title: Technical performance of colonoscopy -- multicenter study in university and non-university centers of Romania.
abstract: The aim of the paper was to evaluate the national availability of colonoscopy and the quality parameters of this procedure in our country.
  
  
  METHODS
  During a 6 months period (01.07- 31.12.2009), we performed a prospective multicenter study in which 76 centers were invited to respond to a questionnaire regarding colonoscopy, 39 centers agreeing to participate. We assessed: the number of colonoscopies, the number of total colonoscopies and the causes of incomplete colonoscopies.
  
  
  RESULTS
  During the study period, 16,083 colonoscopies were performed, 12,294 (76.4%) of them total colonoscopies. In 1,191 cases, stenosis was the cause of incomplete colonoscopy. If we consider this an objective reason for an incomplete colonoscopy, there were 12,294 total colonoscopies (82.4%). Comparing university centers with non-university ones, the proportion of total colonoscopies was 10,400/12,475 (83.4%) vs. 1,894/2,417 (78.4%) (p less then 0.0001). However, comparing the present study with previous ones, performed in 2003 and 2007, the proportion of total colonoscopies increased from 70.5% to 76.9% and 82.4% respectively (2003 vs. 2007 p less then 0.0001; 2007 vs. 2009 p less then 0.0001), while the quality difference between university and non-university hospitals persisted.
  
  
  CONCLUSIONS
  the quality of colonoscopy in Romania increased in the last 5 years, while the quality difference between university and non-university hospitals persisted.
authors: Department of Gastroenterology and Hepatology, University of Medicine and Pharmacy Timişoara, Romania. isporea@umft.ro
authors: I
authors: I
authors: Sporea
authors: A
authors: A
authors: Popescu
authors: M
authors: M
authors: Diculescu
authors: V
authors: V
authors: Stoica
authors: G
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authors: Constantinescu
authors: C Cijevschi
authors: CC
authors: Prelipcean
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authors: Seicean
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authors: Pascu
authors: M
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authors: Jinga
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authors: Tudor
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authors: Voiosu
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authors: Dobru
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authors: Săftoiu
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authors: Vălean
authors: E
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authors: Miuţescu
authors: L
authors: L
authors: Bancu
authors: S
authors: S
authors: Băţagă
authors: D
authors: D
authors: Dumitraşcu
authors: C
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authors: Brisc
authors: O
authors: O
authors: Frăţilă
authors: I
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authors: Raţiu
authors: L
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authors: Pienar
authors: R
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authors: Şirli
authors: B
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authors: Miuţescu
mesh_terms: D003110:Colonic Neoplasms / Q000175:diagnosis* / Q000453:epidemiology; D003113:Colonoscopy / Q000592:standards* / Q000706:statistics & numerical data; D055088:Early Detection of Cancer / Q000592:standards* / Q000706:statistics & numerical data; D006764:Hospitals, Community / Q000706:statistics & numerical data; D006785:Hospitals, University / Q000706:statistics & numerical data; D006801:Humans; D011237:Predictive Value of Tests; D011446:Prospective Studies; D012307:Risk Factors; D012383:Romania / Q000453:epidemiology; D012680:Sensitivity and Specificity; D011795:Surveys and Questionnaires