Independent Heath Facility Meets Cancer Care Ontario and Canadian Association of Gastroenterology Guidelines for Endoscopic Procedure Wait Times While Meeting Quality Indicators: A Retrospective Review
Background. Canadian independent health facilities (IHFs) have been implemented to reduce hospital endoscopy volume and expedite endoscopic evaluations for patients suspected to have underlying colorectal cancer. Methods. We conducted a retrospective review of a prospective database at a large-volum...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Canadian Journal of Gastroenterology and Hepatology |
| Online Access: | http://dx.doi.org/10.1155/2018/4708270 |
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| author | Fraser Kegel Niv Sne Timothy Rice Eric Joy Shayan Shahsavar Celeste A. Collins Maria Gagarine Alexandra Allard-Coutu Lisa Klotz Angela Coates Kamyar Kahnamoui Marko Simunovic |
| author_facet | Fraser Kegel Niv Sne Timothy Rice Eric Joy Shayan Shahsavar Celeste A. Collins Maria Gagarine Alexandra Allard-Coutu Lisa Klotz Angela Coates Kamyar Kahnamoui Marko Simunovic |
| author_sort | Fraser Kegel |
| collection | DOAJ |
| description | Background. Canadian independent health facilities (IHFs) have been implemented to reduce hospital endoscopy volume and expedite endoscopic evaluations for patients suspected to have underlying colorectal cancer. Methods. We conducted a retrospective review of a prospective database at a large-volume urban IHF. The primary outcomes were wait times, and the secondary outcomes were colonoscopy quality indicators and complication rates. Results. Median wait times from referral to colonoscopy met the recommendations set out by the Canadian Association of Gastroenterology and Cancer Care Ontario for all indications: chronic abdominal pain: 43 days; new onset change in bowel habits: 36 days; bright red rectal bleeding: 42 days; documented iron-deficiency anemia: 43 days; fecal occult blood test positive: 38 days; cancer likely based on imaging or physical exam: 23 days; chronic diarrhea and chronic constipation: 42 days; and screening colonoscopies: 55 days. Secondary outcomes of quality indicators and complication rates all met or exceeded the CCO and CAG recommendations. Conclusions. This IHF met the recommended wait times for all indications for colonoscopy while maintaining high procedural quality and safety. IHFs are one solution to help meet the increasing demand for colonoscopy in Ontario. |
| format | Article |
| id | doaj-art-90f946d391534c67b9ab31d311ae629a |
| institution | Kabale University |
| issn | 2291-2789 2291-2797 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Gastroenterology and Hepatology |
| spelling | doaj-art-90f946d391534c67b9ab31d311ae629a2025-02-03T01:31:39ZengWileyCanadian Journal of Gastroenterology and Hepatology2291-27892291-27972018-01-01201810.1155/2018/47082704708270Independent Heath Facility Meets Cancer Care Ontario and Canadian Association of Gastroenterology Guidelines for Endoscopic Procedure Wait Times While Meeting Quality Indicators: A Retrospective ReviewFraser Kegel0Niv Sne1Timothy Rice2Eric Joy3Shayan Shahsavar4Celeste A. Collins5Maria Gagarine6Alexandra Allard-Coutu7Lisa Klotz8Angela Coates9Kamyar Kahnamoui10Marko Simunovic11Faculty of Health Sciences, McMaster University, Hamilton Health Sciences, Hamilton, Ontario, CanadaFaculty of Health Sciences, McMaster University, Hamilton Health Sciences, Hamilton, Ontario, CanadaFaculty of Health Sciences, McMaster University, Hamilton Health Sciences, Hamilton, Ontario, CanadaDivision of General Surgery and Trauma, McMaster University, Hamilton Health Sciences, Hamilton, Ontario, CanadaFaculty of Health Sciences, McMaster University, Hamilton Health Sciences, Hamilton, Ontario, CanadaMichael G Degroote School of Medicine, McMaster University, Hamilton, Ontario, CanadaUniversity of Ottawa, CanadaDivision of General Surgery and Trauma, McMaster University, Hamilton Health Sciences, Hamilton, Ontario, CanadaFaculty of Health Sciences, McMaster University, Hamilton Health Sciences, Hamilton, Ontario, CanadaDivision of General Surgery and Trauma, McMaster University, Hamilton Health Sciences, Hamilton, Ontario, CanadaFaculty of Health Sciences, McMaster University, Hamilton Health Sciences, Hamilton, Ontario, CanadaFaculty of Health Sciences, McMaster University, Hamilton Health Sciences, Hamilton, Ontario, CanadaBackground. Canadian independent health facilities (IHFs) have been implemented to reduce hospital endoscopy volume and expedite endoscopic evaluations for patients suspected to have underlying colorectal cancer. Methods. We conducted a retrospective review of a prospective database at a large-volume urban IHF. The primary outcomes were wait times, and the secondary outcomes were colonoscopy quality indicators and complication rates. Results. Median wait times from referral to colonoscopy met the recommendations set out by the Canadian Association of Gastroenterology and Cancer Care Ontario for all indications: chronic abdominal pain: 43 days; new onset change in bowel habits: 36 days; bright red rectal bleeding: 42 days; documented iron-deficiency anemia: 43 days; fecal occult blood test positive: 38 days; cancer likely based on imaging or physical exam: 23 days; chronic diarrhea and chronic constipation: 42 days; and screening colonoscopies: 55 days. Secondary outcomes of quality indicators and complication rates all met or exceeded the CCO and CAG recommendations. Conclusions. This IHF met the recommended wait times for all indications for colonoscopy while maintaining high procedural quality and safety. IHFs are one solution to help meet the increasing demand for colonoscopy in Ontario.http://dx.doi.org/10.1155/2018/4708270 |
| spellingShingle | Fraser Kegel Niv Sne Timothy Rice Eric Joy Shayan Shahsavar Celeste A. Collins Maria Gagarine Alexandra Allard-Coutu Lisa Klotz Angela Coates Kamyar Kahnamoui Marko Simunovic Independent Heath Facility Meets Cancer Care Ontario and Canadian Association of Gastroenterology Guidelines for Endoscopic Procedure Wait Times While Meeting Quality Indicators: A Retrospective Review Canadian Journal of Gastroenterology and Hepatology |
| title | Independent Heath Facility Meets Cancer Care Ontario and Canadian Association of Gastroenterology Guidelines for Endoscopic Procedure Wait Times While Meeting Quality Indicators: A Retrospective Review |
| title_full | Independent Heath Facility Meets Cancer Care Ontario and Canadian Association of Gastroenterology Guidelines for Endoscopic Procedure Wait Times While Meeting Quality Indicators: A Retrospective Review |
| title_fullStr | Independent Heath Facility Meets Cancer Care Ontario and Canadian Association of Gastroenterology Guidelines for Endoscopic Procedure Wait Times While Meeting Quality Indicators: A Retrospective Review |
| title_full_unstemmed | Independent Heath Facility Meets Cancer Care Ontario and Canadian Association of Gastroenterology Guidelines for Endoscopic Procedure Wait Times While Meeting Quality Indicators: A Retrospective Review |
| title_short | Independent Heath Facility Meets Cancer Care Ontario and Canadian Association of Gastroenterology Guidelines for Endoscopic Procedure Wait Times While Meeting Quality Indicators: A Retrospective Review |
| title_sort | independent heath facility meets cancer care ontario and canadian association of gastroenterology guidelines for endoscopic procedure wait times while meeting quality indicators a retrospective review |
| url | http://dx.doi.org/10.1155/2018/4708270 |
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