Help
Subscribe


Submit Videos to GastroHep Read For FREE - Our full range of review articles
GastroHep.com - the global online resource for all aspects of gastroenterology, hepatology and endoscopy
GastroHep.com - the global online resource for all aspects of gastroenterology, hepatology and endoscopy Profile of Guido Tytgat Profile of Pete Peterson Profile of Peter Cotton Profile of Roy Pounder

Home

News  
Journals
Review Articles
Slide Atlas
Video Clips
Online Books
Advanced Digestive Endoscopy
Classical Cases
Conference Diary
PubMed
International GH Links
USA GH Links
National GH Links
National GI Societies
Other Useful Links




Emails on Gastroenterology and Hepatology
the National AIDS Treatment Advocacy Project
Visit the gastroenterology section of the EUMS

News

Adenoma detection rate is a key measure of quality in colonoscopy

Adenoma detection rate is a key measure of quality in colonoscopy, finds this month's issue of the American Journal of Gastroenterology.

News image

Low adenoma detection rates are associated with development of interval cancer after 'negative' colonoscopy.

Dr Susan Coe and colleagues noted that uncontrolled studies mandating longer withdrawal time, and other incentives, have not significantly improved adenoma detection rate.

The team hypothesized that an endoscopist training program would increase adenoma detection rates.

The Endoscopic Quality Improvement Program was an educational intervention for staff endoscopists.

The team measured adenoma detection rate for a baseline period, then randomly assigned half of the 15 endoscopists to undergo Endoscopic Quality Improvement Program training.

The team then examined baseline and post-training study adenoma detection rate for all endoscopists to evaluate the impact of training.

Training increased adenoma detection rate to 47%
American Journal of Gastroenterology

The doctors reported that a total of 1,200 procedures were completed in each of the 2 study phases.

Patient characteristics were similar between randomization groups and between study phases.

The research team assessed that the overall adenoma detection rate in baseline phase was 36% for both groups of endoscopists.

In the post-training phase, the group of endoscopists randomized to Endoscopic Quality Improvement Program training had an increase in adenoma detection rate  to 47%, whereas the adenoma detection rate for the group of endoscopists who were not trained remained unchanged at 35%.

The researchers noted that the effect of training on the endoscopist-specific adenoma detection rate was estimated with an odds ratio of 1.7.

Dr Coe's team concludes "Our results indicate that adenoma detection rate  can be improved considerably through simple educational efforts."

"Ultimately, a trial involving a larger number of endoscopists is needed to validate the utility of our training methods and determine whether improvements in adenoma detection rate  lead to reduced colorectal cancer."

Am J Gastroenterol 2013: 108:  219-226
11 February 2013

Go to top of page Email this page Email this page to a colleague

 02 July 2015

Advanced search
 02 July 2015 
Anastomotic leak and cancer cancer
 02 July 2015 
Ulcerative colitis prognosis after thiopurines withdrawal
 02 July 2015 
Health care use by IBD children
 01 July 2015 
Missed gastric cancers
 01 July 2015 
Probiotics in IBD
 01 July 2015 
Oral mechanical bowel preparation
 30 June 2015 
Glucocorticoids and peptic ulcer bleeding
 30 June 2015 
Split-dose preparations vs day-before bowel cleansing regimens
 30 June 2015 
NSAIDs and hearburn symptoms
 29 June 2015 
Rescue therapy in ulcerative colitis
 29 June 2015 
Prevention of pancreatitis after ERCP
 29 June 2015 
Advances in autoimmune pancreatitis
 26 June 2015 
Dietary fibre–microbiota interactions
 26 June 2015 
Gastritis in celiac disease
 26 June 2015 

Gene polymorphism in alcoholic liver disease

 25 June 2015 
Fecal microbiota in pediatric IBD
 25 June 2015 
Vitamin D level and primary biliary cirrhosis
 25 June 2015 
Persistent organ failure in acute cholangitis patients
 24 June 2015 
Fatigue scales for IBD
 24 June 2015 
Mucosal healing tests in ulcerative colitis
 24 June 2015 
Environmental risk in IBD
 23 June 2015 
Marker associated with endoscopic lesion in Crohn's
 23 June 2015 
Body composition in children with IBD
 23 June 2015 
Medical vs nurse endoscopists
 22 June 2015 
Gene polymorphism associated with increased liver enzymes
 22 June 2015 
Treatment of uncomplicated acute appendicitis
 22 June 2015 
Solid organ cancers after liver transplant
 19 June 2015 
Causes of death in HBV
 19 June 2015 
Lifetime benefits of increased adenoma detection rates
 19 June 2015 
Acid-suppressive therapy before anti-reflux surgery
 18 June 2015 
Endoscopic activity in symptomatic IBD patients
 18 June 2015 
Regimens for H. pylori eradication
 18 June 2015 
Risk for dyspepsia
 17 June 2015 
NAFLD risk in celiac disease
 17 June 2015 
Non-invasive markers of advanced liver fibrosis
 17 June 2015 
Patients’ and clinicians’ perception of pouch dysfunction
 16 June 2015 
Risk score for hepatocellular carcinoma screening
 16 June 2015 
Esophageal food bolus impaction
 16 June 2015 
Evaluating lymph node metastasis for rectal cancer
 15 June 2015 
Low-cost colonoscopy training
 15 June 2015 
Determining dysbiosis in IBS or IBD
 15 June 2015 
Light alcohol consumption and NAFLD
 12 June 2015 
Smoking and disease course in IBD
 12 June 2015 
Hep D in a Hep B endemic area
 12 June 2015 
Patient-orientated internet information in ulcerative colitis
 11 June 2015 
Physical inactivity and NAFLD
 11 June 2015 
Esophageal stricture after endoscopic resection
 11 June 2015 
Guideline based screening strategies for hepatitis
 10 June 2015 
Cost-effectiveness of HCV treatment in liver disease
 10 June 2015 
Abdominoperineal excision for low rectal cancer
 10 June 2015 
Pediatric chronic Hep C
 09 June 2015 
Bile acid malabsorption in IBS
 09 June 2015 
Racial differences in celiac disease
 09 June 2015 
Conversion from laparoscopic to open colorectal cancer resection
 08 June 2015 
Short sleep duration and NAFLD
 08 June 2015 
Heritability in inflammatory bowel disease
 08 June 2015 
Eosinophilic esophagitis
 05 June 2015 
In-hospital mortality in patients with lower GI bleeding
 05 June 2015 
Scoring system for microscopic colitis
 05 June 2015 
H. pylori and myocardial infarction

Blackwell Publishing


GastroHep.com is a Blackwell Publishing registered trademark
© 2015 Wiley-Blackwell and GastroHep.com and contributors
Privacy Statement
Disclaimer
About Us