INFLUENCE FACTORS ON CECAL INTUBATION RATE AS A QUALITY AND PERFORMANCE MEASUREMENT IN COLONOSCOPY

2019 ◽  
Author(s):  
R Mateescu ◽  
F Ionita Radu ◽  
M Jinga ◽  
P Nuta ◽  
R Costache ◽  
...  
Keyword(s):  
Performance Measurement ◽  
Influence Factors ◽  
Intubation Rate ◽  
Cecal Intubation ◽  
Cecal Intubation Rate ◽  
And Performance

scholarly journals A117 PROPOFOL SEDATION DOES NOT IMPROVE MEASURES OF COLONOSCOPY QUALITY – FINDINGS FROM THE SOUTHWEST ONTARIO COLONOSCOPY COHORT

2021 ◽  
Vol 4 (Supplement_1) ◽  
pp. 97-98
Author(s):  
M Sey ◽  
B Yan ◽  
Z Hindi ◽  
M Brahmania ◽  
J C Gregor ◽  
...  
Keyword(s):  
Detection Rate ◽  
Conscious Sedation ◽  
Intubation Rate ◽  
Polyp Detection ◽  
Cecal Intubation ◽  
Propofol Sedation ◽  
Serrated Polyp ◽  
Polyp Detection Rate ◽  
Cecal Intubation Rate ◽  
Colonoscopy Quality

Abstract Background The use of propofol during colonoscopy has gained increased popularity due to deeper anesthesia compared to conscious sedation. Prior studies examining the use of propofol sedation during colonoscopy have primarily focused on anesthesia outcomes. Whether propofol sedation is associated with improvements in colonoscopy outcomes is uncertain. Aims The primary outcome was adenoma detection rate (ADR). Secondary outcomes were the detection of any adenoma (conventional adenoma, sessile serrated polyp, and traditional serrated adenoma), sessile serrated polyp detection rate, polyp detection rate, cecal intubation rate, and perforation rate. Methods The Southwest Ontario Colonoscopy cohort consists of all patients who underwent colonoscopy between April 2017 and Oct 2018 at 21 hospitals serving a large geographic area in Southwest Ontario. Procedures performed in patients less than 18 years of age or by endoscopist who perform <50 colonoscopies/year were excluded. Data were collected through a mandatory quality assurance form that was completed by the endoscopist after each procedure. Pathology reports were manually reviewed. Results A total of 46,634 colonoscopies were performed by 75 physicians (37.5% by gastroenterologists, 60% by general surgeons, 2.5% others) of which 16,408 (35.2%) received propofol and 30,226 (64.8%) received conscious sedation (e.g. combination of a benzodiazepine and a narcotic). Patients who received propofol were likely to have a screening indication (49.2% vs 45.5%, p<0.0001), not have a trainee endoscopist present and be performed at a non-academic centre (32.2% vs 44.6%, p<0.0001). Compared to conscious sedation, use of propofol was associated with a lower ADR (24.6% vs. 27.0%, p<0.0001) and detection of any adenoma (27.7% vs. 29.8%, p<0.0001); no difference was observed in the detection ofsessile serrated polyps (5.0% vs. 4.7%, p=0.26), polyp detection rate (41.2% vs 41.2%, p=0.978), cecal intubation rate (97.1% vs. 96.8%, p=0.15) or perforation rate (0.04% vs. 0.06%,p=0.45). On multi-variable analysis, the use of propofol was not significantly associated with any improvement in ADR (RR=0.90, 95% CI 0.74–1.10, p=0.30), detection of any adenoma (RR=0.93, 95% CI 0.75–1.14, p=0.47), sessile serrated polyp detection rate (RR=1.20, 95%CI 0.90–1.60, p=0.22), polyp detection rate (RR=1.00, 95% CI 0.90–1.11, p=0.99), or cecal intubation rate (RR=1.00, 95%CI 0.80–1.26, p=0.99). Conclusions The use of propofol sedation does not improve colonoscopy quality metrics. Funding Agencies None

scholarly journals Diagnostic application of water exchange colonoscopy: A meta-analysis of randomized controlled trials

2019 ◽  
Vol 47 (2) ◽  
pp. 515-527
Author(s):  
Xiufang Xu ◽  
Dongqiong Ni ◽  
Yuping Lu ◽  
Xuan Huang
Keyword(s):  
Patient Satisfaction ◽  
Detection Rate ◽  
Water Exchange ◽  
Meta Analysis ◽  
Controlled Trials ◽  
Intubation Rate ◽  
Cecal Intubation ◽  
Randomized Controlled ◽  
Adenoma Detection ◽  
Cecal Intubation Rate

Background Few well-designed studies have investigated water exchange colonoscopy (WE). We performed a meta-analysis to comprehensively evaluate the clinical utility of WE based on high-quality randomized controlled trials (RCTs) and to compare the impacts of WE, water immersion colonoscopy (WI), and gas-insufflation colonoscopy. Methods We searched the Cochrane Library, MEDLINE, Embase, PubMed, Elsevier, CNKI, VIP, and Wan Fang Data for RCTs on WE. We analyzed the results using fixed- or random-effect models according to the presence of heterogeneity. Publication bias was assessed by funnel plots. Results Thirteen studies were eligible for this meta-analysis. The colonoscopic techniques included WE as the study group, and WI and air- or CO2-insufflation colonoscopy as control groups. WE was significantly superior to the control procedures in terms of adenoma detection rate, proportion of painless unsedated colonoscopy procedures, and cecal intubation rate according to odds ratios. WE was also significantly better in terms of maximal pain score and patient satisfaction score according to mean difference. Conclusions WE can remarkably improve the adenoma detection rate, proportion of painless unsedated colonoscopy procedures, patient satisfaction, and cecal intubation rate, as well as reducing the maximal pain score in patients undergoing colonoscopy.

