The Impact of Colonoscopy Quality Control Table on Adenoma Detection Rates

Objective. This study aims to investigate the effects of reporting colonoscopy findings and the regular review of outcomes on adenoma detection rates. Methods. Patients who underwent colonoscopy from August 2013 to February 2014 were selected as the intervention group. The preintervention group incl...

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Main Authors: Bin Deng, Jiehua Zhi, Yaosheng Chen, Lanyu Liang, Jian Wu, Xuefen Gao, Weiming Xiao, Yanbing Ding
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2016/2548109
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author Bin Deng
Jiehua Zhi
Yaosheng Chen
Lanyu Liang
Jian Wu
Xuefen Gao
Weiming Xiao
Yanbing Ding
author_facet Bin Deng
Jiehua Zhi
Yaosheng Chen
Lanyu Liang
Jian Wu
Xuefen Gao
Weiming Xiao
Yanbing Ding
author_sort Bin Deng
collection DOAJ
description Objective. This study aims to investigate the effects of reporting colonoscopy findings and the regular review of outcomes on adenoma detection rates. Methods. Patients who underwent colonoscopy from August 2013 to February 2014 were selected as the intervention group. The preintervention group included patients who underwent colonoscopy from January 2013 to July 2013, in which the procedure sheet for this group of patients was not accomplished. The primary outcome was adenoma detection rate (ADR), and secondary outcomes included the success rate of intubation and withdrawal time. Results. This study included 2,467 cases: 1,302 cases in the intervention group and 1,165 cases in the preintervention group. There was no significant difference in demographic characteristics between the two groups. In the intervention group, withdrawal time of colonoscopy was longer (P<0.01), and the success rate of intubation (92.5% versus 89.1%, P<0.05) and detection rate of polyps (32.6% versus 27.6%, P<0.05) and adenomas (20.0% versus 16.1%, P<0.05) were higher. Significantly high detection rates for proximal adenomas, flat adenomas, and adenomas with a diameter <5 mm were observed in the intervention group (all P<0.01). Conclusion. The reporting and review of procedure details help to improve quality indicators of colonoscopy.
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institution Kabale University
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spelling doaj-art-37dfad180c0349b88615054bbf0347e22025-02-03T06:14:15ZengWileyGastroenterology Research and Practice1687-61211687-630X2016-01-01201610.1155/2016/25481092548109The Impact of Colonoscopy Quality Control Table on Adenoma Detection RatesBin Deng0Jiehua Zhi1Yaosheng Chen2Lanyu Liang3Jian Wu4Xuefen Gao5Weiming Xiao6Yanbing Ding7Department of Gastroenterology, Yangzhou No. 1 People’s Hospital, Jiangsu 225001, ChinaDepartment of Gastroenterology, Yangzhou No. 1 People’s Hospital, Jiangsu 225001, ChinaDepartment of Gastroenterology, Yangzhou No. 1 People’s Hospital, Jiangsu 225001, ChinaDepartment of Emergency, Yangzhou No. 1 People’s Hospital, Jiangsu 225001, ChinaDepartment of Gastroenterology, Yangzhou No. 1 People’s Hospital, Jiangsu 225001, ChinaDepartment of Gastroenterology, Yangzhou No. 1 People’s Hospital, Jiangsu 225001, ChinaDepartment of Gastroenterology, Yangzhou No. 1 People’s Hospital, Jiangsu 225001, ChinaDepartment of Gastroenterology, Yangzhou No. 1 People’s Hospital, Jiangsu 225001, ChinaObjective. This study aims to investigate the effects of reporting colonoscopy findings and the regular review of outcomes on adenoma detection rates. Methods. Patients who underwent colonoscopy from August 2013 to February 2014 were selected as the intervention group. The preintervention group included patients who underwent colonoscopy from January 2013 to July 2013, in which the procedure sheet for this group of patients was not accomplished. The primary outcome was adenoma detection rate (ADR), and secondary outcomes included the success rate of intubation and withdrawal time. Results. This study included 2,467 cases: 1,302 cases in the intervention group and 1,165 cases in the preintervention group. There was no significant difference in demographic characteristics between the two groups. In the intervention group, withdrawal time of colonoscopy was longer (P<0.01), and the success rate of intubation (92.5% versus 89.1%, P<0.05) and detection rate of polyps (32.6% versus 27.6%, P<0.05) and adenomas (20.0% versus 16.1%, P<0.05) were higher. Significantly high detection rates for proximal adenomas, flat adenomas, and adenomas with a diameter <5 mm were observed in the intervention group (all P<0.01). Conclusion. The reporting and review of procedure details help to improve quality indicators of colonoscopy.http://dx.doi.org/10.1155/2016/2548109
spellingShingle Bin Deng
Jiehua Zhi
Yaosheng Chen
Lanyu Liang
Jian Wu
Xuefen Gao
Weiming Xiao
Yanbing Ding
The Impact of Colonoscopy Quality Control Table on Adenoma Detection Rates
Gastroenterology Research and Practice
title The Impact of Colonoscopy Quality Control Table on Adenoma Detection Rates
title_full The Impact of Colonoscopy Quality Control Table on Adenoma Detection Rates
title_fullStr The Impact of Colonoscopy Quality Control Table on Adenoma Detection Rates
title_full_unstemmed The Impact of Colonoscopy Quality Control Table on Adenoma Detection Rates
title_short The Impact of Colonoscopy Quality Control Table on Adenoma Detection Rates
title_sort impact of colonoscopy quality control table on adenoma detection rates
url http://dx.doi.org/10.1155/2016/2548109
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