Quality audit of diagnostic colonoscopy protocols in the colorectal cancer screening program
https://doi.org/10.33878/2073-7556-2022-21-3-20-26
Abstract
AIM: to analyze the quality of primary colonoscopy protocols in patients included in the colorectal cancer screening program.
PATIENTS AND METHODS: out of the 86 patients admitted for the removal of colon polyps detected during primary screening of colorectal cancer at medical institutions of various levels, 67 (77.9%) had colonoscopy protocols, which were analyzed in accordance with the study objectives.
RESULTS: the informative value of colonoscopy protocols at the endoscopic stage of colorectal cancer screening in clinic institution of the 3rd level was significantly higher than in the 2nd and 1st levels (5 criteria out of 8).
Comparison of protocols quality of two last medical institutions showed no significant differences. The optimal and acceptable quality of colonoscopy protocols, studied in accordance with the same criteria, was achieved by 3 (37.5%) at clinics of the 3rd level and by 1 (12.5%) at medical institutions of the 2nd and 1st levels.
CONCLUSION: the quality of colonoscopy protocols at clinics of the 3rd level is significantly higher than at hospitals of the 1st and 2nd levels of medical care delivery. The audit of the diagnostic colonoscopy protocols for colorectal cancer screening of the entire cohort showed the loss of information compared to the standard protocol and in most of them there is a low quality of content.
About the Authors
B. K. Gibert
Tyumen Regional Clinical Hospital No. 1
Russian Federation
Russian Federation
Boris K. Gibert — DM, professor, chief of surgeon department
Kotovskogo Str., 55, Tyumen, 625023
I. A. Matveev
Federal State Budgetary Educational Institution of Higher Education “Tyumen State Medical University” of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Ivan A. Matveev — DM, Associate Professor
Odesskaya Str., 54, Tyumen, 625023
tel.: +7 (922) 268-80-42
A. V. Mahnev
Federal State Budgetary Educational Institution of Higher Education “Tyumen State Medical University” of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Andrei V. Mahnev — DM, Professor
Odesskaya Str., 54, Tyumen, 625023
A. I. Matveev
Tyumen Regional Clinical Hospital No. 1
Russian Federation
Russian Federation
Anatoly I. Matveev — PhD, surgeon
Kotovskogo Str., 55, Tyumen, 625023
M. P. Kozlov
Tyumen Regional Clinical Hospital No. 1
Russian Federation
Russian Federation
Mikhail P. Kozlov
Kotovskogo Str., 55, Tyumen, 625023
N. N. Povarnin
«NanoMed Plus»
Russian Federation
Russian Federation
Nikolay N. Povarnin
Vodoprovodnaya Str., 36/1B, Tyumen, 625000
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Supplementary files
Review
For citations:
Gibert B.K., Matveev I.A., Mahnev A.V., Matveev A.I., Kozlov M.P., Povarnin N.N. Quality audit of diagnostic colonoscopy protocols in the colorectal cancer screening program. Koloproktologia. 2022;21(3):20-26. https://doi.org/10.33878/2073-7556-2022-21-3-20-26
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