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 23 November 2017

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News

Predictors and quality assessment of cecal intubation

This month's American Journal of Gastroenterology finds that colon cancer screening, male gender, and adequate bowel preparation predict a higher cecal intubation rate, and computerized databases can be used for quality assessment.

News image

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Despite increased emphasis on endoscopic performance indicators, such as cecal intubation rates, limited data from actual clinical practice have been published.

Dr Florence Aslinia and colleagues retrospectively reviewed a database to determine the rate of cecal intubation during colonoscopy at a university center.

The team reviewed 5477 consecutive colonoscopies performed by 10 faculty gastroenterologists at the University hospital from 1999 to 2005.

Unadjusted cecal intubation rates were analyzed as were rates that were adjusted based on the US Multi-Society Task Force on Colorectal Cancer recommendations.

The research team analyzed trends in overall and individual cecal intubation rates.

The overall adjusted cecal intubation rate for the 6 year period was 90%
American Journal of Gastroenterology

Circumstances that impact these rates, and the quality of documentation of cecal intubation were also assessed.

The researchers found that the overall adjusted cecal intubation rate for the entire 6 year period was 90%.

This also increased over the study period with the highest adjusted rate of 94% in the most recent year studied.

The team observed no correlation between cecal intubation rate and patient age.

There was no correlation between gastroenterology fellow involvement, endoscopist experience, and number of procedures per year and cecal intubation rate.

In contrast, the team noted that colon cancer screening, male gender, outpatient colonoscopy, and adequate bowel preparation predicted a higher cecal intubation rate.

Written and photographic documentation of cecal intubation improved significantly after 2002.

Dr Aslinia's team concluded, “The analysis revealed cecal intubation and documentation rates that meet current guidelines.”

“We identified factors that may cause substantial variance in these rates depending on the nature of the practice.

“The present analysis confirms that computerized databases can be used to assess individual and group cecal intubation, documentation rates on an annual basis, and to make these data available to the public.”

Am J Gastroenterol 2006: 101(4): 721
11 April 2006

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