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Colonoscopy clinical care standard indicators: Proportion of patients undergoing a colonoscopy who have their entire colon examined

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termCaecal intubation rate
METeOR identifier:Help on this term691703
Registration status:Help on this termAustralian Commission on Safety and Quality in Health Care, Standard 11/09/2018
Description:Help on this term

Proportion of patients undergoing a colonoscopy who have their entire colon examined.

Indicator set:Help on this termClinical care standard indicators: colonoscopy Australian Commission on Safety and Quality in Health Care, Standard 11/09/2018

Collection and usage attributes

Population group age from:Help on this term

50 years or older

Computation description:Help on this term

For the numerator, the 'entire colon examined’ means that the entire length of the colon has been visualised, including the caecum and/or terminal ileum. For the patient to be counted as having their entire colon examined, photographic documentation of caecal intubation should be obtained. Satisfactory evidence the entire colon has been examined is considered to be:

  1. a photo of the terminal ileum where villi or lymphoid hyperplasia can be clearly seen, or
  2. a photo of the terminal ileum where the ileo-cecal valve, either open or en face, can be clearly seen, or
  3. a photo of the appendiceal orifice where either the caecal strap fold or the ileo-cecal valve can also be clearly seen in the same image, or 
  4. a pathology report of mucosa of the caecum or terminal ileum.

The Gastroenterological Society of Australia's website (GESA 2018) provides examples of what is considered sufficient or insufficient as photographic evidence.

This indicator excludes patients with severe colitis, impassable stricture(s), and incomplete colons due to previous resection(s).

Presented as a percentage.

Computation:Help on this term

(Numerator ÷ Denominator) x 100‚Äč

Numerator:Help on this term

The number of patients undergoing colonoscopy who had their entire colon examined.

Denominator:Help on this term

The number of patients undergoing colonoscopy.

Representational attributes

Representation class:Help on this termPercentage
Data type:Help on this termReal
Unit of measure:Help on this termService event
Format:Help on this term

N[NN]

Source and reference attributes

Submitting organisation:Help on this term

Australian Commission on Safety and Quality in Health Care

Reference documents:Help on this term

GESA (Gastroenterological Society of Australia) 2018. Colonoscopy Recertification Program Image Guidelines. Melbourne: GESA. Viewed 31 May 2018, http://recert.gesa.org.au/imageGuidelines.php.

 

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