Quality of colonoscopy services for physicians in the Iowa research network

Jeanette M Daly; Barcey T Levy; Yinghui Xu

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Quality of colonoscopy services for physicians in the Iowa research network

Journal article

Peer reviewed

Quality of colonoscopy services for physicians in the Iowa research network

Jeanette M Daly, Barcey T Levy and Yinghui Xu

Family medicine, Vol.44(3), pp.164-170

03/2012

PMID: 22399478

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Abstract

Primary care physicians initiate colorectal cencer (CRC) screening and manage health care issues that present from these procedures. Quality of colonoscopy services can be determined by a set of indicators. The purpose of this study was to identify the quality of colonoscopy services provided for patients of family physicians in the Iowa Research Network (IRENE). Quality of services was delineated by (1) presence of a colonoscopy report on the medical record, if the medical record indicated a colonoscopy had been completed, (2) cecal intubation rate, (3) adenoma detection rate, and (4) the content of the colonoscopy report. Medical record review was conducted in 14 IRENE offices. Of 581 medical records indicating a colonoscopy had been completed, 89 (15%) did not have a colonoscopy report. The main reasons for having the colonoscopy were screening and obvious blood in the stool. Polyp detection rate for all colonoscopies was 35%, and the adenoma detction rate for screening colonoscopis for men was 31% and for women was 19%. Depth of insertion to the cecum was reached for 92%. Items least mentioned in the report were the time to complete the procedure and current medications. Only 223 (45%) reports listed the follow-up interval for next colonoscopy. Quality of colonoscopy services for this group of IRENE physicians was comparable to recommended standards of depth of insertion and adenoma detection rate. Improvements are warranted to have all colonoscopy reports and follow-up interval of next colonoscopy on a patient's medical record.

Attitude of Health Personnel

Practice Patterns, Physicians' - standards

Humans

Middle Aged

Mass Screening - standards

Colorectal Neoplasms - prevention & control

Mass Screening - organization & administration

Mass Screening - statistics & numerical data

Male

Physician-Patient Relations

Quality Assurance, Health Care

Practice Patterns, Physicians' - statistics & numerical data

Outcome and Process Assessment (Health Care)

Colonoscopy - statistics & numerical data

Family Practice - standards

Aged, 80 and over

Female

Iowa - epidemiology

Aged

Early Detection of Cancer - statistics & numerical data

Family Practice - statistics & numerical data

Family Practice - organization & administration

Details

Title: Subtitle: Quality of colonoscopy services for physicians in the Iowa research network
Creators: Jeanette M Daly - Department of Family Medicine, University of Iowa, IA 52240, USA
Barcey T Levy
Yinghui Xu
Resource Type: Journal article
Publication Details: Family medicine, Vol.44(3), pp.164-170
PMID: 22399478
NLM abbreviation: Fam Med
ISSN: 0742-3225
eISSN: 1938-3800
Publisher: Society of Teachers of Family Medicine; United States
Language: English
Date published: 03/2012
Academic Unit: Epidemiology; Family and Community Medicine
Record Identifier: 9984024548802771

Metrics

16 Record Views

2 Times Cited - Web of Science