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Diagnostic and Therapeutic Endoscopy
Volume 2010 (2010), Article ID 419796, 7 pages
http://dx.doi.org/10.1155/2010/419796
Research Article

Quality Assessment of Colonoscopy Reporting: Results from a Statewide Cancer Screening Program

1Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, 4770 Buford Hwy, Mail Stop K-55, Atlanta, GA 30341, USA
2Department of Epidemiology and Preventive Medicine, University of Maryland, 21201 Baltimore, MD, USA
3Department of Health and Mental Hygiene, 21201 Baltimore, MD, USA
4Division of Gastroenterology and Hepatology, Department of Medicine, Oregon Health and Science University, 97239 Portland, OR, USA

Received 22 June 2010; Accepted 17 September 2010

Academic Editor: Spiros D. Ladas

Copyright © 2010 Jun Li et al. 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.

Abstract

This paper aimed to assess quality of colonoscopy reports and determine if physicians in practice were already documenting recommended quality indicators, prior to the publication of a standardized Colonoscopy Reporting and Data System (CO-RADS) in 2007. We examined 110 colonoscopy reports from 2005-2006 through Maryland Colorectal Cancer Screening Program. We evaluated 25 key data elements recommended by CO-RADS, including procedure indications, risk/comorbidity assessments, procedure technical descriptions, colonoscopy findings, specimen retrieval/pathology. Among 110 reports, 73% documented the bowel preparation quality and 82% documented specific cecal landmarks. For the 177 individual polyps identified, information on size and morphology was documented for 87% and 53%, respectively. Colonoscopy reporting varied considerately in the pre-CO-RADS period. The absence of key data elements may impact the ability to make recommendations for recall intervals. This paper provides baseline data to assess if CO-RADS has an impact on reporting and how best to improve the quality of reporting.