Optimal endoscopic localization of colorectal neoplasms: a comparison of rural versus urban documentation practices
Abstract Background Colonoscopy is the gold standard for diagnosing colorectal neoplasms. However, colonoscopy is often repeated preoperatively due to non-standard documentation and inconsistent practices by index endoscopists. Repeat endoscopies result in treatment delays and can increase risks of...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-03-01
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| Series: | World Journal of Surgical Oncology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12957-023-02987-x |
| _version_ | 1797853820849487872 |
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| author | Charbel El-Kefraoui Garrett Johnson Harminder Singh Ramzi M. Helewa |
| author_facet | Charbel El-Kefraoui Garrett Johnson Harminder Singh Ramzi M. Helewa |
| author_sort | Charbel El-Kefraoui |
| collection | DOAJ |
| description | Abstract Background Colonoscopy is the gold standard for diagnosing colorectal neoplasms. However, colonoscopy is often repeated preoperatively due to non-standard documentation and inconsistent practices by index endoscopists. Repeat endoscopies result in treatment delays and can increase risks of complications. National consensus recommendations were recently developed for optimal endoscopic colorectal lesion localization. We aimed to assess baseline colonoscopy practice differences from the new recommendations with a focus on geographical variability in report quality between urban and rural referral sites. Methods We performed a retrospective review of patients who underwent elective surgery for colorectal neoplasms at a single institution in Winnipeg between 2007–2020. We compared endoscopy report quality to the national recommendations with charts stratified by endoscopy location. Our primary outcomes were overall report documentation completeness and use of recommended practices. Results One hundred ninety-four patients were included (97 rural, 97 urban). The mean overall compliance with the recommendations for urban endoscopies was marginally better compared to rural endoscopies (50% vs. 48%, p = 0.04). Sixty-eight percent of the reports complied with tattoo indications (72% urban; 63% rural, p = 0.16). On average, reports included 29% of recommended tattoo information (30% urban; 28% rural, p = 0.25) and demonstrated 74% appropriate tattoo technique (70% urban; 81% rural, p = 0.10). Twenty-one percent of reports included photographs of lesions in accordance with the national recommendations (28% urban; 13% rural, p = 0.01). Conclusions Endoscopists frequently omit recommended practices for optimal colorectal lesion localization. Rural reports miss more recommended information compared to urban reports. Future research is needed to facilitate province-wide high-quality endoscopy reporting for patients regardless of endoscopy location. |
| first_indexed | 2024-04-09T19:55:49Z |
| format | Article |
| id | doaj.art-e60858b942244b04808de8283cab9934 |
| institution | Directory Open Access Journal |
| issn | 1477-7819 |
| language | English |
| last_indexed | 2024-04-09T19:55:49Z |
| publishDate | 2023-03-01 |
| publisher | BMC |
| record_format | Article |
| series | World Journal of Surgical Oncology |
| spelling | doaj.art-e60858b942244b04808de8283cab99342023-04-03T05:29:19ZengBMCWorld Journal of Surgical Oncology1477-78192023-03-012111710.1186/s12957-023-02987-xOptimal endoscopic localization of colorectal neoplasms: a comparison of rural versus urban documentation practicesCharbel El-Kefraoui0Garrett Johnson1Harminder Singh2Ramzi M. Helewa3Max Rady College of Medicine, University of ManitobaMax Rady College of Medicine, University of ManitobaMax Rady College of Medicine, University of ManitobaMax Rady College of Medicine, University of ManitobaAbstract Background Colonoscopy is the gold standard for diagnosing colorectal neoplasms. However, colonoscopy is often repeated preoperatively due to non-standard documentation and inconsistent practices by index endoscopists. Repeat endoscopies result in treatment delays and can increase risks of complications. National consensus recommendations were recently developed for optimal endoscopic colorectal lesion localization. We aimed to assess baseline colonoscopy practice differences from the new recommendations with a focus on geographical variability in report quality between urban and rural referral sites. Methods We performed a retrospective review of patients who underwent elective surgery for colorectal neoplasms at a single institution in Winnipeg between 2007–2020. We compared endoscopy report quality to the national recommendations with charts stratified by endoscopy location. Our primary outcomes were overall report documentation completeness and use of recommended practices. Results One hundred ninety-four patients were included (97 rural, 97 urban). The mean overall compliance with the recommendations for urban endoscopies was marginally better compared to rural endoscopies (50% vs. 48%, p = 0.04). Sixty-eight percent of the reports complied with tattoo indications (72% urban; 63% rural, p = 0.16). On average, reports included 29% of recommended tattoo information (30% urban; 28% rural, p = 0.25) and demonstrated 74% appropriate tattoo technique (70% urban; 81% rural, p = 0.10). Twenty-one percent of reports included photographs of lesions in accordance with the national recommendations (28% urban; 13% rural, p = 0.01). Conclusions Endoscopists frequently omit recommended practices for optimal colorectal lesion localization. Rural reports miss more recommended information compared to urban reports. Future research is needed to facilitate province-wide high-quality endoscopy reporting for patients regardless of endoscopy location.https://doi.org/10.1186/s12957-023-02987-xColonoscopyColorectal cancerEndoscopyRepeat preoperative endoscopyTattoo localizationSynoptic report |
| spellingShingle | Charbel El-Kefraoui Garrett Johnson Harminder Singh Ramzi M. Helewa Optimal endoscopic localization of colorectal neoplasms: a comparison of rural versus urban documentation practices World Journal of Surgical Oncology Colonoscopy Colorectal cancer Endoscopy Repeat preoperative endoscopy Tattoo localization Synoptic report |
| title | Optimal endoscopic localization of colorectal neoplasms: a comparison of rural versus urban documentation practices |
| title_full | Optimal endoscopic localization of colorectal neoplasms: a comparison of rural versus urban documentation practices |
| title_fullStr | Optimal endoscopic localization of colorectal neoplasms: a comparison of rural versus urban documentation practices |
| title_full_unstemmed | Optimal endoscopic localization of colorectal neoplasms: a comparison of rural versus urban documentation practices |
| title_short | Optimal endoscopic localization of colorectal neoplasms: a comparison of rural versus urban documentation practices |
| title_sort | optimal endoscopic localization of colorectal neoplasms a comparison of rural versus urban documentation practices |
| topic | Colonoscopy Colorectal cancer Endoscopy Repeat preoperative endoscopy Tattoo localization Synoptic report |
| url | https://doi.org/10.1186/s12957-023-02987-x |
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