Colonoscopy Quality Data

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Emily Hunt
6 years ago
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1 Colonoscopy Quality Data

The third most common cancer diagnosed in men and women combined, the death rate from colorectal cancer has been dropping over the last 20 years, in part because of early screening.

2 Introduction Colorectal cancer is the second leading cause of cancer related deaths in the United States, in men and women combined. In 2016, there are expected to be 134,490 new cases of colon and rectal cancer diagnosed, and it is expected to cause 49,190 deaths in the United States alone. The third most common cancer diagnosed in men and women combined, the death rate from colorectal cancer has been dropping over the last 20 years, in part because of early screening. The most common and effective screening for colorectal cancer is colonoscopy and for most patients, when detected early colon cancer is curable. However not all colonoscopies are the same. This common, relatively painless procedure should be performed by an experienced, well-trained physician who has expertise in gastroenterological conditions and disorders. Through screening colonoscopy, colon cancer can be detected early and precancerous polyps can be removed to prevent cancer, before they cause symptoms. Please continue reading for our group s Colonoscopy Quality Data from. Lin Huang, MD Board-Certified Gastroenterologist Chair, Quality Committee Ralph Katsman, MD Board-Certified Gastroenterologist President, Medical Director

3 Colonoscopy Performance Data Adenoma Detection Rate* Benchmark In Males In Females Average Withdrawal Time** Cecal Intubation Rate*** 49.3% 30% 36.4% 20% 8:08 > 6 minutes 99% > 90% Colonoscopy Surveillance Compliance 99% > 90% Complications z Perforation Bleeding 0.02% < 0.1% 0.13% < 1% * The percentage of patients age 50 years or older, undergoing first time screening colonoscopy who have one or more conventional adenomas detected and removed. ** Length of time doctor is spent examining a normal colon with no pathology. *** The percentage of screening colonoscopy exams that are completed. The percentage of time the practice adheres to current recommendations for follow up based on national GI society guidelines. z Perforations and post-polypectomy bleeds are based on all colonoscopy procedures done by the physicians, at all locations, for the year.

4 Colonoscopy Total number of outpatient colonoscopies performed at Digestive Health Specialists. AVERAGE PER PROVIDER 24,659 1,451 Performing more than 200 procedures annually is associated with increased completion rates and decreased procedure complications. Those providers who perform more than 1,000 colonoscopies each year, are found to be more proficient, with decreased procedure complications and increased abnornality findings. Cecal Intubation Rate Cecal Intubation Rate is the percentage of colonoscopies in which the doctors successfully reach the cecum, the beginning of the colon. It is a measurement of the doctor s competency and an important quality indicator. Nationally, the recommended rate for reaching the cecum is 90-95%. At Digestive Health Specialists, we exceed the benchmark % 99.0% 98.0% 97.0% 96.0% 95.0% 94.0% 93.0% 92.0% 91.0% 90.0% DHS Average 99% Benchmark

Colonoscopy Withdrawal Time DHS Average 8:24 7:12 8:08 6:00 Benchmark 4:48 3:36 2:24 1:12 0:00 Colonoscopy Withdrawal Time is the amount of time the doctor views the inside of the colon looking for

5 Colonoscopy Withdrawal Time DHS Average 8:24 7:12 8:08 6:00 Benchmark 4:48 3:36 2:24 1:12 0:00 Colonoscopy Withdrawal Time is the amount of time the doctor views the inside of the colon looking for polyps, cancers or other abnormalities. Withdrawal time has become one of the standards for the quality of the exam. Doctors who spend longer than six minutes (6:00) of withdrawal time have a significantly increased detection rate of polyps compared with those who spend less than 6 minutes. In, all of our physicians exceeded the national benchmark of 6 minutes. Adenoma Detection Rate (ADR) Detection and removal of adenomatous polyps (benign premalignant tumors) is most critical for colon cancer prevention. Finding and removing these before before they become cancerous decreases the risk. It is expected that well-trained doctors should detect these type of polyps in 30% of exams done on males and 20% of those done on females who are 50 years and older, with no other risk factors for colon cancer. In, In Males In Females 50.0% 40.0% all of our physicians 45.0% 49.3% 35.0% exceeded this important 36.4% national benchmark, and 40.0% 30.0% our group s adenoma detection rate was 80-90% higher than the benchmark in both men and women. 35.0% 30.0% 25.0% 20.0% 25.0% 20.0% 15.0% 10.0%

6 Complications of Colonoscopy With colonoscopy, there are some risks. The risk of bleeding or perforation being the most frequent. National benchmark states that the risk is less than 1% for bleeding and less than 0.1% for perforation for all colonoscopy procedures done. DHS physicians consistently have less complications than the national standard. Benchmark Bleeding Perforation 0.13% < 1% 0.02% < 0.1% Facts about Colon Cancer Colon cancer is the second leading cause of cancer death in women and men combined. Most patients with colon cancer are over 50 years of age, however colon cancer can be diagnosed at any age. Patients often have no symptoms when they develop colon cancer. Most colorectal cancers occur in people who do not have a family history. The risk of colon cancer is slightly lower in women than in men. Colon cancer affects all races. Colon cancer is preventable!

7 About Colonoscopy When and how often should I have a colonoscopy? Average risk patients, no personal history of colon polyps and cancer, and no family history of colon cancer: Colonoscopy: Every 10 years Begin at age 45 for African Americans, begin at age 50 for all other ethnicities Single first-degree relative with colon cancer diagnosed at age 60 (or younger), or two firstdegree relatives with colon cancer: Colonoscopy: Every 5 years Begin at age 40, or ten years younger than age at diagnosis of youngest affected relative Single first-degree relative with colon cancer at 60 (or older): Colonoscopy: Every 10 years Begin at age 45 or African Americans, begin at age 50 for all other ethnicities Patients with history of polyps, colon cancer, inflammatory bowel disease or family history of genetic colon cancer syndromes: Consult with your Gastroenterologist Patients with colorectal symptoms (change in bowel habits, blood in stool, frequent diarrhea or constipation, abdominal discomfort, unexplained weight loss, etc): Consult with your Gastroenterologist Thank You We hope that this helps you feel secure with the expertise of the physicians at Digestive Health Specialists. We thank you for taking the time to review this data and hope that you will trust us to provide your care.

Colonoscopy Quality Data 2017

Colonoscopy Quality Data 2017 Colonoscopy Quality Data Introduction Colorectal cancer is the second leading cause of cancer related deaths in the United States, in men and women combined. According to the American Cancer Society, in