TY - JOUR
T1 - Quality of rural colonoscopy outperforms key performance indicators in a multi-centre prospective clinical study
AU - Watson, Matthew M.
AU - South Australian Rural Surgical Research Group
AU - Besley, Matthew
AU - Beukes, Eben
AU - Bhattacharjya, Shantanu
AU - Bierton, Christopher
AU - Bruening, Martin
AU - Chaloob, Salim
AU - Dobbins, Christopher
AU - Estakhri, Aliakhbar
AU - Finlay, Ben
AU - Gan, Siang
AU - Gunning, Thomas
AU - Green, Luke
AU - Harris, Mark
AU - Hassen, Tiffany
AU - Heitmann, Paul
AU - Humeniuk, Vladimir
AU - Hussain, Rafat
AU - Kanhere, Harsh
AU - Kiroff, George
AU - Khoo, Teng-Wei
AU - Kuan, Li Lian
AU - Lauder, Christopher
AU - Lim, Alicia
AU - Lu, Victoria
AU - McCullough, Timothy
AU - Olakkengil, Santosh
AU - Pradhan, Chetan
AU - Prasad, Shalvin
AU - Ralph, Quentin
AU - Shepherdson, Mia
AU - Smith, Richard
AU - Thakore, Nainoor
AU - Ting, Ying Yang
AU - Traeger, Luke
AU - Trochsler, Markus
AU - Watson, Dianne C.
AU - Maddern, Guy J.
AU - Wichmann, Matthias W.
PY - 2023/3
Y1 - 2023/3
N2 - Background: High-quality colonoscopy is vital for the detection and removal of adenomatous polyps and early diagnosis of colorectal cancer. The aim of this study was to prospectively assess the quality and safety of colonoscopies performed in the non-metropolitan setting. Key performance indicators measured include completion, polypectomy and adenoma/serrated polyp detection rates, rate of adequate bowel preparation, withdrawal time and complications. Methods: Prospective data collection for all colonoscopies performed over a one-year period in seven non-metropolitan South Australian hospitals. Two general surgeons and twelve registrars working in rural South Australian hospitals (Mount Gambier, Millicent, Naracoorte, Port Lincoln, Port Augusta, Whyalla and Berri) contributed to this study. Results: In total 3497 colonoscopies were analysed. Complete colonoscopy was achieved in 96.1%. The adenoma detection and serrated polyp detection rates were 25.6% and 5.4% respectively. Cancer was detected in 71 patients (2%). Colonic perforation occurred in five patients (0.1%). There was no procedure-related mortality. Conclusions: Colonoscopy performed in the non-metropolitan Australian setting outperforms key performance indicators set by national institutions. This is the first Australian prospective multi-centre study investigating the quality and safety of endoscopic procedures.
AB - Background: High-quality colonoscopy is vital for the detection and removal of adenomatous polyps and early diagnosis of colorectal cancer. The aim of this study was to prospectively assess the quality and safety of colonoscopies performed in the non-metropolitan setting. Key performance indicators measured include completion, polypectomy and adenoma/serrated polyp detection rates, rate of adequate bowel preparation, withdrawal time and complications. Methods: Prospective data collection for all colonoscopies performed over a one-year period in seven non-metropolitan South Australian hospitals. Two general surgeons and twelve registrars working in rural South Australian hospitals (Mount Gambier, Millicent, Naracoorte, Port Lincoln, Port Augusta, Whyalla and Berri) contributed to this study. Results: In total 3497 colonoscopies were analysed. Complete colonoscopy was achieved in 96.1%. The adenoma detection and serrated polyp detection rates were 25.6% and 5.4% respectively. Cancer was detected in 71 patients (2%). Colonic perforation occurred in five patients (0.1%). There was no procedure-related mortality. Conclusions: Colonoscopy performed in the non-metropolitan Australian setting outperforms key performance indicators set by national institutions. This is the first Australian prospective multi-centre study investigating the quality and safety of endoscopic procedures.
KW - adenoma detection rate
KW - colonoscopy
KW - colorectal cancer
KW - multicentre study
KW - rural surgery
UR - http://www.scopus.com/inward/record.url?scp=85139635234&partnerID=8YFLogxK
U2 - 10.1111/ans.18072
DO - 10.1111/ans.18072
M3 - Article
AN - SCOPUS:85139635234
SN - 1445-1433
VL - 93
SP - 528
EP - 533
JO - ANZ Journal of Surgery
JF - ANZ Journal of Surgery
IS - 3
ER -
