Endoscopist characteristics that influence the quality of colonoscopy
Por:
Jover, R, Zapater, P, Bujanda, L, Hernandez, V, Cubiella, J, Pellise, M, Ponce, M, Ono, A, Lanas, A, Seoane, A, Marin-Gabriel, J, Chaparro, M, Cacho, G, Herreros-de-Tejada, A, Fernandez-Diez, S, Peris, A, Nicolas-Perez, D, Murcia, O, Castells, A, Quintero, E and COLONPREV Study Investigators
Publicada:
1 mar 2016
Ahead of Print:
4 feb 2016
Categoría:
Gastroenterology
Resumen:
Background and study aim: Several factors have been shown to be related
to colonoscopy quality; however, little is known about the effects of
endoscopist factors. This study analyzed the influence of
endoscopist-related characteristics on quality indicators for
colonoscopy.
Patients and methods: The study included 48 endoscopists who each
performed at least 20 colonoscopies in the colonoscopy arm of a
randomized controlled trial comparing fecal immuno-chemical test vs.
colonoscopy in colorectal cancer screening. These endoscopists performed
a total of 3838 procedures in the trial. The following were calculated
for each endoscopist: adenoma detection rate (ADR), advanced ADR,
proximal ADR, distal ADR, and adenoma per colonoscopy rate (APCR). The
characteristics of endoscopists were assessed with regard to colonoscopy
quality using multivariate regression analysis. Endoscopist
characteristics included age, sex, exclusive endoscopy practice, years
as a physician, years as a specialist, specialty, total (life-long)
number of colonoscopies performed, annual colonoscopy volume, number of
hours/week dedicated to endoscopy and number of educational activities
in the previous year.
Results: Factors associated with ADR were age of the endoscopist (odds
ratio [OR] 1.11, 95% confidence interval [CI] 1.01-1.21; P = 0.01) and
lifelong number of colonoscopies (OR 1.06, 95% CI 1.01-1.11; P = 0.01).
Only exclusive dedication to endoscopy practice was found to be
independently related to proximal ADR (OR 1.71, 95% CI 1.15-2.74; P =
0.001). Life-long number of colonoscopies was independently related to
detection of distal adenomas (OR 1.07, 95% CI 1.01-1.13; P = 0.01). None
of the analyzed endoscopist characteristics was associated with advanced
ADR or APCR.
Conclusions: This study found that the experience of the endoscopist and
exclusive dedication to endoscopy practice, but not annual colonoscopy
volume, were associated with better colonoscopy quality.
Filiaciones:
:
Hosp Gen Univ Alicante, Unidad Gastroenterol, Inst Invest Sanitaria ISABIAL, Alicante 03010, Spain
:
Hosp Gen Univ Alicante, Unidad Farmacol Clin, Inst Invest Sanitaria ISABIAL, Alicante 03010, Spain
Univ Basque Country, Hosp Donostia, Ctr Invest Biomed Red Enfermedades Hep & Digestiv, Dept Gastroenterol,Inst Biodonostia, San Sebastian, Spain
Hernandez, V:
Inst Invest Biomed, Xerencia Xestion Integrada Vigo, Grp Invest Patol Digest, Dept Gastroenterol, Vigo, Spain
Cubiella, J:
Complexo Hosp Ourense, Inst Invest Biomed Ourense Pontevedra & Vigo, Dept Gastroenterol, Orense, Spain
Pellise, M:
Univ Barcelona, Hosp Clin, Dept Gastroenterol, CIBERehd,IDIBAPS, Barcelona, Spain
Ponce, M:
Hosp Univ La Fe, Dept Gastroenterol, Valencia, Spain
Ono, A:
Hosp Univ Virgen Arrixaca, Inst Murciano Invest Biosanitaria, Unidad Gest Clin Digest, Murcia, Spain
Lanas, A:
Univ Zaragoza, Hosp Clin Lozano Blesa, Dept Gastroenterol, CIBERehd, Zaragoza, Spain
Seoane, A:
Hosp Mar, Dept Gastroenterol, Parc Salut Mar, Barcelona, Spain
Marin-Gabriel, J:
Hosp 12 Octubre, Dept Gastroenterol, E-28041 Madrid, Spain
Chaparro, M:
Hosp Princesa, Dept Gastroenterol, CIBERehd, Madrid, Spain
Cacho, G:
Fdn Hosp Alcorcon, Dept Gastroenterol, Madrid, Spain
Herreros-de-Tejada, A:
Hosp Puerta Hierro, Dept Gastroenterol, Madrid, Spain
Fernandez-Diez, S:
Hosp Clin San Carlos, Dept Gastroenterol, Madrid, Spain
Peris, A:
Consorcio Hosp Prov Castellon, Dept Gastroenterol, Castellon De La Plana, Spain
Nicolas-Perez, D:
Hosp Univ Canarias, Inst Univ Tecnol Biomed ITB, Dept Gastroenterol, Santa Cruz De Tenerife, Spain
Univ La Laguna, Ctr Invest Biomed Canarias CIBICAN, Dept Med Interna, Santa Cruz De Tenerife, Spain
:
Hosp Gen Univ Alicante, Unidad Gastroenterol, Inst Invest Sanitaria ISABIAL, Alicante 03010, Spain
Castells, A:
Univ Barcelona, Hosp Clin, Dept Gastroenterol, CIBERehd,IDIBAPS, Barcelona, Spain
Quintero, E:
Hosp Univ Canarias, Inst Univ Tecnol Biomed ITB, Dept Gastroenterol, Santa Cruz De Tenerife, Spain
Univ La Laguna, Ctr Invest Biomed Canarias CIBICAN, Dept Med Interna, Santa Cruz De Tenerife, Spain
|