Endoscopy 2020; 52(S 01): S72-S73
DOI: 10.1055/s-0040-1704220
ESGE Days 2020 oral presentations
Friday, April 24, 2020 08:30 – 10:30 How to maximize quality in Liffey Meeting Room 1GI-endoscopy?
© Georg Thieme Verlag KG Stuttgart · New York

QUALITY OF COLONOSCOPY «QUACOL». THE RESULTS OF THE PROSPECTIVE MULTICENTRE STUDY «QUACOL 2» COMPARED WITH RESULTS OF THE «QUACOL 1» STUDY IN RUSSIA

S Kashin
1   Yaroslavl Regional Cancer Hospital, Yaroslavl, Russian Federation
,
E Nikonov
2   The N.I. Pirogov Russian National Research Medical University, Moscow, Russian Federation
,
N Nekhaykova
1   Yaroslavl Regional Cancer Hospital, Yaroslavl, Russian Federation
,
V Veselov
3   State Scientific Center of Coloproctology, Moscow, Russian Federation
,
A Veselov
3   State Scientific Center of Coloproctology, Moscow, Russian Federation
,
Z Galkova
2   The N.I. Pirogov Russian National Research Medical University, Moscow, Russian Federation
,
D Lileev
1   Yaroslavl Regional Cancer Hospital, Yaroslavl, Russian Federation
,
M Korolev
4   President of the Russian Endscopy Society, St. Peterburg, Russian Federation
,
Y Starkov
5   A.V. Vishnevsky Institute of Surgery, Moscow, Russian Federation
,
A Repici
6   Humanitas Research Hospital, Milan, Italy
,
C Hassan
7   Endoscopy Department of Nuovo Regina Margherita Hospital, Rome, Italy
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

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    Aims In Russia, colorectal cancer (CRC) represents the second most common cancer in women, the third in men. The long-term efficacy of colonoscopy in preventing Colorectal Cancer is strictly related with the risk of interval cancer, which in turn is associated with colonoscopy quality indicators: Adenoma Detection Rate (ADR), Ceacal Intubation Rate (CIR), Colonoscopy Withdrawal Time (CWT), Bowel preparation. The aims of our «QuaCol 2» study were to assess quality of colonoscopy in Russia after performing educational project «QuaCol» and to compare the results of «QuaCol 2» and «QuaCol 1» studies.

    Methods For the first time the quality of colonoscopy was examined within «QuaCol 1» study in Russia in 2014. Cohort of 8829 patients was included in «QuaCol 1» from 14 centers. The quality of colonoscopy in Russia within «QuaCol 1» was recognized as suboptimal. Then the educational «QuaCol» project was performed. After that the quality of colonoscopy in Russia was assessed within «QuaCol 2» in 2019.

    Results Cohort of 22380 patients (male 58%, female 42%, mean age 52,3) was included from 82 centers between November 2018 and March 2019 within «QuaCol 2». The results were compared with «QuaCol 1». Bowel preparation was adequate 89 % in «QuaCol 2» vs 77% in «QuaCol 1» (p < 0,001). Two factors associated with bowel preparation quality were: split-regimen and 2 liters of laxative. The split-regimen 70 % vs 25 % (p < 0,001). CIR 96,2% vs 86 % (p < 0,001). CWT was examined in 74,5 % vs 64 % (p < 0,001). ADR 25,8 % vs 18 % (p < 0,001).

    Conclusions The «QuaCol 2» study showed that after carrying out an educational project «QuaCol» the colonoscopy quality in Russia improved and became optimal according to ESGE recommendations. Our study revealed that the medical educational project can be a key factor for improving colonoscopy quality.


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