Factors Associated with Polyp Detection Rate in European Colonoscopy Practice: Findings of The European Colonoscopy Quality Investigation (ECQI) Group

Spada, Cristiano; Koulaouzidis, Anastasios; Hassan, Cesare; Amaro, Pedro; Agrawal, Anurag; Brink, Lene; Fischbach, Wolfgang; Hünger, Matthias; Jover, Rodrigo; Kinnunen, Urpo; Ono, Akiko; Patai, Árpád; Pecere, Silvia; Petruzziello, Lucio; Riemann, Jürgen Ferdinand; Staines, Harry; Stringer, Ann L.; Toth, Ervin; Antonelli, Giulio; Fuccio, Lorenzo; on behalf of the ECQI Group,

doi:10.3390/ijerph19063388

Open AccessArticle

Factors Associated with Polyp Detection Rate in European Colonoscopy Practice: Findings of The European Colonoscopy Quality Investigation (ECQI) Group

by

Cristiano Spada

^1,2,*,

Anastasios Koulaouzidis

^3,4,5,6

,

Cesare Hassan

⁷,

Pedro Amaro

⁸,

Anurag Agrawal

⁹,

Lene Brink

¹⁰,

Wolfgang Fischbach

¹¹,

Matthias Hünger

¹²,

Rodrigo Jover

¹³,

Urpo Kinnunen

¹⁴

,

Akiko Ono

¹⁵,

Árpád Patai

¹⁶,

Silvia Pecere

^2,17

,

Lucio Petruzziello

^2,17,

Jürgen Ferdinand Riemann

^18,19,

Harry Staines

²⁰

,

Ann L. Stringer

²¹,

Ervin Toth

²²

,

Giulio Antonelli

^23,24,

Lorenzo Fuccio

²⁵ and

on behalf of the ECQI Group

^† Show full author list Hide full author list

¹

Digestive Endoscopy Unit and Gastroenterology, Fondazione Poliambulanza, 25124 Brescia, Italy

²

Digestive Endoscopy Unit, Università Cattolica del Sacro Cuore, 00168 Rome, Italy

³

Department of Medicine, OUH Svendborg Sygehus, 5700 Svendborg, Denmark

⁴

Department of Clinical Research, University of Southern Denmark (SDU), 5000 Odense, Denmark

⁵

Surgical Research Unit, OUH, 5000 Odense, Denmark

⁶

Department of Social Medicine and Public Health, Pomeranian Medical University, 70-204 Szczecin, Poland

⁷

Endoscopy Unit, IRCCS Humanitas Clinical and Research Center, 20089 Milan, Italy

⁸

Gastroenterology Department, Centro Hospitalar e Universitário de Coimbra, 3000-075 Coimbra, Portugal

⁹

Gastroenterology, Doncaster Royal Infirmary, Doncaster DN2 5LT, UK

¹⁰

Gastro Unit, Division of Endoscopy, Herlev and Gentofte Hospital, Copenhagen University, 2730 Herlev, Denmark

¹¹

Gastroenterologie und Innere Medizin, 63739 Aschaffenburg, Germany

¹²

Independent Researcher for Internal Medicine, 97070 Würzburg, Germany

¹³

Instituto de Investigación Sanitaria ISABIAL—Servicio de Medicina Digestiva, Hospital General Universitario de Alicante, 03010 Alicante, Spain

¹⁴

Department of Gastroenterology, Tampere University Hospital, 33521 Tampere, Finland

¹⁵

Department of Gastroenterology, Hospital Clínico Universitario Virgen de la Arrixaca, 30120 Murcia, Spain

¹⁶

Department of Gastroenterology and Medicine, Markusovszky University Teaching Hospital, 9700 Szombathely, Hungary

¹⁷

Digestive Endoscopy Unit, Fondazione Policlinico Gemelli IRCCS, 00168 Rome, Italy

¹⁸

Department of Medicine C, Klinikum Ludwigshafen, 67063 Ludwigshafen, Germany

¹⁹

LebensBlicke Foundation, 67063 Ludwigshafen, Germany

²⁰

Sigma Statistical Services Ltd., Saint Andrews KY16 0BD, UK

²¹

ECQI Secretariat, Buckinghamshire HP17 8ET, UK

²²

Department of Gastroenterology, Skåne University Hospital, Lund University, 205 02 Malmö, Sweden

²³

Department of Anatomical, Histological, Forensic Medicine and Orthopedics Sciences, Sapienza University of Rome, 00185 Rome, Italy

²⁴

Gastroenterology and Digestive Endoscopy Unit, Ospedale dei Castelli Hospital, 00040 Rome, Italy

²⁵

Gastroenterology Unit, Department of Medical and Surgical Sciences, S.Orsola-Malpighi Hospital, 40138 Bologna, Italy

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^*

Author to whom correspondence should be addressed.

