Quality of Colonoscopy: A Comparison Between Gastroenterologists and Nongastroenterologists
BACKGROUND:
Colonoscopy performance by gastroenterologists has been shown to be associated with lower rates of developing interval colorectal cancer. However, it is unclear if this difference among specialists stems from a difference in meeting colonoscopy quality indicators.
OBJECTIVE:
The purpose of this study is to determine and compare the rates of colonoscopy quality indicators between different specialties.
DESIGN:
This is a cohort study of patients undergoing screening colonoscopy investigating quality metrics as compared by the proceduralist specialty.
SETTING:
All screening colonoscopies performed at the Cleveland Clinic between 2012 and 2014 were followed by manual chart review.
PATIENTS:
Average-risk patients, ≥50 years of age, who had a complete screening colonoscopy were included.
MAIN OUTCOME MEASURES:
Adenoma detection rate, cecal intubation rate, withdrawal time, and other nonestablished overall and segment-specific rates were calculated and compared using t tests.
RESULTS:
A total of 4151 patients were included in the analysis. Colonoscopies were performed by 54 (64.3%) gastroenterologists, 21 (25%) colorectal surgeons, and 9 (10.7%) general surgeons. Gastroenterologists had the highest overall adenoma detection rate (28.6 ± 1.2; p
Source: Diseases of the Colon and Rectum - Category: Gastroenterology Tags: Original Contributions: Endoscopy Source Type: research
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