The 'golden retriever' study: improving polyp retrieval rates by providing education and competitive feedback
| Autor: | Peter D. Siersema, Tim D. Belderbos, Leon M G Moons, Martijn G.H. van Oijen |
|---|---|
| Přispěvatelé: | Cancer Center Amsterdam, Amsterdam Public Health, Oncology |
| Rok vydání: | 2016 |
| Předmět: |
Adenoma
medicine.medical_specialty Colonic Polyps Single Center Feedback 03 medical and health sciences Tumours of the digestive tract Radboud Institute for Health Sciences [Radboudumc 14] Adenomatous Polyps 0302 clinical medicine Text mining Optical diagnosis Boston bowel preparation scale Journal Article otorhinolaryngologic diseases Medicine Humans Radiology Nuclear Medicine and imaging Prospective Studies Fellowships and Scholarships Familial Polyposis Syndromes business.industry General surgery Carcinoma Gastroenterology Odds ratio Colonoscopy Quality Improvement Confidence interval digestive system diseases Surgery 030220 oncology & carcinogenesis Multivariate Analysis 030211 gastroenterology & hepatology business Colorectal Neoplasms |
| Zdroj: | Gastrointestinal Endoscopy, 83, 596-601 Gastrointestinal Endoscopy, 83(3), 596–601. Mosby Inc. Gastrointestinal endoscopy, 83(3), 596-601. Mosby Inc. Gastrointestinal Endoscopy, 83, 3, pp. 596-601 |
| ISSN: | 0016-5107 |
| Popis: | Item does not contain fulltext BACKGROUND AND AIMS: Although optical diagnosis of small colorectal polyps can be achieved at expert centers, accurate prediction of histopathological outcomes has not been achieved in all practice settings. It is therefore important that resected polyps are retrieved for histology. The aims of this study were to evaluate the effect of education and competitive feedback on the overall polyp retrieval rate and to determine which polyp-related and procedure-related factors are associated with retrieval. METHODS: We prospectively included consecutive colonoscopies performed at a single center between April 1, 2013 and April 1, 2014. Patients with inflammatory bowel disease or familial polyposis syndromes were excluded from analysis. Six months after the start of the study, all endoscopists were educated on the importance of polyp retrieval, and a competition was started by publicly providing feedback on the retrieval rate of all endoscopists and the monthly best 3 performers (or "golden retrievers") in particular. We compared overall retrieval rates in the 6 months before and after the start of the competition. RESULTS: The overall polyp retrieval rate improved from 88% (525/594) to 93% (978/1047), comparing consecutive colonoscopies performed in the 6 months before and during the polyp retrieval competition (P < .01). The histopathological outcomes of retrieved polyps were not different before and during the competition. The retrieval rate of right-sided polyps increased from 85% to 95% during the competition (odds ratio [OR], 3.3; 95% confidence interval [CI], 2.0-5.4), whereas the left-sided retrieval rate remained 92%. On multivariable analysis, polyp size greater than 5 mm (OR, 4.1; 95% CI, 1.8-9.6) and in competition resection (OR, 1.8; 95% CI, 1.3-2.6) were significantly associated with polyp retrieval, respectively. CONCLUSION: Providing education and competitive feedback to endoscopists will improve polyp retrieval rates, especially for clinically relevant, right-sided polyps. |
| Databáze: | OpenAIRE |
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