| Autor: |
Carolina, Mangas-Sanjuan, Agustin, Seoane, Marco Antonio, Alvarez-Gonzalez, Alberto, Luè, Adolfo, Suárez, Verónica, Álvarez-García, Luis, Bujanda, Isabel, Portillo, Natalia, González, Lucía, Cid-Gomez, Joaquín, Cubiella, Elena, Rodríguez-Camacho, Marta, Ponce, Pilar, Díez-Redondo, Maite, Herráiz, María, Pellisé, Akiko, Ono, S, Baile-Maxía, L, Medina-Prado, Murcia, O, Pedro, Zapater, Rodrigo, Jover |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
United European gastroenterology journalREFERENCES. 10(9) |
| ISSN: |
2050-6414 |
| Popis: |
Background and objective: Different factors may influence colonoscopy performance measures. We aimed to analyze procedure- and endoscopist-related factors associated with detection of colorectal lesions and whether these factors have a similar influence in the context of different colonoscopy indications: positive fecal immunochemical test (+FIT) and post-polypectomy surveillance colonoscopies. Methods: This multicenter cross-sectional study included adults aged 40-80 years. Endoscopists (N = 96) who had performed ≥50 examinations were assessed for physician-related factors. Adenoma detection rate (ADR), adenomas per colonoscopy rate (APCR), advanced ADR, serrated polyp detection (SDR), and serrated polyps per colonoscopy rate (SPPCR) were calculated. Results: We included 12,932 procedures, with 4810 carried out after a positive FIT and 1967 for surveillance. Of the 96 endoscopists evaluated, 43.8% were women, and the mean age was 41.9 years. The ADR, advanced ADR, and SDR were 39.7%, 17.7%, and 12.8%, respectively. Adenoma detection rate was higher in colonoscopies after a +FIT (50.3%) with a more than doubled advanced ADR compared to non-FIT procedures (27.6% vs. 13.0%) and similar results in serrated lesions (14.7% vs. 13.5%). Among all the detection indicators analyzed, withdrawal time was the only factor independently related to improvement (p < 0.001). Regarding FIT-positive and surveillance procedures, for both indications, withdrawal time was also the only factor associated with a higher detection of adenomas and serrated polyps (p < 0.001). Endoscopist-related factors (i.e., weekly hours dedicated to endoscopy, annual colonoscopy volume and lifetime number of colonoscopies performed) had also impact on lesion detection (APCR, advanced ADR and SPPCR). Conclusions: Withdrawal time was the factor most commonly associated with improved detection of colonic lesions globally and in endoscopies for + FIT and post-polypectomy surveillance. Physician-related factors may help to address strategies to support training and service provision. Our results can be used for establishing future benchmarking and quality improvement in different colonoscopy indications. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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