Table 9.

Colonoscopy Dictation Report Elements.

	2008 (n = 750)	2014 (n = 750)	p
Age range of charts	19–90	19–90
Mean patient age	56	58
Gender composition, %F	53.4	54.6
Presence of dictation item, %
Age	61.5	73.2	<0.001
Gender	97.3	98.1	0.298
Preoperative diagnosis	98.7	99.9	0.006
Post-operative diagnosis	99.1	100.0	0.015
Procedure performed	99.7	99.9	1.000
Clinical preamble/indications(s) for procedure	99.5	90.4	<0.001
Consent	40.5	99.1	<0.001
Comorbidities∗	14.8	32.4	<0.001
Endoscope used	22.5	98.4	<0.001
Quality of bowel preparation	58.8	94.1	<0.001
Sedation (type and dose)	77.6	93.9	<0.001
Medications patient is currently taking∗	19.2	50.7	<0.001
Digital rectal examination	66.1	86.1	<0.001
Extent of examination	99.6	99.9	0.624
Complications	10.8	88.0	<0.001
Patient comfort∗	48.9	21.7	<0.001
Withdrawal time	0.8	91.3	<0.001
Rectal retroflexion	34.4	91.3	<0.001
Findings	99.7	100.0	0.500
Pathology specimens taken	90.4	88.1	0.156
Location of sample	87.4	83.9	0.084
Recommendations for subsequent care	92.1	96.3	<0.001
Overall completeness of report, %
Mean (SD)	64.27 (7.97)	85.32 (7.60)	<0.001
Median (IQR)	63.64 (59.09, 71.43)	86.36 (81.82, 90.91)	—
Range	(38.10, 86.36)	(50.00, 100.00)	—
Report length, pages
Mean (SD)	1.02 (0.11)	1.18 (0.25)	<0.001
Median (IQR)	1.00 (1.00, 1.00)	1.00 (1.00, 1.25)	—
Range	(0.50, 2.00)	(0.50, 2.00)	—
Correlation: % completeness versus report length	0.19	0.31
Cecal visualization rate, n (%)	716/734 (97.5)	708/727 (97.4)	0.845
Polyp detection rate, n (%)	296/750 (39.5)	366/750 (48.8)	<0.001

^∗Items recommended by the CAG/ASGE guidelines that are not included in the SPH template.