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Canadian Journal of Gastroenterology and Hepatology
Volume 28, Issue 4, Pages 185-190
Original Article

Practice and Documentation of Performance of Colonoscopy in a Central Canadian health Region

Harminder Singh,1,2,3,4,5 Lisa Kaita,3 Gerry Taylor,3 Zoann Nugent,6 and Charles Bernstein1,2,3

1Internal Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
2University of Manitoba IBD Clinical and Research Centre, Winnipeg, Manitoba, Canada
3Winnipeg Regional Health Authority, Winnipeg, Manitoba, Canada
4CancerCare Manitoba, Department of Hematology and Oncology, Winnipeg, Manitoba, Canada
5Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada
6CancerCare Manitoba, Department of Epidemiology and Cancer Registry, Winnipeg, Manitoba, Canada

Received 22 November 2013; Accepted 10 February 2014

Copyright © 2014 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


OBJECTIVE: To evaluate the reporting and performance of colonoscopy in a large urban centre.

METHODS: Colonoscopies performed between January and April 2008 in community hospitals and academic centres in the Winnipeg Regional Health Authority (Manitoba) were identified from hospital discharge databases and retrospective review of a random sample of identified charts. Information regarding reporting of colonoscopies (including bowel preparation, photodocumentation of cecum/ileum, size, site, characteristics and method of polyp removal), colonoscopy completion rates and follow-up recommendations was extracted. Colonoscopy completion rates were compared among different groups of physicians.

RESULTS: A total of 797 colonoscopies were evaluated. Several deficiencies in reporting were identified. For example, bowel preparation quality was reported in only 20%, the agent used for bowel preparation was recorded in 50%, photodocumentation of colonoscopy completion in 6% and polyp appearance (ie, pedunculated or not) in 34%, and polyp size in 66%. Although the overall colonoscopy completion rate was 92%, there was a significant difference among physicians with varying medical specialty training and volume of procedures performed. Recommendations for follow-up procedures (barium enema, computed tomography colonography or repeat colonoscopy) were recorded for a minority of individuals with reported poor bowel preparation or incomplete colonoscopy.

CONCLUSIONS: The present study found many deficiencies in reporting of colonoscopy in typical, city-wide clinical practices. Colonoscopy completion rates varied among different physician specialties. There is an urgent need to adopt standardized colonoscopy reporting systems in everyday practice and to provide feedback to physicians regarding deficiencies so they can be rectified.