Tasa de detección de adenomas e intubación cecal: indicadores de calidad de la colonoscopia

Ruiz-Rebollo, María Lourdes; Alcaide-Suárez, Noelia; Burgueño-Gómez, Beatriz; Antolín-Melero, B; Muñoz-Moreno, MF; Alonso-Martín, Carmen; Santos-Fernández, Javier

doi:10.1016/j.gastrohep.2018.05.005

Cited by 4 publications

(1 citation statement)

References 6 publications

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“…Colonoscopy is considered to be the primary screening test for colorectal cancer screening worldwide [1]. Prolongation of cecal intubation time (CIT), which is one of the quality indicators in colonoscopies, decreases adenoma detection rate, causes delay in diagnosis and treatment, and negatively affects patient comfort [2,3].…”

Section: Introductionmentioning

confidence: 99%

Factors Affecting Cecal Intubation Time in Colonoscopy: Impact of Obesity

Göksoy¹,

Kiyak²,

Karadağ³

et al. 2021

Cureus

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This study aims to determine the factors that prolong cecal intubation time (CIT) and determine the effect of obesity on CIT measured using multiple indexes. MethodsPatients who underwent elective colonoscopy between July 10, 2020, and January 20, 2021, were evaluated in this prospective observational study. Age, gender, constipation, bowel preparation, presence of diverticulosis, previous surgery history, auxiliary maneuver and additional analgesic requirement, cecum intubation length (CL) and obesity indices [body mass index (BMI), waist circumference (WC), waist-toheight ratio (WHtR)] were analyzed. Factors affecting CIT were assessed by both univariate and multivariate logistic regression (LR) analyses. ResultsA total of 512 patients were analyzed. Mean CIT was 5.6 ± 1.6 min, and median CIT was 5.17 min. The CIT median was ≤5.17 min in 264 (51.5%) of the patients, and the CIT median was >5.17 min in 248 (48.5%). In the univariate LR results, young age, constipation, poor bowel preparation, increased CL, additional analgesic requirement, low WHtR, and low BMI (<25 kg/m2) were the factors that prolonged CIT (p <0.05). In the multivariate LR analysis results, WHtR >0.5 and BMI >30 kg/m2 were found to be independent factors that decrease CIT [OR: 0.01 (0.01 0.03) p <0.001; OR: 0.28 (0.13 0.57) p <0.001]. ConclusionYounger age, low WHtR, low BMI, increased CL, constipation, inadequate bowel preparation, and the use of extra analgesics were found to be associated with longer CIT. When all factors were evaluated together, obesity measured by only WHtR (>0.5) and BMI (>30 kg/m2) were the best predictors of decreased CIT.

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Section: Introductionmentioning

confidence: 99%

Factors Affecting Cecal Intubation Time in Colonoscopy: Impact of Obesity

Göksoy¹,

Kiyak²,

Karadağ³

et al. 2021

Cureus

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The effectiveness of using an abdominal binder during colonoscopy: a randomized, double-blind, sham-controlled trial

Göksoy¹,

Kiyak²

2021

Scandinavian Journal of Gastroenterology

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Anesthesia Assistance in Colonoscopy: Impact on Quality Indicators

Liang

Zhang

et al. 2022

Front. Med.

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BackgroundAdenoma detection rate (ADR) and polyp detection rate (PDR) are both indicators for colonoscopy quality. Improving ADR or PDR is critical for reducing the incidence and mortality of colorectal cancer (CRC). Although several studies have focused on identifying the factors that may influence ADR or PDR, the evidence remains limited and inconclusive. We conducted a retrospective study to evaluate the effect of anesthesia assistance (AA) on ADR or PDR in patients undergoing colonoscopy screening and identify risk factors affecting ADR or PDR.MethodsWe reviewed electronic medical records of patients who underwent colonoscopy screening between May 2019 and August 2020. Patients were divided into two groups according to whether they received AA: patients in Group A underwent colonoscopy screening with AA, whereas patients in Group O underwent colonoscopy screening without AA. Propensity score matching (PSM) was utilized to account for differences in baseline characteristics. After, ADR and PDR were compared between the two groups. Binary logistic regression was employed to identify risk factors that affected ADR or PDR.ResultsOf 9432 patients who underwent colonoscopy examination during the study period, 7170 were included in the final analyses (Group A = 5756 and Group O = 1414). After PSM, 736 patients remained in each group for analyses. There was no significant difference between groups A and O (P > 0.05) in ADR or PDR. Binary logistic regression indicated that the endoscopic device version (Olympus HQ290), equipment image-based technique and number of images were independent risk factors that affected ADR, and the age (50–59 years and 60–69 years), gender (male), high-risk status, endoscopist seniority (senior endoscopist), equipment image-based technique and number of images were all independent risk factors that affected PDR.ConclusionsWe discovered that AA does not affect ADR or PDR. Despite improved patient satisfaction, using AA is unnecessary for improving colonoscopy quality. Endoscopists should consider all these factors as much as possible when performing colonoscopy screening.

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Tasa de detección de adenomas e intubación cecal: indicadores de calidad de la colonoscopia

Cited by 4 publications

References 6 publications

Factors Affecting Cecal Intubation Time in Colonoscopy: Impact of Obesity

Factors Affecting Cecal Intubation Time in Colonoscopy: Impact of Obesity

The effectiveness of using an abdominal binder during colonoscopy: a randomized, double-blind, sham-controlled trial

Anesthesia Assistance in Colonoscopy: Impact on Quality Indicators

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