Comparison of procedural outcomes between morning and afternoon colonoscopies performed by colorectal surgeons

Modi, Shrey; Picado, Omar; Fiser, Caroline; Lubarsky, Maya; Giri, Bhuwan; Hui, Vanessa W.; Force, Luanne; Marchetti, Floriano; Sands, Laurence R.; Paluvoi, Nivedh

doi:10.1007/s00464-022-09022-2

Cited by 2 publications

(2 citation statements)

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“…They hypothesized that this is possibly because of the limited number of conscious sedations, which may lead to fatigue. Modi et al found that there were no differences in the ADR between morning and afternoon colonoscopies performed in full-day blocks [16]. In comparison to the aforementioned studies, the workload in our center is much heavier, and the high intensity of the work is more likely to lead to the fatigue of the endoscopists.…”

Section: Discussionmentioning

confidence: 56%

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Esophagogastroduodenoscopy Outcomes Variated by the Time of the Day: A Single-Center Experience

Zhang

Chen

Wang

et al. 2023

JCM

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(1) Background: To assess whether the start time influences the outcomes of esophagogastroduodenoscopy (EGD). (2) Methods: We retrospectively analyzed the clinical data of patients who underwent EGD between January 2021 and December 2021 in our endoscopy center. The EGD were divided into three shifts, according to the start time. The lesion detection rate (LDR) and endoscopy biopsy rate (EBR) were used to evaluate the quality of the EGD. (3) Results: A total of 14,597 procedures were included in this study. The LDR of shift 2 was significantly lower than that of shift 1 (62.4% vs. 58.5%; p < 0.001). The EBR of shift 1 (37.4% vs. 31.5%; p < 0.001) and shift 3 (35.5% vs. 31.5%; p = 0.024) were significantly higher than that of shift 2; the EBR in shift 1 did not differ significantly from shift 3 (p = 0.280). The multivariable analysis for the EGD performed before 14:00 demonstrated a graded decrease in the LDR and EBR after adjusting the confounders (p < 0.001). (4) Conclusion: In a continuous working period, the lesion detection and biopsy submission of EGD are superior to those in the first three hours compared to the last three hours; the LDR and EBR decreased as the day progressed, probably due to the endoscopists’ fatigue.

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Section: Discussionmentioning

confidence: 56%

“…Several studies have demonstrated that the start time can affect colonoscopy and endoscopic retrograde cholangiopancreatography (ERCP) outcomes [14][15][16][17]. Fatigue or abstraction may contribute to the decrease in the endoscopy outcomes.…”

Section: Introductionmentioning

confidence: 99%