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The analysis of multilevel factors affecting adenoma detection rates for colonoscopies: a large-scale retrospective study

BACKGROUND: Adenoma detection rate (ADR) is a validated primary quality indicator for colonoscopy procedures. However, there is growing concern over the variability associated with ADR indicators. Currently, the factors that influence ADRs are not well understood. AIMS: In this large-scale retrospec...

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Autores principales: Huang, Liang, Hu, Yue, Liu, Shan, Jin, Bo, Lu, Bin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8546946/
https://www.ncbi.nlm.nih.gov/pubmed/34696715
http://dx.doi.org/10.1186/s12876-021-01983-3
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author Huang, Liang
Hu, Yue
Liu, Shan
Jin, Bo
Lu, Bin
author_facet Huang, Liang
Hu, Yue
Liu, Shan
Jin, Bo
Lu, Bin
author_sort Huang, Liang
collection PubMed
description BACKGROUND: Adenoma detection rate (ADR) is a validated primary quality indicator for colonoscopy procedures. However, there is growing concern over the variability associated with ADR indicators. Currently, the factors that influence ADRs are not well understood. AIMS: In this large-scale retrospective study, the impact of multilevel factors on the quality of ADR-based colonoscopy was assessed. METHODS: A total of 10,788 patients, who underwent colonoscopies performed by 21 endoscopists between January 2019 and December 2019, were retrospectively enrolled in this study. Multilevel factors, including patient-, procedure-, and endoscopist-level characteristics were analyzed to determine their relationship with ADR. RESULTS: The overall ADR was 20.21% and ranged from 11.4 to 32.8%. Multivariate regression analysis revealed that higher ADRs were strongly correlated with the following multilevel factors: patient age per stage (OR 1.645; 95% CI 1.577–1.717), male gender (OR 1.959; 95% CI 1.772–2.166), sedation (OR 1.402; 95% CI 1.246–1.578), single examiner colonoscopy (OR 1.330; 95% CI 1.194–1.482) and senior level endoscopists (OR 1.609; 95% CI 1.449–1.787). CONCLUSION: The ADR is positively correlated with senior level endoscopists and single examiner colonoscopies in patients under sedation. As such, these procedure- and endoscopist-level characteristics are important considerations to improve the colonoscopy quality.
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spelling pubmed-85469462021-10-26 The analysis of multilevel factors affecting adenoma detection rates for colonoscopies: a large-scale retrospective study Huang, Liang Hu, Yue Liu, Shan Jin, Bo Lu, Bin BMC Gastroenterol Research BACKGROUND: Adenoma detection rate (ADR) is a validated primary quality indicator for colonoscopy procedures. However, there is growing concern over the variability associated with ADR indicators. Currently, the factors that influence ADRs are not well understood. AIMS: In this large-scale retrospective study, the impact of multilevel factors on the quality of ADR-based colonoscopy was assessed. METHODS: A total of 10,788 patients, who underwent colonoscopies performed by 21 endoscopists between January 2019 and December 2019, were retrospectively enrolled in this study. Multilevel factors, including patient-, procedure-, and endoscopist-level characteristics were analyzed to determine their relationship with ADR. RESULTS: The overall ADR was 20.21% and ranged from 11.4 to 32.8%. Multivariate regression analysis revealed that higher ADRs were strongly correlated with the following multilevel factors: patient age per stage (OR 1.645; 95% CI 1.577–1.717), male gender (OR 1.959; 95% CI 1.772–2.166), sedation (OR 1.402; 95% CI 1.246–1.578), single examiner colonoscopy (OR 1.330; 95% CI 1.194–1.482) and senior level endoscopists (OR 1.609; 95% CI 1.449–1.787). CONCLUSION: The ADR is positively correlated with senior level endoscopists and single examiner colonoscopies in patients under sedation. As such, these procedure- and endoscopist-level characteristics are important considerations to improve the colonoscopy quality. BioMed Central 2021-10-25 /pmc/articles/PMC8546946/ /pubmed/34696715 http://dx.doi.org/10.1186/s12876-021-01983-3 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Huang, Liang
Hu, Yue
Liu, Shan
Jin, Bo
Lu, Bin
The analysis of multilevel factors affecting adenoma detection rates for colonoscopies: a large-scale retrospective study
title The analysis of multilevel factors affecting adenoma detection rates for colonoscopies: a large-scale retrospective study
title_full The analysis of multilevel factors affecting adenoma detection rates for colonoscopies: a large-scale retrospective study
title_fullStr The analysis of multilevel factors affecting adenoma detection rates for colonoscopies: a large-scale retrospective study
title_full_unstemmed The analysis of multilevel factors affecting adenoma detection rates for colonoscopies: a large-scale retrospective study
title_short The analysis of multilevel factors affecting adenoma detection rates for colonoscopies: a large-scale retrospective study
title_sort analysis of multilevel factors affecting adenoma detection rates for colonoscopies: a large-scale retrospective study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8546946/
https://www.ncbi.nlm.nih.gov/pubmed/34696715
http://dx.doi.org/10.1186/s12876-021-01983-3
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