Navigation Links
Henry Ford Hospital study: Open-access colonoscopy is safe

DETROIT Nurse-driven, open-access colonoscopy programs are as effective and safe as colonoscopy following a consultation with a gastroenterologist, according to researchers at Henry Ford Hospital.

"Our results showed no significant differences in safety outcomes related to perforation rate, emergent surgery, post-polypectomy bleed, overall lower gastrointestinal bleed, or death," says Gregory Olds, M.D., chief of interventional gastroenterology and director of endoscopy at Henry Ford Hospital and co-author of the study.

With a nurse-driven open access program, a routine colonoscopy screening is scheduled without a pre-procedure examination by a gastroenterologist but nurses review patient history via electronic medical records and determine if they meet health requirements before scheduling procedures.

Study results were presented this week at Digestive Diseases Week in Chicago.

"Referral for colonoscopy without prior gastroenterologist consultation is becoming routine in the United States, but current literature regarding overall safety is limited so our aim was to compare the safety outcomes of patients enrolled in a large, nurse-driven, open-access protocol to outcomes of patients who were seen first by a gastroenterologist," says Dr. Olds.

The Henry Ford researchers looked at 15,901 patients who were enrolled in open-access colonoscopy from 2006 to 2010 and compared outcomes to 6,861 patients, from 1995 to 2002, who received outpatient gastroenterology consultation prior to screening.

Referrals for patients who went through the open-access program were made from primary care providers for average-risk colon cancer screening, a personal or familial history of colon polyps or cancer, blood in the stool, hematochezia, and radiographic testing suggestive of colon polyps.

Data was collected for post colonoscopy bleeding (overall and post-polypectomy), hospitalization, emergency room visits, repeat colonoscopy within two months, perforation, death, and time-to-colonoscopy.

The study found that outcomes for patients undergoing colonoscopy through an open-access program were similar to those who underwent a consultation before colonoscopy -- in fact, they had fewer emergency room visits (1.6% vs. 1.16%) and inpatient stays (1.02% vs. 0.62%).

"The results of this study, using such a large cohort of patients, suggest that open-access programs can be utilized cost-effectively to make this important screening procedure more easily accessible to patients," says Dr. Olds.


Contact: Maria Seyrig
Henry Ford Health System

Related medicine news :

1. Henry Ford Hospital study: Shoulder function not fully restored after surgery
2. Henry Ford physicist awarded for cancer radiation therapy research
3. Henry Ford Hospital study: hVISA linked to high mortality
4. The Henry Ford Production System LEAN training for health care
5. Henry Ford Hospital study: Donor Risk Index does not impact outcomes on a small scale
6. Healthy U Chosen as Exclusive Concessions Provider for McHenry's 1st Annual Kicks 4 Kids Youth Charity Soccer Tournament
7. Sung-Cheng (Henry) Huang receives 2010 Benedict Cassen Prize for Research in Nuclear Medicine
8. Henry Gabelnick receives lifetime achievement award
9. Henry Ford Hospital study: Fewer infections with new heart-pump implant
10. Henry Ford Hospital: New left-side heart pump improves right-side heart function
11. Henry Ford Hospital study: Less prep needed for colonoscopy
Post Your Comments:
(Date:11/24/2015)... ... November 24, 2015 , ... Preparing for the LDT Regulation:, CLIA ... EST, , FDA has long asserted that design and manufacture of ... the tests and do not meet the device regulations. , Come up short in ...
(Date:11/24/2015)... Indianapolis, IN (PRWEB) , ... November 24, 2015 ... ... employee benefits advisory organization, is pleased to welcome Winter-Dent & Company as its ... strive from day one to become a client's most trusted advisor regardless of ...
(Date:11/24/2015)... , ... November 24, 2015 , ... With Thanksgiving right ... is sharing safety tips to help protect your family and vehicle. , According to ... the 2013 Thanksgiving holiday weekend. Amica is sharing the following safety tips from the ...
(Date:11/24/2015)... ... 2015 , ... Dr. Rodney E. Willey , has answered a new calling – to ... Disorders, provides treatment for snoring and sleep apnea through oral appliance therapy. ... Sleep Disorders in the US, one of four in the Illinois area. , Dr. ...
(Date:11/24/2015)... IN (PRWEB) , ... November 24, 2015 , ... Dr. ... his office to help the community stress less this holiday season. During the ... additional stress in people's lives and the team at AlignLife want to help provide ...
Breaking Medicine News(10 mins):
(Date:11/24/2015)... , Nueva York , 24 ... Devices (ABD), fabricante del Avery Breathing Pacemaker System, ... Jonzon , MD; Ph.D. como consultor clínico. ...   --> Foto - ... El doctor Jonzon es un fisiólogo y ...
(Date:11/24/2015)...  DILON Diagnostics and GE Healthcare are pleased to ... to distribute GE,s Discovery NM750b Molecular Breast Imaging system ... distribution agreement will provide Dilon,s experienced distribution network access ... is considered an initial step in an ongoing exploration ... and their patients. --> ...
(Date:11/24/2015)... -- Sectra (STO: SECT B) announces that ... multi-year agreement to deploy Breast Imaging PACS in ... the Breast Center a future-proof platform capable of expanding with ... announces that Breast Center of Acadiana has entered ... PACS in its two freestanding imaging centers. This investment will ...
Breaking Medicine Technology: