Do indication and demographics for colonoscopy affect completion? A large national database evaluation.
Background and Aim: Indication for colonoscopy has not been examined as a predictor of colonoscopy completion. We hypothesized that colonoscopy conducted for colorectal cancer screening might have higher in completion rates than colonoscopy conducted for other indications.Methods: The study design w...
| Publicado en: | European Journal of Gastroenterology & Hepatology Vol. 22; no. 5; pp. 620 - 628 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
2010 May
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105188368&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105188368 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 0954691X 8CE jtl: European Journal of Gastroenterology & Hepatology issn: 0954691X maglogo: N pubinfo: dt: 2010 May vid: 22 iid: 5 pid: 5086 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 105188368 105188368 NLM20032782 2010641518 10.1097/MEG.0b013e3283352cd6 NLM20032782 PMC3856575 105188368 ppf: 620 ppct: 8 formats: tig: atl: Do indication and demographics for colonoscopy affect completion? A large national database evaluation. aug: au: Gupta M Holub JL Eisen G Gupta, Maneesh Holub, Jennifer L Eisen, Glenn affil: Department of Internal Medicine, Oregon Health and Science University, Portland, Oregon 97239, USA sug: subj: Clinical Indicators Evaluation Colonoscopy Demography Evaluation Health Screening Chi Square Test Confidence Intervals Data Analysis Software Demography Funding Source Human Logistic Regression Oregon Relative Risk Retrospective Design ab: Background and Aim: Indication for colonoscopy has not been examined as a predictor of colonoscopy completion. We hypothesized that colonoscopy conducted for colorectal cancer screening might have higher in completion rates than colonoscopy conducted for other indications.Methods: The study design was a retrospective cohort. Colonoscopies recorded within the Clinical Outcomes Research Initiative database conducted between 1 January 2002 and 30 June 2003 were analyzed. Indication included: average-risk screening; surveillance; nonspecific abdominal symptoms; bleeding symptoms; or family history of colorectal carcinoma. Demographic factors and indication for colonoscopy were evaluated for the outcome of incomplete colonoscopy using logistic regression analysis.Results: 129 549 Colonoscopy procedures were analyzed. Average risk screening seemed to be protective for completion (relative risk: 0.69; 95% confidence interval: 0.63-0.75). Bleeding and nonspecific symptoms had higher risk of incomplete procedure compared to other indications. Males had higher completion rates compared to females (relative risk: 0.62; 95% confidence interval: 0.58-0.66). Community setting had higher completion rates compared to academic or Veteran's administration sites. Increasing age was associated with higher rate of incomplete colonoscopy.Conclusion: Colonoscopy conducted for screening indication has comparable completion rates when compared with other indications. An overall completion rate of around 95% was noted in this study. This is the largest study to date verifying that completion rates are meeting recommended multisociety guidelines in the USA. Nonspecific abdominal symptoms in Caucasian population, female sex, advanced age, clinical setting, and ethnic groups African-American and Hispanic were found to have increased risk of incomplete procedure. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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