Comparison of Adenoma Detection Rates between Gastroenterologists and Colorectal Surgeons

Ollington, Kevin; Brelian, Daniel; Morgan, J.; Le, Quy; Fleshner, Phillip; Melmed, Gil Y.

doi:10.1177/000313481207800254

Cited by 3 publications

(3 citation statements)

References 4 publications

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“…Our findings parallel other studies that found no significant differences for ADRs between specialties. Ollington et al[ 3 ] compared the ADR between gastroenterologists and colorectal surgeons in California. 180 and 119 colonoscopies were performed by 8 gastroenterologists and 16 colorectal surgeons respectively.…”

Section: Discussionmentioning

confidence: 99%

“…The performances of gastroenterologists and colorectal surgeons in colonoscopy have been compared in the literature, with varied results. Several studies have demonstrated that gastroenterologists are more effective than non-gastroenterologists at preventing CRC by colonoscopy whilst other studies have showed no difference between the two specialties[ 3 - 6 ].…”

Section: Introductionmentioning

confidence: 99%

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Is there a difference in adenoma detection rates between gastroenterologists and surgeons?

Lee

Lojanapiwat

Balakrishnan

et al. 2018

WJGE

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AIMTo compare the adenoma detection rate (ADR) between gastroenterologists and colorectal surgeons at Box Hill Hospital, Melbourne, Australia.METHODSA total of 300 colonoscopies performed by gastroenterologists and colorectal surgeons at Box Hill Hospital were retrospectively reviewed from May 2016 to June 2017. Exclusion criteria were: Patients ≤ 50 years old, colonoscopies with failure of caecal intubation, patients who previously had colon cancer and/or a colonic resection, history of polyposis syndromes or inflammatory bowel disease, or a colonoscopy within the last 10 years. Patient demographics, indications, symptoms and procedural-related outcomes were measured.RESULTSThe ADR was not significantly different between gastroenterologists and colorectal surgeons (34% vs 34.67%; P = 0.90). The adjusted odds ratio correcting for gender, age, 1st degree relative with colorectal cancer, previous colonoscopy, trainee involvement and caecal or terminal ileum intubation rate was 1.19 (0.69-2.05).CONCLUSIONBoth specialties at our institution exceed benchmark standards suggested by published Australian and American guidelines. An association between endoscopist specialty and ADR was not observed.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Is there a difference in adenoma detection rates between gastroenterologists and surgeons?

Lee

Lojanapiwat

Balakrishnan

et al. 2018

WJGE

View full text Add to dashboard Cite

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“…Like conventional adenomas, the risk for CRC among patients with SPs depends on the size, number, and the presence of dysplasia. Literature suggests that proximal SPs with larger size have an increased risk of malignant transformation [7]. A similar study pertaining to Adenomas in 2012 showed detection of adenomas among endoscopists who had longer mean times for withdrawal of the colonoscope [8].…”

mentioning

confidence: 94%

Sessile serrated adenomas detection rate among the surgeons and the gastroenterologists: A retrospective analysis

Raina¹,

Hendahewa²

2021

EJMS

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Background: Sessile serrated adenomas (SSAs) are flat or sessile benign lesions occasionally covered by a mucous cap and invariably lead to colorectal cancer. The adenoma detection rate (ADR) is recognized as an important quality measure for colonoscopy. Objective: The objective of the study was to evaluate and compare the ADR during colonoscopy among surgeons and gastroenterologists. Materials and Methods: In this retrospective analysis, all colonoscopies performed during July 2018-July 2019 at Caboolture Hospital, Queensland, Australia were included in the study. After considering the inclusion and exclusion criteria, the rate of sessile polyp detection among the gastroenterologist versus surgeons was investigated by calculating a correlation coefficient weighted by factors such as experience, colonoscopy intubation time, and removal of scopes. Results: A total of 3425 colonoscopies performed by 7 surgeons and 4 gastroenterologists were assessed. Among them, 58.7% colonoscopies were performed by the surgeons, while gastroenterologists performed 41.3% colonoscopies. The median age of patients was 56.5 years (25-88 years), more common in male than female (58.9% and 41.1%, respectively, p<0.0001). The average withdrawal time among the surgeons and gastroenterologist was 8.05 and 8.54 min, respectively (p=0.02). Mean cecal intubation rate among the surgeons and gastroenterologist was 94.7% and 97.4%, respectively. Most patients had adequate bowel preparations; however, poor bowel preparation was observed among 6.15% gastroenterology patients and 5.6% in surgical patients. Conclusion: Based on the longer withdrawal time and improved skillset, sessile serrated polyp detection rate during colonoscopy was higher among the gastroenterologist as compared to the surgeons.

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Geographic variation in the provider of screening colonoscopy in Canada: a population-based cohort study

et al. 2018

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Background: Screening colonoscopy for the detection of colorectal carcinoma is provided by several specialties. Few studies have assessed geographic variation in the delivery of this care. Our objective was to investigate how geographic and socioeconomic factors affect who provides screening colonoscopy in Canada. Methods:This was a population-based cohort of all screening colonoscopy procedures performed at publicly funded Canadian health care facilities (excluding those in Quebec) between April 2008 and March 2015. The main outcome of interest was the proportion of colonoscopy procedures performed by surgeons versus gastroenterologists at the neighbourhood level. Predictors of interest included socioeconomic and geographic variables. We used spatial analysis to evaluate significant clustering of practitioner services and multinomial logistic regression to model predictors. Results:We identified 658 113 screening colonoscopy procedures performed by 1886 providers (1169 surgeons and 717 gastroenterologists) over the study period, of which 353 165 (53.7%) were performed by surgeons. A total of 24.2% of neighbourhoods were located within clusters predominantly served by gastroenterologists, and 19.5% were within surgeon clusters; the remainder were in mixed clusters. Rural neighbourhoods had a significantly increased relative risk of being within a surgeon cluster (relative risk [RR] 5.38, 95% confidence interval [CI] 3.48-8.01) compared to mixed clusters and nearly 100 times higher relative risk of being in a surgeon cluster compared to gastroenterologist clusters (RR 98.95,. Neighbourhoods with the highest socioeconomic status were 1.74 (95% CI 1.14-2.56) times likelier to be in gastroenterologist clusters than in mixed clusters.Interpretation: Surgeons provide a large proportion of colonoscopy procedures in Canada and are essential for access to care, particularly in rural regions. Most Canadians are served relatively equally by surgeons and gastroenterologists. This emphasizes the importance of both specialties to the delivery of colonoscopy care across the country. AbstractResearch OPEN CMAJ OPEN, 6(1) E127

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Comparison of Adenoma Detection Rates between Gastroenterologists and Colorectal Surgeons

Cited by 3 publications

References 4 publications

Is there a difference in adenoma detection rates between gastroenterologists and surgeons?

Is there a difference in adenoma detection rates between gastroenterologists and surgeons?

Sessile serrated adenomas detection rate among the surgeons and the gastroenterologists: A retrospective analysis

Geographic variation in the provider of screening colonoscopy in Canada: a population-based cohort study

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