practice: Findings of The European Colonoscopy Quality Investigation (ECQI) Group

Cristiano Spada, Anastasios Koulaouzidis, Cesare Hassan, Pedro Amaro, Anurag Agrawal, Lene Brink, Wolfgang Fischbach, Matthias Hünger, Rodrigo Jover, Urpo Kinnunen, Akiko Ono, Árpád Patai, Silvia Pecere, Lucio Petruzziello, Jürgen Ferdinand Riemann, Harry Staines, Ann L. Stringer, Ervin Toth, Giulio Antonelli, Lorenzo Fuccio and on behalf of the ECQI Group
Additional contact information
Cristiano Spada: Digestive Endoscopy Unit and Gastroenterology, Fondazione Poliambulanza, 25124 Brescia, Italy
Anastasios Koulaouzidis: Department of Medicine, OUH Svendborg Sygehus, 5700 Svendborg, Denmark
Cesare Hassan: Endoscopy Unit, IRCCS Humanitas Clinical and Research Center, 20089 Milan, Italy
Pedro Amaro: Gastroenterology Department, Centro Hospitalar e Universitário de Coimbra, 3000-075 Coimbra, Portugal
Anurag Agrawal: Gastroenterology, Doncaster Royal Infirmary, Doncaster DN2 5LT, UK
Lene Brink: Gastro Unit, Division of Endoscopy, Herlev and Gentofte Hospital, Copenhagen University, 2730 Herlev, Denmark
Wolfgang Fischbach: Gastroenterologie und Innere Medizin, 63739 Aschaffenburg, Germany
Matthias Hünger: Independent Researcher for Internal Medicine, 97070 Würzburg, Germany
Rodrigo Jover: Instituto de Investigación Sanitaria ISABIAL—Servicio de Medicina Digestiva, Hospital General Universitario de Alicante, 03010 Alicante, Spain
Urpo Kinnunen: Department of Gastroenterology, Tampere University Hospital, 33521 Tampere, Finland
Akiko Ono: Department of Gastroenterology, Hospital Clínico Universitario Virgen de la Arrixaca, 30120 Murcia, Spain
Árpád Patai: Department of Gastroenterology and Medicine, Markusovszky University Teaching Hospital, 9700 Szombathely, Hungary
Silvia Pecere: Digestive Endoscopy Unit, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
Lucio Petruzziello: Digestive Endoscopy Unit, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
Jürgen Ferdinand Riemann: Department of Medicine C, Klinikum Ludwigshafen, 67063 Ludwigshafen, Germany
Harry Staines: Sigma Statistical Services Ltd., Saint Andrews KY16 0BD, UK
Ann L. Stringer: ECQI Secretariat, Buckinghamshire HP17 8ET, UK
Ervin Toth: Department of Gastroenterology, Skåne University Hospital, Lund University, 205 02 Malmö, Sweden
Giulio Antonelli: Department of Anatomical, Histological, Forensic Medicine and Orthopedics Sciences, Sapienza University of Rome, 00185 Rome, Italy
Lorenzo Fuccio: Gastroenterology Unit, Department of Medical and Surgical Sciences, S.Orsola-Malpighi Hospital, 40138 Bologna, Italy
on behalf of the ECQI Group: ECQI Group are listed in acknowledgments.

IJERPH, 2022, vol. 19, issue 6, 1-11

Abstract: Background: The European Colonoscopy Quality Investigation (ECQI) Group aims to raise awareness for improvement in colonoscopy standards across Europe. We analysed data collected on a sample of procedures conducted across Europe to evaluate the achievement of the polyp detection rate (PDR) target. We also investigated factors associated with PDR, in the hope of establishing areas that could lead to a quality improvement. Methods: 6445 form completions from 12 countries between 2 June 2016 and 30 April 2018 were considered for this analysis. We performed an exploratory analysis looking at PDR according to European Society of Gastrointestinal Endoscopy (ESGE) definition. Stepwise multivariable logistic regression analysis was conducted to determine the most influential associated factors after adjusting for the other pre-specified variables. Results: In our sample there were 3365 screening and diagnostic procedures performed in those over 50 years. The PDR was 40.5%, which is comparable with the ESGE minimum standard of 40%. The variables found to be associated with PDR were in descending order: use of high-definition equipment, body mass index (BMI), patient gender, age group, and the reason for the procedure. Use of HD equipment was associated with a significant increase in the reporting of flat lesions (14.3% vs. 5.7%, p < 0.0001) and protruded lesions (34.7% vs. 25.4%, p < 0.0001). Conclusions: On average, the sample of European practice captured by the ECQI survey meets the minimum PDR standard set by the ESGE. Our findings support the ESGE recommendation for routine use of HD colonoscopy.

Keywords: colonoscopy; colonoscopy standards; polyp detection rate; quality measures; survey (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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