Validation of Australian and Victorian guidelines for colonoscopy triage.

Abstract

BACKGROUND AND AIMS: This study aimed to assess the diagnostic performance of National and Victorian colonoscopy triage guidelines and potential redistribution of triage categories. METHODS: Diagnostic validation study comparing colonoscopy triage guidelines against a reference colonoscopy dataset. PARTICIPANTS: reference dataset of 2,378 colonoscopies from 1 October 2014 to 30 June 2016. Comparison with triage categorisation determined using: National Cancer Council Australia guidelines; Victorian triage guidelines; Optimal Cancer Care Pathways recommendations. MAIN OUTCOME MEASURES: i. Proportion of colonoscopies assigned to each triage category; ii. detection rate (proportion of cancers a..