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Table 3 Classification of colonoscopy appropriateness according to the EPAGE II criteria. Characteristics of the patients, clinicians, and indication of request. Results expressed as n (%). EPAGE II criteria percentages are shown per row

From: Appropriateness of colonoscopy requests according to EPAGE-II in the Spanish region of Catalonia

  Total N = 1478 (100 %) ≤3 144 (9.7 %) 4-6 245 (16.6 %) ≥7 1089 (73.7 %) p value
Age      <0.001
 ≤50 years 388 (26.25 %) 33 (8.50 %) 202 (52.06 %) 153 (39.43 %)  
 >50 years 1089 (73.68 %) 111 (10.19 %) 43 (3.94 %) 935 (85.85 %)  
Gender      0.145
 Women 740 (50.06 %) 66 (8.91 %) 113 (15.27 %) 561 (75.81 %)  
 Men 738 (49.93 %) 78 (10.56 %) 132 (17.88 %) 528 (71.54 %)  
Origin (gathered)      <0.001
 SCC and outpatients 662 (45.03 %) 86 (12.99 %) 115 (17.37 %) 461 (69.63 %)  
 PCC 808 (54.49 %) 58 (7.17 %) 128 (15.84 %) 622 (76.98 %)  
Requesting clinician      0.001
 General practitioner 790 (54.63 %) 57 (7.21 %) 125 (15.82 %) 608 (76.96 %)  
 Gastroenterologist 426 (29.46 %) 61 (14.31 %) 72 (16.90 %) 293 (68.77 %)  
 Internist 27 (1.86 %) 1 (3.70 %) 2 (7.40 %) 24 (88.88 %)  
 Surgeon 152 (10.51 %) 18 (11.84 %) 31 (20.39 %) 103 (67.76 %)  
 Other 51 (3.52 %) 4 (7.84 %) 10 (19.60 %) 37 (72.54 %)  
Priority      0.001
 Routine 919 (69.72 %) 105 (11.42 %) 166 (18.06 %) 648 (70.51 %)  
 Preferential 235 (24.01 %) 14 (5.95 %) 35 (14.89 %) 186 (79.14 %)  
 Urgent 164 (11.50 %) 6 (3.65 %) 24 (14.63 %) 134 (81.70 %)  
Indication      <0.001
 Diagnostic suspicion 953 (64.47 %) 14 (1.46 %) 186 (19.51 %) 753 (79.32 %)  
 Follow-up 355 (24.01 %) 117 (32.95 %) 25 (7.04 %) 213 (60.00 %)  
 Opportunistic screening 170 (11.50 %) 13 (7.64 %) 34 (20.00 %) 123 (72.35 %)  
Type of diagnostic suspiciona      <0.001
 Rectal bleeding 357 (37.46 %) 0 (0.00 %) 106 (29.69 %) 251 (70.30 %)  
 Abdominal pain abdominal 253 (26.54 %) 1 (0.39 %) 73 (28.85 %) 179 (70.75 %)  
 Anaemia 160 (16.78 %) 9 (5.62 %) 7 (4.37 %) 144 (90.00 %)  
 Changes in bowel habit deposicional 76 (7.97 %) 4 (5.26 %) 0 (0.00 %) 72 (94.73 %)  
 Other 107 (11.22 %) 0 (0.00 %) 0 (0.00 %) 107 (100 %)  
Type of follow-upb      <0.001
 Adenomas 205 (57.74 %) 85 (41.46 %) 10 (4.87 %) 110 (53.65 %)  
 CRC 110 (30.98 %) 12 (10.90 %) 13 (11.81 %) 85 (77.27 %)  
 Ulcerative colitis 16 (4.50 %) 9 (56.25 %) 1 (6.25 %) 6 (37.50 %)  
 Crohn’s disease 7 (1.97 %) 1 (14.28 %) 0 (0.00 %) 6 (85.71 %)  
 Diverticular disease 3 (0.84 %) 0 (0.00 %) 0 (0.00 %) 3 (100.00 %)  
  1. aOver diagnostic suspicion indication
  2. bOver follow-up indication
  3. CRC Colorectal cancer