Implementation of a program to improve the quality of colonoscopy increases the neoplasia detection rate: a prospective study
| Autor: | Luis Alberto Viola, Federico Cassella, Andrés Wonaga, Gloria Arnao Dellamea, Leandro Di Paola, Rodrigo Ubeira Salim, José Luis Fernández |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: | |
| Zdroj: | Endoscopy International Open, Vol 04, Iss 01, Pp E68-E72 (2016) |
| Druh dokumentu: | article |
| ISSN: | 2364-3722 2196-9736 0041-1078 |
| DOI: | 10.1055/s-0041-107800 |
| Popis: | Background and study aims: Endoscopists worldwide have been encouraged to report quality indicators in order to evaluate their performance. We aimed to determine whether a program to improve the quality of colonoscopy results in better rates of neoplasia detection. Patients and methods: This is a prospective study set in a private endoscopy center. From May 2009 to March 2010, we evaluated 1573 consecutive colonoscopies (group 1). After the implementation of a quality program, from February 2011 to January 2012, we prospectively evaluated 1583 colonoscopies (group 2). Our quality-enhancing intervention consisted of instructing both patients and endoscopists. We measured the cecal intubation rate and the neoplasia detection rate. Overall neoplasias, high-risk adenomas, carcinomas, right colon adenomas, and adenomas detected in screening studies were analyzed. Results: Cecal intubation was documented in 1384 cases from group 1 (88 %) and 1534 from group 2 (96.9 %) (P |
| Databáze: | Directory of Open Access Journals |
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