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• W2977763990 abstract "Introduction: Colonoscopy is a popular test for colorectal cancer screening. A high quality examination includes adequate bowel preparation, optimal colonoscopy technique, and meticulous inspection during withdrawal. Adenoma detection rate (ADR) is widely used as an index of colonoscopy quality. Many aspects colonoscopy may have an impact on ADR, including high-definition technology, withdrawal time, type of bowel preparation, and use of attachments. However, based on literature review, no studies have evaluated the impact of distance of endoscopist from the monitor on adenoma detection rate. Methods: A retrospective study at the Harry S. Truman Veteran's Administration (VA) Hospital was performed after study approval by the IRB. Records of patients undergoing screening colonoscopy between 1/2013 and 1/2014 were reviewed. The endoscopy lab at our VA hospital is unique in that it has four procedure rooms that are used for colonoscopies, all with the same fixed distance monitors (all monitors attached to wall), scope equipment, and randomly used by varying year of fellows each day. The distance between the screen and the endoscopist is different in each room, with room 1, 2, 3 and 4 being 9.58, 9.83, 7.50, and 7.41 feet, respectively. The data was collected for multiple patient outcomes. Statistical analysis was performed using descriptive statistics, t-test, and Fisher's exact test with statistical significance defined as p Results: 328 patients were included in the analysis with 306 males and 18 females and mean age of 60.70 ± 7.59 years. Overall cecal intubation rate was 98.8% (320/324), polyp detection rate was 66.4% (215/324), and adenoma detection rate (ADR) was 45.1% (146/324). Mean BBPS was 7.24 ± 1.50. Cecal intubation rate calculated separately for each room was 100%, 97.7%, 98.8%, and 97.9%, respectively. The adenoma detection rate for each room was 36.9%, 48.8%, 45.1%, and 52.1%, respectively. The ADR was compared between room 1 (36.9% at 9.58 feet) and room 4 (52.1% at 7.41 feet) was statistically significant (p=0.03) with no statistically significant differences in other confounders (BBPS, fellow year, patient demographics). Conclusion: In our study, we concluded that ADR is affected by the distance between the monitor and endoscopist. Based on our study, the optimal distance was less than 7.50 feet. The distance from endoscopist to monitor represents a non-invasive, low-cost maneuver to enhance ADR." @default.
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• W2977763990 date "2015-10-01" @default.
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• W2977763990 title "Adenoma Detection Rate During Screening Colonoscopy: Does Distance Between Endoscopist and Monitor Matter?" @default.
• W2977763990 doi "https://doi.org/10.14309/00000434-201510001-01485" @default.
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