Technical performance of colonoscopy -- multicenter study in university and non-university centers of Romania
Sporea, I.; Popescu, A.; Diculescu, M.; Stoica, V.; Constantinescu, G.; Prelipcean, C.Cijevschi.; Seicean, A.; Pascu, O.; Jinga, M.; Tudor, N.; Voiosu, R.; Dobru, D.; Săftoiu, A.; Vălean, S.; Miuţescu, E.; Bancu, L.; Băţagă, S.; Dumitraşcu, D.; Brisc, C.; Frăţilă, O.; Raţiu, I.; Pienar, L.; Şirli, R.; Miuţescu, B.
Chirurgia 108(1): 86-90
2013
ISSN/ISBN: 1221-9118 PMID: 23464775 Document Number: 666496
The aim of the paper was to evaluate the national availability of colonoscopy and the quality parameters of this procedure in our country. During a 6 months period (01.07- 31.12.2009), we performed a prospective multicenter study in which 76 centers were invited to respond to a questionnaire regarding colonoscopy, 39 centers agreeing to participate. We assessed: the number of colonoscopies, the number of total colonoscopies and the causes of incomplete colonoscopies. During the study period, 16,083 colonoscopies were performed, 12,294 (76.4%) of them total colonoscopies. In 1,191 cases, stenosis was the cause of incomplete colonoscopy. If we consider this an objective reason for an incomplete colonoscopy, there were 12,294 total colonoscopies (82.4%). Comparing university centers with non-university ones, the proportion of total colonoscopies was 10,400/12,475 (83.4%) vs. 1,894/2,417 (78.4%) (p less then 0.0001). However, comparing the present study with previous ones, performed in 2003 and 2007, the proportion of total colonoscopies increased from 70.5% to 76.9% and 82.4% respectively (2003 vs. 2007 p less then 0.0001; 2007 vs. 2009 p less then 0.0001), while the quality difference between university and non-university hospitals persisted. the quality of colonoscopy in Romania increased in the last 5 years, while the quality difference between university and non-university hospitals persisted.