^†

ECQI Group are listed in acknowledgments.

Int. J. Environ. Res. Public Health 2022, 19(6), 3388; https://doi.org/10.3390/ijerph19063388

Submission received: 14 January 2022 / Revised: 28 February 2022 / Accepted: 3 March 2022 / Published: 13 March 2022

(This article belongs to the Special Issue Environmental Factors and Gastrointestinal Cancers)

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Abstract

Background: The European Colonoscopy Quality Investigation (ECQI) Group aims to raise awareness for improvement in colonoscopy standards across Europe. We analysed data collected on a sample of procedures conducted across Europe to evaluate the achievement of the polyp detection rate (PDR) target. We also investigated factors associated with PDR, in the hope of establishing areas that could lead to a quality improvement. Methods: 6445 form completions from 12 countries between 2 June 2016 and 30 April 2018 were considered for this analysis. We performed an exploratory analysis looking at PDR according to European Society of Gastrointestinal Endoscopy (ESGE) definition. Stepwise multivariable logistic regression analysis was conducted to determine the most influential associated factors after adjusting for the other pre-specified variables. Results: In our sample there were 3365 screening and diagnostic procedures performed in those over 50 years. The PDR was 40.5%, which is comparable with the ESGE minimum standard of 40%. The variables found to be associated with PDR were in descending order: use of high-definition equipment, body mass index (BMI), patient gender, age group, and the reason for the procedure. Use of HD equipment was associated with a significant increase in the reporting of flat lesions (14.3% vs. 5.7%, p < 0.0001) and protruded lesions (34.7% vs. 25.4%, p < 0.0001). Conclusions: On average, the sample of European practice captured by the ECQI survey meets the minimum PDR standard set by the ESGE. Our findings support the ESGE recommendation for routine use of HD colonoscopy.

Keywords: colonoscopy; colonoscopy standards; polyp detection rate; quality measures; survey

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MDPI and ACS Style

Spada, C.; Koulaouzidis, A.; Hassan, C.; Amaro, P.; Agrawal, A.; Brink, L.; Fischbach, W.; Hünger, M.; Jover, R.; Kinnunen, U.; et al. Factors Associated with Polyp Detection Rate in European Colonoscopy Practice: Findings of The European Colonoscopy Quality Investigation (ECQI) Group. Int. J. Environ. Res. Public Health 2022, 19, 3388. https://doi.org/10.3390/ijerph19063388

AMA Style

Spada C, Koulaouzidis A, Hassan C, Amaro P, Agrawal A, Brink L, Fischbach W, Hünger M, Jover R, Kinnunen U, et al. Factors Associated with Polyp Detection Rate in European Colonoscopy Practice: Findings of The European Colonoscopy Quality Investigation (ECQI) Group. International Journal of Environmental Research and Public Health. 2022; 19(6):3388. https://doi.org/10.3390/ijerph19063388

Chicago/Turabian Style

Spada, Cristiano, Anastasios Koulaouzidis, Cesare Hassan, Pedro Amaro, Anurag Agrawal, Lene Brink, Wolfgang Fischbach, Matthias Hünger, Rodrigo Jover, Urpo Kinnunen, and et al. 2022. "Factors Associated with Polyp Detection Rate in European Colonoscopy Practice: Findings of The European Colonoscopy Quality Investigation (ECQI) Group" International Journal of Environmental Research and Public Health 19, no. 6: 3388. https://doi.org/10.3390/ijerph19063388

APA Style

Spada, C., Koulaouzidis, A., Hassan, C., Amaro, P., Agrawal, A., Brink, L., Fischbach, W., Hünger, M., Jover, R., Kinnunen, U., Ono, A., Patai, Á., Pecere, S., Petruzziello, L., Riemann, J. F., Staines, H., Stringer, A. L., Toth, E., Antonelli, G., ... on behalf of the ECQI Group. (2022). Factors Associated with Polyp Detection Rate in European Colonoscopy Practice: Findings of The European Colonoscopy Quality Investigation (ECQI) Group. International Journal of Environmental Research and Public Health, 19(6), 3388. https://doi.org/10.3390/ijerph19063388

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Factors Associated with Polyp Detection Rate in European Colonoscopy Practice: Findings of The European Colonoscopy Quality Investigation (ECQI) Group

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