Tu1042 Cecal Intubation Rate Correlates With Adenoma Detection Rate But Has No Impact on Advanced Adenoma Detection Rate

2016 ◽  
Vol 83 (5) ◽  
pp. AB541
Author(s):  
Daniela Sallinger ◽  
Elisabeth Waldmann ◽  
Monika Ferlitsch ◽  
Michael H. Trauner ◽  
Martha Britto-Arias ◽  
...  
Keyword(s):  
Detection Rate ◽  
Adenoma Detection Rate ◽  
Advanced Adenoma ◽  
Intubation Rate ◽  
Cecal Intubation ◽  
Adenoma Detection ◽  
Cecal Intubation Rate

scholarly journals Effect of Hysterectomy on Colonoscopy Completion Rate

2010 ◽  
Vol 24 (6) ◽  
pp. 365-368 ◽  
Author(s):  
Mélanie Lacasse ◽  
Geneviève Dufresne ◽  
Emilie Jolicoeur ◽  
Luc Rochon ◽  
Charles Sabbagh ◽  
...  
Keyword(s):  
Pain Perception ◽  
Intubation Rate ◽  
Review Of The Literature ◽  
Control Groups ◽  
Cecal Intubation ◽  
Significant Difference ◽  
Detectable Difference ◽  
Procedural Complication ◽  
Cecal Intubation Rate ◽  
And Control

BACKGROUND: Several studies show that colonoscopies are technically more difficult to perform in women than men, especially in women who have undergone abdominal and gynecological surgeries. A review of the literature indicates an increased rate of noncompletion of colonoscopies in most cases; however, no studies have investigated the procedural complication rate, sedation requirements and perception of pain in colonoscopies.OBJECTIVE: To determine whether women who have undergone a previous hysterectomy have a higher noncompletion rate when undergoing a colonoscopy, and to assess whether there is a higher percentage of complications. Furthermore, the present study also aimed to ascertain whether these women required more sedation and whether their perception of pain is greater than that of women who did not undergo previous abdominal surgeries.METHODS: The present study was a prospective cohort study of women, 45 to 80 years of age, who underwent colonoscopy (n=508). A total of 229 patients were eligible for the study; they completed a questionnaire, and were subsequently divided into control and hysterectomy groups. Gastroenterologists performed all procedures. After colonoscopy, the patient and endoscopist completed a pain perception questionnaire. Cecal intubation rates were also recorded.RESULTS: No significant difference for cecal intubation rates were detected between the two groups (95.7% and 98.7% in hysterectomy and control groups, respectively; P=0.176). The crude OR for the success rate was 0.29 (95% CI 0.05 to 1.90). There was no significant difference between groups regarding sedation or the type of colonoscope. No correlation between the gastroenterologists’ evaluation of pain and patients’ pain was observed.CONCLUSION: Hysterectomy did not significantly diminish the cecal intubation rate, and there was no detectable difference in pain perception or sedative dose. Colonoscopy remains an excellent screening and diagnostic tool for all women.

Adenoma detection rate and cecal intubation rate: Quality indicators for colonoscopy

2019 ◽  
Vol 42 (4) ◽  
pp. 253-255 ◽  
Author(s):  
María Lourdes Ruiz-Rebollo ◽  
Noelia Alcaide-Suárez ◽  
Beatriz Burgueño-Gómez ◽  
Beatriz Antolin-Melero ◽  
M.ª Fe Muñoz-Moreno ◽  
...  
Keyword(s):  
Quality Indicators ◽  
Detection Rate ◽  
Adenoma Detection Rate ◽  
Intubation Rate ◽  
Cecal Intubation ◽  
Adenoma Detection ◽  
Cecal Intubation Rate

M1406: Double-Balloon Colonoscope Can Enhance Cecal Intubation Rate - Evaluation of the Learning Curve in a Colon Model

2010 ◽  
Vol 71 (5) ◽  
pp. AB212
Author(s):  
Keijiro Sunada ◽  
Hironori Yamamoto ◽  
Tomonori Yano ◽  
Tomohiko Miyata ◽  
Nishimura Naoyuki ◽  
...  
Keyword(s):  
Learning Curve ◽  
Intubation Rate ◽  
Cecal Intubation ◽  
Double Balloon ◽  
Cecal Intubation Rate ◽  
Rate Evaluation

The Impact of Trainee Involvement on the Cecal Intubation Rate and Diagnostic Yield of Screening Colonoscopy

2004 ◽  
Vol 59 (5) ◽  
pp. P120
Author(s):  
Christopher S. Lee ◽  
Shahzad Iqbal ◽  
Samera Vaseer ◽  
Jennifer Northrop ◽  
Albert D. Min
Keyword(s):  
Diagnostic Yield ◽  
Screening Colonoscopy ◽  
Intubation Rate ◽  
Cecal Intubation ◽  
Cecal Intubation Rate ◽  
The Impact
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