Trainees' adenoma detection rate is higher if €10 minutes is spent on withdrawal during colonoscopy

Surgical Endoscopy

Volumn 26, Issue 5, 2012, Pages 1337-1342

  Gromski, Mark A ^a   Miller, Christopher A ^b   Lee, Suck Ho ^c   Park, Eun Seo ^c   Lee, Tae Hoon ^c   Park, Sang Heum ^c   Chung, Il Kwun ^c   Kim, Sun Joo ^c   Hwangbo, Young ^c  

^a BETH ISRAEL DEACONESS MEDICAL CENTER   (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

^c Soonchunhyang University College of Medicine   (South Korea)

Author keywords

Adenoma; Colonoscopy; Trainee; Withdrawal

Indexed keywords

ADENOMA; ADENOMA DETECTION RATE; ADULT; COLONOSCOPY; DIGESTIVE TRACT INTUBATION; FEMALE; GASTROENTEROLOGY; GENDER; HUMAN; MALE; MEDICAL EDUCATION; POLYP DETECTION RATE; PRIORITY JOURNAL; PROSPECTIVE STUDY; QUALITY CONTROL; REVIEW; SELF REPORT; SEX DIFFERENCE; SKILL; STUDENT; TUMOR DIAGNOSIS; UNIVERSITY HOSPITAL; WITHDRAWAL TIME;

EID: 84863513554     PISSN: 09302794     EISSN: 14322218     Source Type: Journal    
DOI: 10.1007/s00464-011-2033-2     Document Type: Review

References (23)

1. Dafnis G, Granath F, Pahlman L, Hannuksela H, Ekbom A, Blomqvist P (2001) The impact of endoscopists' experience and learning curves and interendoscopist variation on colonoscopy completion rates. Endoscopy 33:511-517
2. Marshall JB (1995) Technical proficiency of trainees performing colonoscopy: a learning curve. Gastrointest Endosc 42:287-291
3. Tassios PS, Ladas SD, Grammenos I, Demertzis K, Raptis SA (1999) Acquisition of competence in colonoscopy: the learning curve of trainees. Endoscopy 31:702-706
4. Lee SH, Chung IK, Kim SJ et al (2008) An adequate level of training for technical competence in screening and diagnostic colonoscopy: a prospective multicenter evaluation of the learning curve. Gastrointest Endosc 67:683-689
5. Aslinia F, Uradomo L, Steele A, Greenwald BD, Raufman JP (2006) Quality assessment of colonoscopic cecal intubation: an analysis of 6 years of continuous practice at a university hospital. Am J Gastroenterol 101:721-731
6. Froehlich F, Wietlisbach V, Gonvers JJ, Burnand B, Vader JP (2005) Impact of colonic cleansing on quality and diagnostic yield of colonoscopy: the European Panel of Appropriateness of Gastrointestinal Endoscopy European multicenter study. Gastrointest Endosc 61:378-384
7. Harewood GC, Sharma VK, de Garmo P (2003) Impact of colonoscopy preparation quality on detection of suspected colonic neoplasia. Gastrointest Endosc 58:76-79
8. Rex DK, Bond JH, Winawer S et al (2002) Quality in the technical performance of colonoscopy and the continuous quality improvement process for colonoscopy: recommendations of the U.S. Multi-Society Task Force on Colorectal Cancer. Am J Gastroenterol 97:1296-1308
9. Vicari J (2009) The influence of timing of colonoscopy on adenoma detection: is timing everything? Am J Gastroenterol 104: 1666-1667
10. Sanduleanu S, Rondagh EJ, Masclee AA (2010) Development of expertise in the detection and classification of non-polypoid colorectal neoplasia: experience-based data at an academic GI unit. Gastrointest Endosc Clin N Am 20:449-460
11. Rex DK, Petrini JL, Baron TH et al (2006) Quality indicators for colonoscopy. Am J Gastroenterol 101:873-885
12. Rex DK, Petrini JL, Baron TH et al (2006) Quality indicators for colonoscopy. Gastrointest Endosc 63:S16-S28
13. Rex DK (2006) Maximizing detection of adenomas and cancers during colonoscopy. Am J Gastroenterol 101:2866-2877
14. Kaminski MF, Regula J, Kraszewska E et al (2010) Quality indicators for colonoscopy and the risk of interval cancer. N Engl J Med 362:1795-1803
15. Barclay RL, Vicari JJ, Doughty AS, Johanson JF, Greenlaw RL (2006) Colonoscopic withdrawal times and adenoma detection during screening colonoscopy. N Engl J Med 355:2533-2541
16. Barclay RL, Vicari JJ, Greenlaw RL (2008) Effect of a timedependent colonoscopic withdrawal protocol on adenoma detection during screening colonoscopy. Clin Gastroenterol Hepatol 6:1091-1098
17. Sawhney MS, Cury MS, Neeman N et al (2008) Effect of institution- wide policy of colonoscopy withdrawal time C 7 minutes on polyp detection. Gastroenterology 135:1892-1898
18. Chen SC, Rex DK (2007) Endoscopist can be more powerful than age and male gender in predicting adenoma detection at colonoscopy. Am J Gastroenterol 102:856-861
19. Rex DK (2000) Colonoscopic withdrawal technique is associated with adenoma miss rates. Gastrointest Endosc 51:33-36
20. Spier BJ, Benson M, Pfau PR, Nelligan G, Lucey MR, Gaumnitz EA (2010) Colonoscopy training in gastroenterology fellowships: determining competence. Gastrointest Endosc 71:319-324
21. McCashland TM, Brand R, Lyden E, de Garmo P (2001) Gender differences in colorectal polyps and tumors. Am J Gastroenterol 96:882-886
22. Saunders BP, Fukumoto M, Halligan S et al (1996) Why is colonoscopy more difficult in women? Gastrointest Endosc 43: 124-126
23. Schoenfeld P, Cash B, Flood A et al (2005) Colonoscopic screening of average-risk women for colorectal neoplasia. N Engl J Med 352:2061-2068