An Audit On The Interval Cancer Rates In Louth County Hospital

Aims The aim of this audit was to assess the interval colorectal cancer rate for Louth County Hospital (LCH).

Methods Using EndoRaad, full colonoscopies, and sigmoidoscopies (screening/symptomatic) performed in LCH, a JAG accredited site, from 2017 to 2019 on which a ‘tumour’ was identified were included. Histology records were reviewed to confirm malignancy. Electronic records were used to identify lower GI endoscopies performed in our unit within three years of the cancer diagnosis. The insertion point of prior endoscopies was taken into account.

Results A ‘tumour’ was identified on 96 colonoscopies/sigmoidoscopies in LCH. 69 of these procedures were associated with a diagnosis of CRC. 4.35 % (n = 3) of patients had undergone a lower GI endoscopy in LCH within 3 years of their cancer diagnosis. The average interval between negative endoscopy and cancer diagnosis was 24.67 months. In all three cases, the point of insertion on the initial scope was proximal to the site of subsequent malignancy. CT Colon was performed in 2 of the 3 cases; occurring 21 and 72 days after negative endoscopy. Both CT Colon studies were negative; identifying no colonic mucosal lesion >6mm.

Conclusions The interval cancer rate for LCH is in keeping with rates published internationally and by the national GI endoscopy working group.

Citation Mohamed A, Caroline C, Vakeesan B et al. eP127 AN AUDIT ON THE INTERVAL CANCER RATES IN LOUTH COUNTY HOSPITAL. Endoscopy 2021; 53: S138.

Publication History

Article published online:
19 March 2021