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THE RELATIONSHIP BETWEEN THE STOPPING TIME OF COLONOSCOPY AND THE RATE OF ADENOMA RECOGNITION IN PAKISTAN

Dr. Amina Muqaddas, Muhammad Jawad, Dr. Tooba Qasim

Aim: Limited evidence exists on the relationship between the stopping time of colonoscopy and the rate of adenoma recognition in Pakistan. We expected to explain the clinical effect of waiting time for colonoscopy in a Pakistani context. Materials and methods: Between May 2018 and June 2019, we enrolled 6,925 back-to-back patients from four Pakistani endoscopic homes at Lahore General Hospital, Lahore. Colonoscopies were separated in the accompanying meetings according to the average withdrawal time of a negative colonoscopy: < 7 min (group A), 7-12 min (group B) and ≥ 15 min (group C). We have broken down the link between these gatherings on abstinence time and the rate of adenoma localization using numerous calculated relapse analyses. Results: The last survey included 3,880 patients. The collection included 210 (4 colonoscopies), group B 2 750 (15 colonoscopies) and collection C 930 patients (14 colonoscopies). We found that adenoma discovery rates would generally increase with increased waiting time for mean negative colonoscopy (p < 0.02). When comparing the odds ratios in Group B and Group C, the odds ratios in Group B and Group C were 1.97 (96% provisional certainty [CI], 1.43-2.75) and 2.52 (96% CI, 1.69-3.76), taken separately. Conclusion: A waiting time of more than 7 minutes for colonoscopy seems, by all accounts, to be a quality indicator for colonoscopy, even in a Japanese context. Key words: Colorectal neoplasms; Colonoscopy; Quality indicators.

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