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KMID : 0988920160140040351
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Intestinal Research
2016 Volume.14 No. 4 p.351 ~ p.357
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A wide variation of the quality of colonoscopy reporting system in the real clinical practice in southeastern area of Korea
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Lee Jung-Min
Kang Yu-Jin
Kim Eun-Soo
Lee Yoo-Jin
Park Kyung-Sik
Cho Kwang-Bum
Jeon Seong-Woo
Jung Min-Kyu
Lee Hyun-Seok
Kim Eun-Young
Jung Jin-Tae
Jang Byung-Ik
Kim Kyeong-Ok
Chung Yun-Jin
Yang Chang-Hun
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Abstract
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Background/Aims: Establishment of a colonoscopy reporting system is a prerequisite to determining and improving quality. This study aimed to investigate colonoscopists' opinions and the actual situation of a colonoscopy reporting system in a clinical practice in southeastern area of Korea and to assess the factors predictive of an inadequate reporting system.
Methods: Physicians who performed colonoscopies in the Daegu-Gyeongbuk province of Korea and were registered with the Korean Society of Gastrointestinal Endoscopy (KSGE) were interviewed via mail about colonoscopy reporting systems using a standardized questionnaire.
Results: Of 181 endoscopists invited to participate, 125 responded to the questionnaires (response rate, 69%). Most responders were internists (105/125, 84%) and worked in primary clinics (88/125, 70.4%). Seventy-one specialists (56.8%) held board certifications for endoscopy from the KSGE. A median of 20 colonoscopies (interquartile range, 10?47) was performed per month. Although 88.8% of responders agreed that a colonoscopy reporting system is necessary, only 18.4% (23/125) had achieved the optimal reporting system level recommended by the Quality Assurance Task Group of the National Colorectal Cancer Roundtable. One-third of endoscopists replied that they did not use a reporting document for the main reasons of "too busy" and "inconvenience." Non-endoscopy specialists and primary care centers were independent predictive factors for failure to use a colonoscopy reporting system.
Conclusions: The quality of colonoscopy reporting systems varies widely and is considerably suboptimal in actual clinical practice settings in southeastern Korea, indicating considerable room for quality improvements in this field.
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KEYWORD
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Colonoscopy, Report, Survey, Quality
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