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 4
Quality indicators and complication rates as supported by a work group for the Cancer Care Ontario, and 2015 reported endoscopist performance statistics compared to this independent health facility (IHF) [8–10].
Quality indicators of colonoscopy
Patients included in primary analysis1
Patients included in secondary analysis2
Recommended
Provincial endoscopist performance, 2015
Cecal intubation rate, %
98
97
≥ 95
97 - 99
PR, screening, men %
36
45
-
34 - 50
PR, screening, women %
34
34
-
34 - 50
ADR, screening, men, %
25
40
≥ 25
-
ADR, screening, women, %
19
30
≥ 15
-
Inadequate bowel preparation, %
7
6
≤ 10
3 - 7
Withdrawal time3 (SD)
6 (5)
6 (5)
6-7
-
Complications
Bleeding rate, %
0.0
0.0
≤ 0.1
0.1 - 0.5
Bowel perforation rate, %
0.0
0.0
≤ 0.1
0.1 - 0.8
Other rate, %
0.0
0.0
-
-
PR: polypectomy rate, ADR: adenoma detection rate, 1all patients undergoing first-time colonoscopy referred by a primary care physician, 2all consecutive patients undergoing colonoscopy, and 3mean withdrawal time in minutes.