Adding efficiency to proficiency: a study of trainee polypectomy efficiency metrics.
| Autor: | Muething L; Gastroenterology and Hepatology, University of Colorado Anschutz Medical Campus, Aurora, Colorado, United States.; Gastroenterology, Rocky Mountain Regional Veterans Affairs Hospital, Aurora, Colorado, United States., Wani S; Gastroenterology and Hepatology, University of Colorado Anschutz Medical Campus, Aurora, Colorado, United States., Hall M; Biostatistics, Children's Hospital Association, Kansas City, Kansas, United States., Simon V; Gastroenterology and Hepatology, University of Colorado Anschutz Medical Campus, Aurora, Colorado, United States., Ezekwe E; Gastroenterology and Hepatology, University of Colorado Anschutz Medical Campus, Aurora, Colorado, United States., Nguyen-Vu T; Gastroenterology, University of California, San Francisco, California, United States., Malvar C; Gastroenterology, University of California, San Francisco, California, United States., Duloy A; Gastroenterology and Hepatology, University of Colorado Anschutz Medical Campus, Aurora, Colorado, United States., Kaltenbach T; Gastroenterology, University of California, San Francisco, California, United States.; San Francisco Veterans Affairs Medical Center, San Francisco, California, United States., Keswani R; Gastroenterology, Northwestern University, Chicago, Illinois, United States., Patel SG; Gastroenterology and Hepatology, University of Colorado Anschutz Medical Campus, Aurora, Colorado, United States.; Gastroenterology, Rocky Mountain Regional Veterans Affairs Hospital, Aurora, Colorado, United States. |
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| Jazyk: | angličtina |
| Zdroj: | Endoscopy [Endoscopy] 2020 Dec; Vol. 52 (12), pp. 1122-1126. Date of Electronic Publication: 2020 Jul 10. |
| DOI: | 10.1055/a-1192-4250 |
| Abstrakt: | Background: Although validated colonoscopy assessment tools exist, they do not measure efficiency. This study aimed to assess content validity of polypectomy efficiency (PE) and neoplastic polypectomy efficiency (NPE) as colonoscopy efficiency indices. Methods: Data from a randomized controlled trial evaluating polypectomy among gastroenterology trainees were utilized. PE and NPE were defined as number of polyps (or neoplastic polyps) removed/withdrawal time × 100. Content validity was assessed by determining the association between efficiency indices and polypectomy times. Results: 20 trainees performed 601 colonoscopies. There was a strong association between PE/NPE and actual polypectomy times: as polypectomy time increased by 1 minute, the PE decreased by 0.48 ( P = 0.001) and NPE decreased by 0.24 ( P = 0.03). Conclusions: The study proposed and provided content validity for PE and NPE as colonoscopy efficiency indices. Competing Interests: Dr. Wani is a consultant for Boston Scientific, Medtronic, Interpace, and Cernostics. Dr. Kaltenbach is a consultant for Olympus America and Aries Pharmaceutical. Dr. Keswani is a consultant for Medtronic, Boston Scientific, and Motus-GI. All other authors declare that they have no conflicts of interest. (Thieme. All rights reserved.) |
| Databáze: | MEDLINE |
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