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Clin Res Hepatol Gastroenterol. 2011 Dec;35(12):839-44. doi: 10.1016/j.clinre.2011.07.016. Epub 2011 Sep 13.

Evaluation of French guidelines on the indications of colonoscopy: results of a regional practice survey.

Author information

1
Hepatogastroenterology Unit, University Hospital, 2, rue de La-Milétrie, 86000 Poitiers, France. albanmichaud@gmail.com

Abstract

BACKGROUND AND AIMS:

Compliance with guidelines on colonoscopic indications can improve colorectal cancer screening efficiency. We conducted a regional practice survey of gastroenterologists working in the public and private sectors in France, and compared the results with French national guidelines.

METHODS:

Four consecutive yearly questionnaire-based practice surveys were conducted, and remedial measures were recommended on the basis of the results.

RESULTS:

We analyzed 5128 colonoscopies carried out by 65 practitioners. Of these, 4266 (83.2%) conformed to contemporary guidelines, 391 (7.6%) did not conform, and 471 (9.2%) could not be classified, owing to a lack of information. Remedial measures led to a significant increase in the number of colonoscopies conforming to guidelines (p=0.037) and to a significant fall in the number of unclassified procedures (p=0.0018). The distribution of colonic lesions differed between procedures that did and did not conform to guidelines (2.4% versus 0.3% of colorectal cancers, 11.4% vs. 6.9% of advanced adenomas, and 17.5% vs. 14.6% of non-advanced adenomas; p<0.0001).

CONCLUSION:

This longitudinal multicenter survey shows that national colonoscopy guidelines are largely respected in France and improve the detection of colonic neoplasia. Practices improved following implementation of remedial measures.

PMID:
21917542
DOI:
10.1016/j.clinre.2011.07.016
[Indexed for MEDLINE]

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