Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/11989
Title: The current practice standard for colonoscopy in Australia.
Authors: Chandran, Sujievvan;Parker, Frank;Vaughan, Rhys B;Efthymiou, Marios
Affiliation: Department of Gastroenterology, Austin Health, Heidelberg, Victoria, Australia.
Department of Anesthetics, Austin Health, Heidelberg, Victoria, Australia.
Issue Date: 12-Dec-2013
Citation: Gastrointestinal Endoscopy 2013; 79(3): 473-9
Abstract: Despite having one of the highest rates per capita for colonoscopy worldwide, colorectal cancer remains the second most commonly diagnosed malignancy in Australia.Our aim was to document colonoscopy/polypectomy practice nationwide and assess whether significant differences exist.Observational study.Online survey conducted nationally in 2012.Medical practitioners registered with the Gastroenterological Society of Australia practicing colonoscopy.Rates of polypectomy techniques for varying polyp sizes, postpolypectomy bleeding prophylaxis techniques, and adenoma detection practices. To assess whether variations exist according to practice location, specialty, and experience and comparison of practice with a previous American cohort.Of the 846 members contacted, 244 (28.8%) responded. The cohort consisted primarily of consultant gastroenterologists (182/244, 74.6%). The cold-snare technique was preferred (165/244, 67.6%) for polyps 3 mm in size; however, this decreased rapidly with increasing polyp size (5 mm [120/244, 49.2%] and 7-9 mm [18/244, 7.4%]). EMR was the preferred method of resection for polyps 7 to 9 mm in size (148/244, 60.7%). The withdrawal technique predominantly consisted of double-passing high-risk areas and rectal retroflexion (134/244, 54.9%). Significant differences across specialty, location, and experience included polypectomy method for diminutive polyps, the use of EMR, and retroflexion.Survey-based study and response rate.Although variations in colonoscopy and polypectomy practice exist, the majority of our cohort performs cold-snare polypectomy for diminutive polyps and pass high-risk, poorly visualized areas twice on withdrawal. This is a significant shift in practice from that of the U.S. cohort studied 10 years earlier.
Internal ID Number: 24332081
URI: http://ahro.austin.org.au/austinjspui/handle/1/11989
DOI: 10.1016/j.gie.2013.10.050
URL: http://www.ncbi.nlm.nih.gov/pubmed/24332081
Type: Journal Article
Subjects: Adenoma.surgery
Australia
Blood Loss, Surgical.prevention & control
Clinical Competence
Colonoscopy.methods.statistics & numerical data
Colorectal Neoplasms.surgery
Electrocoagulation.methods
Gastroenterology.methods.statistics & numerical data
Health Care Surveys
Humans
Intestinal Mucosa.surgery
Narrow Band Imaging.utilization
Professional Practice Location
Referral and Consultation.statistics & numerical data
Specialization
United States
Appears in Collections:Journal articles

Files in This Item:
There are no files associated with this item.


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.