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Assessing performance of colonoscopy procedures improves quality
Date:6/21/2013

DOWNERS GROVE, Ill. June 21, 2013 A new study reports that the use of a quarterly report card is associated with improved colonoscopy quality indicators. Endoscopists at the Roudebush Veterans Affairs Medical Center in Indianapolis, Ind., who participated in the study showed an overall adjusted adenoma (precancerous polyp) detection rate increase from 44.7 percent to 53.9 percent, and a cecal intubation rate increase from 95.6 percent to 98.1 percent. These two metrics are validated measures of colonoscopy performance quality. The study appears in the June issue of GIE: Gastrointestinal Endoscopy, the monthly peer-reviewed scientific journal of the American Society for Gastrointestinal Endoscopy (ASGE).

Colonoscopy examines the lining of the lower intestinal tract called the colon or large intestine. When used as a colon cancer prevention method, colonoscopy can find potentially precancerous growths called polyps and remove them before they turn into cancer. Studies assessing the effect of interventions to improve colonoscopy quality have shown inconsistent results. Since 2009, endoscopists (physicians specially-trained in endoscopic procedures such as colonoscopy) at the Indiana University-affiliated Roudebush Veterans Affairs Medical Center have received a quarterly "report card" summarizing individual colonoscopy quality indicators as part of an ongoing quality assurance program. The aim of this study was to determine the effect of the quality report card intervention on the quality of colonoscopy performance.

"Our study differs from previous research in several aspects. First, our report card initiative is based in an academic setting and involves a relatively small group of endoscopists. It includes 'hard' quality indicators such as adenoma detection rate and cecal intubation, but also information regarding documentation of bowel preparation quality, patient assessment before the procedure, and withdrawal time. Second, there we
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Contact: Anne Brownsey
abrownsey@asge.org
630-570-5635
American Society for Gastrointestinal Endoscopy
Source:Eurekalert

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