Observational study of appropriateness of colonoscopy using appropriateness criteria designed by EPAGE


  • Bhushan R. Kale Department of Surgery, LTMMC and LTMG Hospital, Mumbai, Maharashtra, India
  • Sandhya Iyer Department of Surgery, LTMMC and LTMG Hospital, Mumbai, Maharashtra, India
  • Prabhakar Subramanian Department of Surgery, LTMMC and LTMG Hospital, Mumbai, Maharashtra, India




Appropriateness, Colonoscopy, Endoscopy


Background: To evaluate the appropriateness of colonoscopy for various common indications observed in day to day outpatient and inpatient general surgical practice as per criteria devised by expert panel of EPAGE 2.

Methods: Appropriateness score for indication of colonoscopy was calculated from EPAGE official website and the colonoscopy findings were verified against appropriateness score. The effect of various parameters like age, sex, duration of symptoms and referring doctor individually on both EPAGE score as well as colonoscopy results was verified.

Results: In our study, we found that only age of patient statistically affects EPAGE score. We also found that there is correlation between EPAGE score and colonoscopy results.

Conclusions: As age of patient increases likelihood of getting a significant EPAGE score increases while other parameters like sex, duration of symptoms, referring physicians did not affect EPAGE score in our study. The probability of getting positive findings on colonoscopy increases if the indication of colonoscopy is proved appropriate by EPAGE. All other parameters did not affect the colonoscopy findings in our study.


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Original Research Articles