“…In this study, only 50.2% of complete procedures had photographic documentation. This is well below rates reported in other series and is clearly an area in need of improvement for UK colonoscopists 15 34…”
This is the first national audit of colonoscopy that has successfully captured the majority of adult colonoscopies performed across an entire nation during a defined time period. The data confirm that there has been a significant improvement in the performance of colonoscopy in the UK since the last study reported seven years ago (CIR 76.9%) and that performance is above the required national standards.
“…In this study, only 50.2% of complete procedures had photographic documentation. This is well below rates reported in other series and is clearly an area in need of improvement for UK colonoscopists 15 34…”
This is the first national audit of colonoscopy that has successfully captured the majority of adult colonoscopies performed across an entire nation during a defined time period. The data confirm that there has been a significant improvement in the performance of colonoscopy in the UK since the last study reported seven years ago (CIR 76.9%) and that performance is above the required national standards.
“…In a study that used administrative data of 14,064 patients from Ontario, Baxter et al 44 found that endoscopist's specialty (non-gastroenterologist) and setting (non-hospitalbased colonoscopy) were likely associated with a greater risk of postcolonoscopy CRC. In The Netherlands, the majority of colonoscopies (O80%) are performed by gastroenterologists, 47 although traditionally a significant proportion of post-CRC resection surveillance colonoscopies were performed by colorectal surgeons, which also was the case in this study, particularly in the university hospital. An additional finding of our study was that mCRCs are more likely to contain poor differentiation than solitary CRCs.…”
“…As a single-endoscopist study, we were also unable to explore the role of other endoscopist-related factors that have been described in the literature. For instance, some studies have suggested that gastroenterologists have higher ADRs compared with surgeons, 39,40 whereas others reported no significant difference, 28 especially after adjusting for the indication for colonoscopy. 38 One study showed female endoscopists had lower ADRs compared with their male counterparts.…”
ADR differs depending on whether the indication is screening, surveillance, or diagnosis. Within screening colonoscopies, ADR seems to be higher in patients with a positive fecal occult blood test.
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