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Trainee colonoscopists fulfil quality standards for the detection of adenomatous polyps

BACKGROUND: The detection of adenomatous lesions is a major indicator for quality and competence in colonoscopy. Little is known about adenoma detection rates (ADR) of endoscopy trainees. The aim of our study was to investigate the performance of trainee colonoscopists in detecting adenomas and to d...

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Autores principales: Klare, Peter, Ascher, Stefan, Wagenpfeil, Stefan, Rapp, Daniel, Bajbouj, Monther, Neu, Bruno, Schmid, Roland M, von Delius, Stefan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4347549/
https://www.ncbi.nlm.nih.gov/pubmed/25882580
http://dx.doi.org/10.1186/s12909-015-0312-7
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author Klare, Peter
Ascher, Stefan
Wagenpfeil, Stefan
Rapp, Daniel
Bajbouj, Monther
Neu, Bruno
Schmid, Roland M
von Delius, Stefan
author_facet Klare, Peter
Ascher, Stefan
Wagenpfeil, Stefan
Rapp, Daniel
Bajbouj, Monther
Neu, Bruno
Schmid, Roland M
von Delius, Stefan
author_sort Klare, Peter
collection PubMed
description BACKGROUND: The detection of adenomatous lesions is a major indicator for quality and competence in colonoscopy. Little is known about adenoma detection rates (ADR) of endoscopy trainees. The aim of our study was to investigate the performance of trainee colonoscopists in detecting adenomas and to depict the shape of adenoma detection learning curves during apprenticeship. METHODS: We retrospectively investigated a prospectively maintained database of a single tertiary referral center to reveal colonoscopies performed by trainee endoscopists during 2001 and 2013. Colonoscopy reports were chronologically retrieved and separately analyzed for each trainee. Using cumulative curves, courses of trainee’s Adenoma detection rates (ADR) during apprenticeship were displayed. Additionally, procedural data including cecal intubation rate and occurrence of complications were assessed. RESULTS: We retrospectively analyzed 4354 colonoscopies conducted by 10 trainee endoscopists (TE). A median number of 371 investigations were performed by each apprentice. Group ADR was 23%. No significant difference between aggregated ADRs at the beginning (23%) and at the end (22%) of apprenticeship could be determined (p = 0.70). However, individual learning curves showed considerable different slopes. Personal ADR values ranged between 17% and 31%. Overall cecum intubation rate was 99.0 %. Complication rates were low and fulfilled quality requirements recommended in guidelines. CONCLUSION: From the beginning of education, trainee colonoscopists are capable to provide high-quality investigations considering the detection of adenomas as a benchmark quality indicator. Nevertheless, performance differs markedly between investigators. Therefore, individual detection rates should be reviewed regularly to reveal further need for training.
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spelling pubmed-43475492015-03-04 Trainee colonoscopists fulfil quality standards for the detection of adenomatous polyps Klare, Peter Ascher, Stefan Wagenpfeil, Stefan Rapp, Daniel Bajbouj, Monther Neu, Bruno Schmid, Roland M von Delius, Stefan BMC Med Educ Research Article BACKGROUND: The detection of adenomatous lesions is a major indicator for quality and competence in colonoscopy. Little is known about adenoma detection rates (ADR) of endoscopy trainees. The aim of our study was to investigate the performance of trainee colonoscopists in detecting adenomas and to depict the shape of adenoma detection learning curves during apprenticeship. METHODS: We retrospectively investigated a prospectively maintained database of a single tertiary referral center to reveal colonoscopies performed by trainee endoscopists during 2001 and 2013. Colonoscopy reports were chronologically retrieved and separately analyzed for each trainee. Using cumulative curves, courses of trainee’s Adenoma detection rates (ADR) during apprenticeship were displayed. Additionally, procedural data including cecal intubation rate and occurrence of complications were assessed. RESULTS: We retrospectively analyzed 4354 colonoscopies conducted by 10 trainee endoscopists (TE). A median number of 371 investigations were performed by each apprentice. Group ADR was 23%. No significant difference between aggregated ADRs at the beginning (23%) and at the end (22%) of apprenticeship could be determined (p = 0.70). However, individual learning curves showed considerable different slopes. Personal ADR values ranged between 17% and 31%. Overall cecum intubation rate was 99.0 %. Complication rates were low and fulfilled quality requirements recommended in guidelines. CONCLUSION: From the beginning of education, trainee colonoscopists are capable to provide high-quality investigations considering the detection of adenomas as a benchmark quality indicator. Nevertheless, performance differs markedly between investigators. Therefore, individual detection rates should be reviewed regularly to reveal further need for training. BioMed Central 2015-02-27 /pmc/articles/PMC4347549/ /pubmed/25882580 http://dx.doi.org/10.1186/s12909-015-0312-7 Text en © Klare et al.; licensee BioMed Central. 2015 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Klare, Peter
Ascher, Stefan
Wagenpfeil, Stefan
Rapp, Daniel
Bajbouj, Monther
Neu, Bruno
Schmid, Roland M
von Delius, Stefan
Trainee colonoscopists fulfil quality standards for the detection of adenomatous polyps
title Trainee colonoscopists fulfil quality standards for the detection of adenomatous polyps
title_full Trainee colonoscopists fulfil quality standards for the detection of adenomatous polyps
title_fullStr Trainee colonoscopists fulfil quality standards for the detection of adenomatous polyps
title_full_unstemmed Trainee colonoscopists fulfil quality standards for the detection of adenomatous polyps
title_short Trainee colonoscopists fulfil quality standards for the detection of adenomatous polyps
title_sort trainee colonoscopists fulfil quality standards for the detection of adenomatous polyps
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4347549/
https://www.ncbi.nlm.nih.gov/pubmed/25882580
http://dx.doi.org/10.1186/s12909-015-0312-7
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