Does time of day affect polyp detection rates from colonoscopy?

Spiegel, Brennan M.

doi:10.1016/j.gie.2010.09.026

Cited by 3 publications

(2 citation statements)

References 23 publications

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“…Lee et al (12) found that each elapsed hour in the day was associated with a 4.6% reduction in polyp detection as well as 5.4% reduction in polyp detection with each increase in the colonoscopy queue position (12); however, the authors attributed an inability to demonstrate a statistically significant decrease to the small number of procedures occupying a queue position ≥8 (12). A decrease in polyp detection was not observed in studies in which endoscopy sessions were limited to 3 h (10) or half-day schedules (17,18), further raising the notion of operator fatigue as noted by Spiegel (38). In a study by Kaneshiro et al (15), the effect of decreased AD as the day progressed persisted even after using visual reminders.…”

Section: Discussionmentioning

confidence: 94%

Adenoma Detection Rates Decline with Increasing Procedural Hours in an Endoscopist’s Workload

Almadi

Sewitch

Barkun

et al. 2015

Canadian Journal of Gastroenterology and Hepatology

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Section: Discussionmentioning

confidence: 94%

Adenoma Detection Rates Decline with Increasing Procedural Hours in an Endoscopist’s Workload

Almadi

Sewitch

Barkun

et al. 2015

Canadian Journal of Gastroenterology and Hepatology

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“…6 No study has examined the relationship between fatigue and colonoscopy quality in a large community-based endoscopy setting within the United States, and no study has used highly standardized measures to account for the complexity of prior procedures, such as relative value units (RVUs), to better estimate the combination of both procedure volume and complexity as a surrogate measure of endoscopist fatigue. 7 …”

Section: Introductionmentioning

confidence: 99%

Endoscopist fatigue estimates and colonoscopic adenoma detection in a large community-based setting

Lee

Jensen

Marks

et al. 2017

Gastrointestinal Endoscopy

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Background and Aims Endoscopist fatigue may impact colonoscopy quality, but prior studies conflict, and minimal data exist from community-based practices where most colonoscopies are performed. Methods Within a large, community-based integrated healthcare system, we evaluated the associations among 4 measures of endoscopist fatigue and colonoscopic adenoma detection during the years 2010 to 2013. Fatigue measures included afternoon versus morning colonoscopy and the number of GI procedures performed before a given colonoscopy, including consideration of prior procedure complexity. Analyses were adjusted for potential confounders using multivariate logistic regression. Results We identified 126 gastroenterologists who performed 259,064 total GI procedures (median: 6/day, range: 1–24), including 76,445 screening and surveillance colonoscopies. Compared with morning examinations, colonoscopies in the afternoon were not associated with lower adenoma detection for screening examinations, surveillance examinations, or their combination (odds ratio (OR) for combination 0.99; 95% confidence interval (CI), 0.96–1.03). The number of procedures performed before a given colonoscopy, with or without consideration of prior procedure complexity, was also not inversely associated with adenoma detection (OR for adenoma detection for colonoscopies in the fourth quartile of fatigue based on the number of prior procedures performed versus colonoscopies performed as the first procedure of the day 0.99; 95% CI, 0.94–1.04). Conclusions In a large community-based setting, adenoma detection for screening and surveillance colonoscopies was not associated with either time of day or the number of prior procedures performed by the endoscopist, within the range of procedure volumes evaluated. The lack of association persisted after accounting for prior procedure complexity.

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¿Influye el posible cansancio del endoscopista en la frecuencia de colonoscopias incompletas y de las lesiones polipoideas diagnosticadas?

Borda

Jiménez

et al. 2014

Gastroenterología y Hepatología

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Does time of day affect polyp detection rates from colonoscopy?

Cited by 3 publications

References 23 publications

Adenoma Detection Rates Decline with Increasing Procedural Hours in an Endoscopist’s Workload

Adenoma Detection Rates Decline with Increasing Procedural Hours in an Endoscopist’s Workload

Endoscopist fatigue estimates and colonoscopic adenoma detection in a large community-based setting

¿Influye el posible cansancio del endoscopista en la frecuencia de colonoscopias incompletas y de las lesiones polipoideas diagnosticadas?

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