Independent Heath Facility Meets Cancer Care Ontario and Canadian Association of Gastroenterology Guidelines for Endoscopic Procedure Wait Times While Meeting Quality Indicators: A Retrospective Review
Table 2
Overall wait time indications for colonoscopy for this IHF, the SAGES 2008 survey, and the SAGES 2012 survey, and recommendations of Canadian Association of Gastroenterology and Cancer Care Ontario [3, 6, 7].
Indication
Study
Median days (95% CI)
Referral to consult
Consult to procedure
Referral to procedure
Chronic abdominal pain
IHF
26 (25-31)
18 (21-27)
43 (48-57)
CAG/CCO
60
SAGES 2012
102 (89-140)
67 (43-91)
153 (109-219)
SAGES 2008
105 (91-119)
44 (28-72)
152 (104-198)
New onset change in bowel habits
IHF
16 (18-26)
18 (19-27)
36 (39-52)
CAG/CCO
60
SAGES 2012
84 (48-110)
49 (18-68)
103 (84-215)
SAGES 2008
75 (63-90)
38 (19-68)
148 (98-210)
Bright red rectal bleeding
IHF
24 (24-29)
17 (20-24)
42 (46-52)
CAG/CCO
60
SAGES 2012
82 (52-104)
44 (32-64)
142 (92-181)
SAGES 2008
58 (46-75)
54 (34-67)
136 (107-161)
Documented iron deficiency anemia
IHF
24 (23-29)
19 (20-26)
43 (45-53)
CAG/CCO
60
SAGES 2012
55 (40-73)
42 (29-58)
97 (62-160)
SAGES 2008
56 (38-71)
35 (25-64)
90 (70-137)
Fecal occult blood test positive
IHF
16 (17-23)
15 (16-22)
38 (35-43)
CAG/CCO
60
SAGES 2012
56 (34-97)
50 (28-62)
105 (68-182)
SAGES 2008
77 (61-92)
41 (30-82)
143 (122-219)
CRC likely based on imaging or physical exam
IHF
8 (9-34)
13 (9-23)
23 (19-55)
CAG/CCO
14
28
SAGES 2012
24 (8-59)
13 (1-42)
22 (6-182)
SAGES 2008
72 (33-107)
36 (12-57)
82 (34-170)
Chronic constipation or chronic diarrhea
IHF
24 (23-31)
19 (20-28)
42 (45-56)
CAG/CCO
60
SAGES 2012
126 (103-141)
52 (30-64)
162 (116-221)
SAGES 2008
119 (99-129)
57 (42-71)
186 (161-222)
Screening
IHF, for age
29 (32-36)
20 (25-29)
55 (58-64)
IHF, for family history
30 (33-40)
20 (24-30)
54 (58-68)
IHF, all screening
30 (33-37)
20 (25-29)
55 (59-64)
CAG/CCO
180
SAGES 2012
150 (130-174)
94 (70-128)
279 (239-321)
SAGES 2008
127 (116-142)
72 (61-93)
201 (179-240)
IHF: this independent health facility, CAG: Canadian Association of Gastroenterology, CCO: Cancer Care Ontario, SAGES: Society of American Gastrointestinal and Endoscopic Surgeons, and CI: confidence interval.
