The impact of video recording colonoscopy on adenoma detection rates

Madhoun, Mohammad F.; Tierney, William M.

doi:10.1016/j.gie.2011.07.048

Cited by 31 publications

(16 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[12][13][14] Therefore, the cohort of patients in our study is likely to be representative of an average-risk population. As expected, compared with the overall adenoma detection rate of 33.2%, we found a lower adenoma detection rate of 25.7% in those with inadequate bowel preparation.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of missed adenomas in patients with inadequate bowel preparation on screening colonoscopy

Chokshi

Hovis

Hollander

et al. 2012

Gastrointestinal Endoscopy

311

220

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Prevalence of missed adenomas in patients with inadequate bowel preparation on screening colonoscopy

Chokshi

Hovis

Hollander

et al. 2012

Gastrointestinal Endoscopy

311

220

View full text Add to dashboard Cite

“…Madhoun et al recently reported that video recording was associated with a non-significant increase in ADR (while hyperplastic detection increased significantly) 84 .…”

mentioning

confidence: 99%

Colonoscopy Quality Assessment

Fayad

Kahi

2015

Gastrointestinal Endoscopy Clinics of North America

View full text Add to dashboard Cite

Abstract:Colonoscopy is the cornerstone of colorectal cancer screening programs. There is significant variability in the quality of colonoscopy between endoscopists. Colonoscopy quality assessment tracks various metrics in order to improve the effectiveness of colonoscopy, aiming at reducing the incidence and mortality from colorectal cancer. Adenoma detection rate is the prime metric, as it is associated with the risk of interval cancers. Implementing processes to measure and improve the adenoma detection rate is essential to improve the quality of colonoscopy.

show abstract

“…A complementary theory that may explain the increased adherence in suites with more gastroenterologists is that behavior is affected when the operator knows that others may be watching. Evidence supporting this concept is a study demonstrating that trainee involvement is associated with increased adenoma detection rates [27], and video-recording of colonoscopy is associated with a more careful withdrawal technique and, in some cases, improved adenoma detection [28,29]. …”

Section: Discussionmentioning

confidence: 99%

Procedure volume influences adherence to celiac disease guidelines

Lebwohl

Genta²,

Kapel

et al. 2013

European Journal of Gastroenterology & Hepatology

View full text Add to dashboard Cite

Background Although the prevalence of celiac disease in the USA approaches 1%, most cases are undiagnosed, in part, because of low adherence to the recommendation of submitting at least four specimens during duodenal biopsy. We aimed to determine whether physician and practice characteristics are associated with adherence to this recommendation. Materials and methods We used a large national pathology database to identify all adult patients who underwent duodenal biopsy during 2006–2009. Hierarchical modeling was used to determine whether procedure volume, the number of gastroenterologists per endoscopy suite, and the number of gastroenterologists per capita of the zip code of the practice were associated with adherence. Results We identified 92 580 patients (67% female, mean age 53.5 years) who met our inclusion/exclusion criteria. Specimens were submitted by 669 gastroenterologists from 200 endoscopy suites, located in 191 zip codes, with a mean of 3.4 gastroenterologists per suite. On multivariate analysis, a higher procedure volume was associated with a decreased adherence [odds ratio (OR) for each additional 100 procedures, 0.92; 95% confidence interval (CI), 0.88–0.97; P = 0.002]. An increased adherence was reported for gastroenterologists working at suites with higher numbers of gastroenterologists (OR for each additional gastroenterologist, 1.08; 95% CI, 1.04–1.13; P < 0.001) but not for a higher gastroenterologist density in the zip code of the practice (OR for each additional gastroenterologist per capita, 1.01; 95% CI, 0.99–1.03; P = 0.21). Conclusion High-volume physicians exhibit lower rates of adherence to biopsy guidelines, possibly because of the additional time required to submit at least four specimens. In contrast, a greater number of endoscopists working in an endoscopy suite are associated with an increased adherence, possibly because of peer education.

show abstract

The impact of video recording colonoscopy on adenoma detection rates

Cited by 31 publications

References 34 publications

Prevalence of missed adenomas in patients with inadequate bowel preparation on screening colonoscopy

Prevalence of missed adenomas in patients with inadequate bowel preparation on screening colonoscopy

Colonoscopy Quality Assessment

Procedure volume influences adherence to celiac disease guidelines

Contact Info

Product

Resources

About