Navigation Links
Mayo Clinic: Short training course significantly improves detection of precancerous polyps
Date:10/31/2011

JACKSONVILLE, Fla. -- Just two extra hours of focused training significantly increased the ability of physicians to find potentially precancerous polyps, known as adenomas, in the colon, according to researchers at Mayo Clinic in Florida. These findings suggest that new methods to educate endoscopists, the physicians who examine the colon, could increase colorectal cancer detection rates and potentially reduce cancer deaths. Results of the study were presented at the annual meeting of the American College of Gastroenterology in Washington, D.C.

"Colorectal cancer screening, which has been proven to save many lives, is steadily improving due to better detection of precancerous polyps, but this study shows us that more can be done," says first author Susan Coe, M.D., who is in her third year of training as an endoscopist.

The prototype training course was developed by physicians at Mayo Clinic in Florida and evaluated in a randomized clinical study at the institution. Endoscopists at Mayo Clinic in Florida already have an adenoma detection rate that is higher than the national average. But the extra training examined in this study significantly increased that rate. National guidelines suggest that, on average, physicians should be detecting precancerous polyps in 25 percent of men and women who are examined. The detection rate at Mayo Clinic before training was 36 percent, and after training increased to 47 percent.

"Like other screening tests, there is always room for improvement, and that is particularly true in colonoscopy in the detection of very small or hard-to-see polyps," says the study's senior investigator, Michael Wallace, M.D., M.P.H., chief of the Division of Gastroenterology and Hepatology at Mayo Clinic in Florida. "In this study we were able to develop new educational methods based on the latest information on characteristics of challenging polyps that are often difficult to see."

The researchers established a clinical trial, the Endoscopic Quality Improve Program (EQUIP), to test the two one-hour training sessions they developed. To create that program, the researchers surveyed the medical literature, as well as videos and detection techniques, to find certain techniques that appear to improve polyp detection rates. Those techniques included cleaning the colon adequately, and looking behind the folds in the colon to find hard-to-detect polyps, such as those that are flat or serrated.

The study was conducted in two phases. In the first phase, 15 Mayo Clinic endoscopists completed 1,200 colonoscopies, and their adenoma detection rate was calculated. Then a group of endoscopists were randomly selected to undergo the training, and the second phase measured the effect of this training. Those who did not receive the training sessions had a detection rate of 35 percent in the second phase of the study, compared to 47 percent in physicians who attended the courses. That new rate was "one of the highest ever reported for a large group of endoscopists," Dr. Wallace says.

"It isn't that endoscopists aren't being continually trained. They are, through continuing medical education courses and quality improvement initiatives," Dr. Coe says. "The issue is that these training methods may not be focusing enough attention on the best methods to find adenomas."

The researchers plan to validate their findings in a widespread clinical trial that includes the community physicians who perform the majority of colonoscopies. "The most rigorous way to prove that something works is a randomized controlled trial comparing the current standard of care with the extra educational efforts, as was done in this trial," says Dr. Wallace. "While we all speculated that the education would help, now we know that it does, and we can use that information to make even further improvements and apply this more broadly."


'/>"/>
Contact: Kevin Punsky
punsky.kevin@mayo.edu
904-953-2299
Mayo Clinic
Source:Eurekalert

Related medicine news :

1. Atlanta School of Massage Celebrates 30th Anniversary with a New Green Design and New Name for its Teaching Clinic: SensAbility
2. Mayo Clinic: Raoul Tibes, M.D., Ph.D., to receive Career Development Award
3. Mayo Clinic: Flaxseed no cure for hot flashes during breast cancer or menopause
4. Mayo Clinic: Primary physicians may hold key to suicide prevention
5. American Council on Exercise (ACE) Study Reveals Kettlebells Provide Powerful Workout in Short Amount of Time
6. For Some Breast Cancer Patients, Shorter Radiation Works Well
7. Short-term radiation therapy successful on breast cancer
8. No End In Sight To The Armour Thyroid Shortage?
9. WHI data confirm short-term heart disease risks of combination menopausal hormone therapy
10. Americans Falling Short on Heart-Healthy Fruits and Vegetables
11. Website for Nursing Jobs Launches -- Streamlined Job Board Created to Address Nursing Shortage
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/23/2017)... ... , ... 21 Middle East and South Asia Leaders Selected as Eisenhower Fellows ... and civil society in 11 countries across the Middle East and South Asia to ... exchange of knowledge and ideas with the leading minds in their fields. , ...
(Date:6/23/2017)... ... 23, 2017 , ... PureLife Dental is pleased to announce that California Dental ... As part of the amalgam separator endorsement, all CDA members may purchase an ECO ... the retail value. This partnership between PureLife and CDA is especially timely as it ...
(Date:6/23/2017)... ... June 23, 2017 , ... American Farmer, will feature Chr. ... is slated to air fourth quarter 2017. American Farmer airs Tuesdays at 8:30aET on ... Danish pharmacist, founded Chr. Hansen in Denmark in 1874 after a groundbreaking discovery of ...
(Date:6/23/2017)... (PRWEB) , ... June 23, 2017 , ... ... management, financial planning, and related services to families and business owners in and ... charity drive to benefit senior citizens in the area. , Meals on Wheels ...
(Date:6/23/2017)... ... , ... All-Star Insurance, a family managed agency that offers insurance management assistance ... the launch of a new charity drive to benefit women in the area diagnosed ... that an estimated 252, 710 new cases of invasive or high risk breast cancer ...
Breaking Medicine News(10 mins):
(Date:6/2/2017)... LAWRENCE, Mass. , June 2, 2017  NxStage ... advancing renal care, today announced new findings demonstrating positive ... NxStage ® System One™. The data will be ... 2017, in Madrid, Spain . ... Knowledge to Improve Home Dialysis Network in ...
(Date:5/29/2017)... TEL AVIV, Israel, May 29, 2017  Cellect Biotechnology ... of innovative technology which enables the functional selection of ... financial results for the first quarter ended March 31 ... pleased with our accomplishments in the first quarter of ... the first quarter, we announced the treatment of the ...
(Date:5/22/2017)... , May 22, 2017  Lilac Corp, ... Gene-Eden-VIR/Novirin, announces the launch of a new ... the results of a clinical study that showed ... treatment with Gene-Eden-VIR/Novirin in individuals suffering from HPV ... note that there are no other treatments that ...
Breaking Medicine Technology: