Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/12460
Title: Colonoscopy after spinal cord injury: a case-control study.
Authors: Morris, B P;Kucchal, T;Burgess, A N
Affiliation: Department of Colorectal Surgery, Austin Hospital, Melbourne, VIC, Australia.
Issue Date: 4-Nov-2014
Citation: Spinal Cord 2014; 53(1): 32-5
Abstract: An age- and gender-matched case-control study.To compare colonoscopy after spinal cord injury (SCI) with the general population in terms of indications, bowel preparation, technical success and disease detection.Victoria, Australia.Consecutive SCI colonoscopies between January 1998 and February 2013 were compared with a randomly selected age- and gender-matched control group. Injury level, indication for procedure and demographics were collected. Outcome measures included quality of bowel preparation, completion rates, procedural duration and benign and malignant disease detection.A total of 440 colonoscopies were assessed, comprising 148 SCI patients and 292 age- and gender-matched controls. Both the groups were of similar age (54.7 years vs 54.5 years, P=0.906) and comprised predominantly males (87.1% vs 86.3%, P=0.919). SCI colonoscopies were more often performed to investigate abnormalities (85.1% vs 58.2%, P<0.001) than for screening or surveillance (18.2% vs 40.8%, P<0.001). Unsatisfactory bowel preparation was recorded more often in the SCI group (36.0% vs 13.0%, P<0.001) and completion rates were lower (75.7% vs 93.1%, P<0.001). Overall disease detection was lower in the SCI group (45.3% vs 59.6%, P<0.006). The polyp detection rate was lower for SCI (11.4% vs 25.3%, P=0.001). The rate of diagnosis of malignancy was equivalent (2.7% vs 3.0%, P=0.904).SCI patients have the same risk of malignancy as the general population and are less likely to undergo screening colonoscopy. Colonoscopy is then limited by poor bowel preparation and lower completion rates with a subsequent lower polyp detection rate.
Internal ID Number: 25366532
URI: http://ahro.austin.org.au/austinjspui/handle/1/12460
DOI: 10.1038/sc.2014.164
URL: http://www.ncbi.nlm.nih.gov/pubmed/25366532
Type: Journal Article
Appears in Collections:Journal articles

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