Quality of colonoscopy reporting in community practice.
BACKGROUND
Quality endoscopy reporting is essential when community endoscopists perform colonoscopies for veterans who cannot be scheduled at a Veterans Administration (VA) facility.


OBJECTIVE
To examine the quality of colonoscopy reports received from community practices and to determine factors associated with more complete reporting, by using national documentation guidelines.


METHODS
Cross-sectional analysis.


METHODS
Reports submitted to the Durham VA Medical Center, Durham, North Carolina, from 2007 to 2008.


METHODS
Subjects who underwent fee-basis colonoscopy.


METHODS
Scores created by comparing community reports with published documentation guidelines. Three scores were created, one for each category of information: Universal Elements (found on all endoscopy reports), Indication Elements (specific to the procedure indication), and Finding Elements (specific to examination findings).


RESULTS
For the 135 included reports, the summary scores were Universal Elements, 57.6% (95% confidence interval [CI], 55%-60%); Indication Elements, 73.7% (95% CI, 69%-78%); and Finding Elements, 75.8% (95% CI, 73%-79%). Examples of poor reporting included patient history (20.7%), last colonoscopy date (18.0%), average versus high risk screening (32.0%), withdrawal time (5.9%), and cecal landmark photographs (45.2%). Only the use of automated reporting software was associated with more thorough reporting.


CONCLUSIONS
Modest sample size, mostly male participants, frequent pathologic findings, limited geography, and lack of complete reporting by a minority of providers.


CONCLUSIONS
The overall completeness of colonoscopy reports was low, possibly reflecting a lack of knowledge of reporting guidelines or a lack of agreement regarding important colonoscopy reporting elements. Automated endoscopy software may improve reporting compliance but may not completely standardize reporting quality.
Palmer
Lena B
LB
Division of Gastroenterology and Hepatology, Department of Medicine, University of North Carolina, Chapel Hill, North Carolina 27599, USA. lena_palmer@med.unc.edu
Abbott
David H
DH
Hamilton
Natia
N
Provenzale
Dawn
D
Fisher
Deborah A
DA
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003113:Colonoscopy; D003153:Community Health Services / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008499:Medical Records / Q000592:standards*; D008875:Middle Aged; D011785:Quality Assurance, Health Care / Q000379:methods*; D012189:Retrospective Studies; D014481:United States