Optimal endoscopic localization of colorectal neoplasms: a comparison of rural versus urban documentation practices

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dc.contributor.authorEl-Kefraoui, Charbel
dc.contributor.authorJohnson, Garrett
dc.contributor.authorSingh, Harminder
dc.contributor.authorHelewa, Ramzi M
dc.date.accessioned2023-05-01T16:07:16Z
dc.date.available2023-05-01T16:07:16Z
dc.date.issued2023-03-29
dc.date.updated2023-04-04T17:42:12Z
dc.description.abstractAbstract Background Colonoscopy is the gold standard for diagnosing colorectal neoplasms. However, colonoscopy is often repeated preoperatively due to non-standard documentation and inconsistent practices by index endoscopists. Repeat endoscopies result in treatment delays and can increase risks of complications. National consensus recommendations were recently developed for optimal endoscopic colorectal lesion localization. We aimed to assess baseline colonoscopy practice differences from the new recommendations with a focus on geographical variability in report quality between urban and rural referral sites. Methods We performed a retrospective review of patients who underwent elective surgery for colorectal neoplasms at a single institution in Winnipeg between 2007–2020. We compared endoscopy report quality to the national recommendations with charts stratified by endoscopy location. Our primary outcomes were overall report documentation completeness and use of recommended practices. Results One hundred ninety-four patients were included (97 rural, 97 urban). The mean overall compliance with the recommendations for urban endoscopies was marginally better compared to rural endoscopies (50% vs. 48%, p = 0.04). Sixty-eight percent of the reports complied with tattoo indications (72% urban; 63% rural, p = 0.16). On average, reports included 29% of recommended tattoo information (30% urban; 28% rural, p = 0.25) and demonstrated 74% appropriate tattoo technique (70% urban; 81% rural, p = 0.10). Twenty-one percent of reports included photographs of lesions in accordance with the national recommendations (28% urban; 13% rural, p = 0.01). Conclusions Endoscopists frequently omit recommended practices for optimal colorectal lesion localization. Rural reports miss more recommended information compared to urban reports. Future research is needed to facilitate province-wide high-quality endoscopy reporting for patients regardless of endoscopy location.en_US
dc.identifier.citationWorld Journal of Surgical Oncology. 2023 Mar 29;21(1):115
dc.identifier.citationWorld Journal of Surgical Oncology. 2023 Mar 29;21(1):115
dc.identifier.urihttps://doi.org/10.1186/s12957-023-02987-x
dc.identifier.urihttp://hdl.handle.net/1993/37325
dc.language.isoengen_US
dc.language.rfc3066en
dc.publisherBioMed Central (BMC)en_US
dc.rightsopen accessen_US
dc.rights.holderThe Author(s)
dc.titleOptimal endoscopic localization of colorectal neoplasms: a comparison of rural versus urban documentation practicesen_US
dc.typejournal articleen_US
local.author.affiliationRady Faculty of Health Sciences::Max Rady College of Medicine::Department of Surgeryen_US
oaire.citation.issue1en_US
oaire.citation.startPage115en_US
oaire.citation.titleWorld Journal of Surgical Oncologyen_US
oaire.citation.volume21en_US
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