2884 How Delay in Colonoscopy Impacts Diagnosis of Significant Medical Conditions

Abstract

INTRODUCTION: Colonoscopy cancellations will lead to delaying diagnosis of medical conditions that may be found at colonoscopy. The delay in diagnosing a treatable medical condition can lead to unnecessary increases in patient morbidity and mortality. This study evaluates the impact of a delayed colonoscopy on diagnosing significant medical conditions and the risk factors that may predict significant findings at colonoscopy. METHODS: Retrospective study done at Sierra Nevada Gastroenterology Medical Associates and Sierra Endoscopy Center, both located in Grass Valley, California. Electronic medical records of 421 patients were reviewed from January 2016 through December 2017. Demographics, insurance, reasons for cancellations, timing of rescheduled colonoscopy, indications and significant findings of colonoscopy were recorded. RESULTS: 421 patients cancelled their colonoscopy and 223 (53%) rescheduled. 157 (70%) rescheduled their colonoscopy within 3 months. Demographics, insurance, rescheduled timing. Reasons for cancellations, indications, and findings of colonoscopy. CONCLUSION: Most patients cancel their colonoscopy without realizing the impact that may have on their health. This study shows that significant findings were diagnosed in 98 (44%) of patients, including polyps, colitis and colon cancers. Delaying the diagnosis of these conditions can lead to increased morbidity and mortality. Symptoms, indications or demographic characteristics did not consistently predict significant colon pathology. Therefore, all patients should be encouraged to follow through on their colonoscopy as quickly as possible.