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Inclusion of a Society-Endorsed Practice Guideline in Computed Tomography Reports Improves Postdiverticulitis
Luke T Chmielecki1, Nathan Pham1, Marisa Wu1
1Department of Medicine, Boston Medical Center, Boston, Massachusetts, USA.
Introduction:
The American Gastroenterological Association (AGA) recommends a follow-up colonoscopy within 6-8 weeks of an episode of complicated diverticulitis or the first episode of uncomplicated diverticulitis if no colonoscopy had been performed within the prior year to rule-out colorectal cancer. Available data suggest that adherence to this recommendation is suboptimal.
Methods:
We conducted a pre/post intervention study to determine whether inclusion of the AGA practice guideline in the diagnostic CT reports increased post-diverticulitis colonoscopy rates.
Results:
Post-diverticulitis colonoscopy order and completion rates were significantly higher in the intervention group. Adherence was highest among individuals whose CT reports included the AGA recommendation.
Conclusion:
Inclusion of a guideline-based recommendation in the diagnostic CT report increases post-diverticulitis colonoscopy adherence rates. The intervention is cheap, easy to implement and amenable to widespread dissemination.
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