Gastronet survey on the use of one- or two-person technique for colonoscopy insertion
| Autor: | Gert Huppertz-Hauss, Lars Aabakken, Geir Hoff, Ingrid Prytz Berset, Ole Høie, Thomas deLange, Øystein Kjellevold, Tom Glomsaker, Per Sandvei, Ove Lange, Moritz Volker, Michael Bretthauer |
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| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty Quality Assurance Health Care medicine.medical_treatment Sedation Colonoscopy Age and sex Gastroenterology Internal medicine Task Performance and Analysis medicine Intubation Humans lcsh:RC799-869 Aged medicine.diagnostic_test business.industry Norway General surgery Data Collection General Medicine Middle Aged Endoscopy lcsh:Diseases of the digestive system. Gastroenterology Female medicine.symptom business Research Article |
| Zdroj: | BMC Gastroenterology BMC Gastroenterology, Vol 11, Iss 1, p 73 (2011) |
| Popis: | Background Usually, colonoscopy insertion is performed by the colonoscopist (one-person technique). Quite common in the early days of endoscopy, the assisting nurse is now only rarely doing the insertion (two-person technique). Using the Norwegian national endoscopy quality assurance (QA) programme, Gastronet, we wanted to explore the extent of two-person technique practice and look into possible differences in performance and QA output measures. Methods 100 colonoscopists in 18 colonoscopy centres having reported their colonoscopies to Gastronet between January and December 2009 were asked if they practiced one- or two-person technique during insertion of the colonoscope. They were categorized accordingly for comparative analyses of QA indicators. Results 75 endoscopists responded to the survey (representing 9368 colonoscopies) - 62 of them (83%) applied one-person technique and 13 (17%) two-person technique. Patients age and sex distributions and indications for colonoscopy were also similar in the two groups. Caecal intubation was 96% in the two-person group compared to 92% in the one-person group (p < 0.001). Pain reports were similar in the groups, but time to the caecum was shorter and the use of sedation less in the two-person group. Conclusion Two-person technique for colonoscope insertion was practiced by a considerable minority of endoscopists (17%). QA indicators were either similar to or better than one-person technique. This suggests that there may be some beneficial elements to this technique worth exploring and try to import into the much preferred one-person insertion technique. |
| Databáze: | OpenAIRE |
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