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• W2012105918 abstract "Background/Aim: As colonoscopy quality emerge in importance alongside bowel cancer screening initiatives, an enhanced understanding of colonoscopy quality indicators is essential. Methods: A National Survey of Colonoscopy Quality and Training in Australia in 2007 was carried out with the mail-out of questionnaires (anonymous, self-reporting) in April 2007 to colonoscopists in Australia. Results: Of 853 colonoscopists surveyed, 431 (50.5%) replied (gastroenterologist 49%, general surgeon 33%, colorectal surgeon 15%, general physician 3%). 46.8% were high-volume colonoscopists (>500 procedures annually) while 19.6% performed <200 procedures annually. 82.3% of respondents had a caecal intubation rate of >95%. High-volume colonoscopists (vs <500 procedures/year) were more likely to have a caecal intubation rate of >95% (93.5% vs 71.7%, p < 0.001) and formally audit their caecal intubation rate (67.3% vs 52.9%, P = 0.002), polyp detection rate (47.9% vs 34.7%, P = 0.006) and withdrawal time (27.7% vs 14.2%, P = 0.001). Gastroenterologists (87.5%) and colorectal surgeons (83.6%) were more likely to have a caecal intubation rate >95% compared to general surgeons (72.2%, OR = 0.37 (0.21-0.65), p = 0.001). Regarding colonoscopy technique, 77% of colonoscopists had a withdrawal time ≥6 minutes, 50% retroflexed in the rectum, 50% examined the flexures twice and 39% examined the sigmoid colon twice. Gastroenterologists (vs general surgeons) were more likely to have a withdrawal time ≥6 minutes (84.0% vs 70.5%, P = 0.004) and retroflex in the rectum (65.0% vs 38.8%, P < 0.001). As compared to gastroenterologists, non-gastroenterologists were more likely to have a post-polypectomy surveillance interval that is shorter than the interval recommended by consensus guidelines (P ≤ 0.001). 75% believed ≥100 procedures/yr is needed to maintain quality while 8.5% stated that there should be no minimum number. The majority supported a national electronic endoscopy reporting system (51.7%) and a self-reporting logbook (57.0%) for the promotion of quality. Conclusions: Key quality indicators of colonoscopy appear to correlate with annual procedure volume and specialty. These data suggest that an important colonoscopy quality intervention is the education of lower-volume and non-gastroenterologist proceduralists." @default.
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• W2012105918 date "2008-04-01" @default.
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• W2012105918 title "The Impact of Annual Procedure Volume and Specialty On Colonoscopy Quality" @default.
• W2012105918 doi "https://doi.org/10.1016/j.gie.2008.03.641" @default.
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