Can Feedback Regarding Adenoma Detection Rates Substantially Enhance Colonoscopy Performance?

Can we improve adenoma detection rates? A systematic review of intervention studies

“…Studies used convenience samples of available examiners, and no study used power calculations to calculate the number of examiners actually needed to detect desired differences in effect size from the intervention. Trends toward overall improvement were found in some studies 30,35,36,38,41 ; however, notably, no effect was found even in the largest study, which used a multiple-intervention design over a longer period of time. 44 Second, short intervals (months for most studies) may detect changes that are not sustainable over time.…”

“…37 Five abstracts (in 4 patient populations) described interventions that provided physician feedback on adenoma/ polyp detection rates and withdrawal times together 38,39 or adenoma detection rates alone. 27,40,41 The studies were relatively short-term interventions over 3 to 8 months. Two small studies showed trends toward improvement that were not statistically significant, 38,40,41 and the other 2 showed no improvement.…”

“…27,40,41 The studies were relatively short-term interventions over 3 to 8 months. Two small studies showed trends toward improvement that were not statistically significant, 38,40,41 and the other 2 showed no improvement. 27,39 In general, almost all the abstracts demonstrated that withdrawal times could be increased but that this did not consistently result in improved adenoma detection rates.…”