Variation of quality of colonoscopy in Italy over five years: A nation-wide observational study

摘要: Abstract Background/aim A nation-wide survey of colonoscopy practice carried out in 2004 showed disappointing data on quality Italy. Present study was aimed prospectively at re-evaluating indicators and their changes over a five-year-period. Methods The main features each Endoscopy Unit performance consecutive colonoscopies performed 2-week period were recorded. Variation assessed by comparing caecal-intubation polyp-detection rates present with those collected five-years before; statistical analysis restricted to centres participating both collections. Results 6158 from 116 evaluated; unadjusted rate 83.0%, 21.6% reporting value >90%; mean 32.0% (range 9.6–71.2% across centres). To assess variation indicators, 4452 procedures 77 compared 3589 before, the same centres. significant difference between two rounds collections observed for (82.6% versus 80.9%, p = 0.043) (31.3% 28.1%, p = 0.002). However, 52 maintained constantly Conclusions show that Italy is still far below standards improvement did not occur last five years. Strategies enhance should be pursued professional societies.