MedStar Authors catalog › Details for: Significant Variation in the Detection Rates of Proximal Serrated Polyps Among Academic Gastroenterologists, Community Gastroenterologists, and Colorectal Surgeons in a Single Tertiary Care Center.
Citation: ; Digestive Diseases & Sciences. 64(9):2614-2621, 2019 09..Journal: Digestive diseases and sciences.Published: ; 2019; ; ISSN: 0163-2116.Full author list: Baig K; Barnhill M; Cho W; Hasan L; Jhaveri K; Lewis JH; Mandaliya R; Mohammed U; Murugesan V; Raymond A; Som A; Tran J; Vangimalla SS.UI/PMID: 31152331.Subject(s): *Adenoma/dg [Diagnostic Imaging] | Tertiary Care Centers | Middle Aged | Male | Humans | *Gastroenterology/sn [Statistics & Numerical Data] | Female | Early Detection of Cancer | *Colorectal Surgery/sn [Statistics & Numerical Data] | *Colonoscopy | Colonic Polyps/pa [Pathology] | *Colonic Polyps/dg [Diagnostic Imaging] | Colon, Transverse | Colon, Ascending | Adenoma/pa [Pathology]Institution(s): MedStar Washington Hospital CenterDepartment(s): Gastroenterology | Medicine/Internal MedicineActivity type: Journal Article.Medline article type(s): Journal ArticleDigital Object Identifier: https://dx.doi.org/10.1007/s10620-019-05664-w (Click here)Abbreviated citation: ; Dig Dis Sci. 64(9):2614-2621, 2019 09.Abstract: AIM: To investigate the overall adenoma detection rate (ADR) and the proximal serrated polyp detection rate (PSPDR) among academic gastroenterologists, community gastroenterologists, and colorectal surgeons from a single institution, all of whom have received formal training in colonoscopy during their fellowship.Abstract: CONCLUSION: Our novel data show that academic gastroenterologists had a significantly higher PSPDR compared to community gastroenterologists or colorectal surgeons despite a comparable overall ADR among the three groups. PSPDR may be considered as an important quality indicator for colonoscopy, apart from ADR.Abstract: INTRODUCTION: Recent studies have demonstrated that the protective effect of colonoscopy against colorectal cancer is lower in the proximal colon. Proximal serrated polyps, including sessile serrated adenomas and proximal hyperplastic polyps, can be frequently missed and pose a risk of interval cancers.Abstract: METHODS: All complete screening colonoscopies for patients aged 50 or older with a good to excellent bowel preparation performed by different endoscopists at Medstar Washington Hospital Center (Washington, DC) from July 2015 to December 2017 were reviewed. Pathology reports of the resected polyps were manually reviewed.Abstract: RESULTS: A total of 2850 screening colonoscopies meeting the inclusion criteria were performed by 18 endoscopists (6 academic, 7 community, and 5 colorectal surgeons). There was no significant difference in the mean ADR among the three groups of endoscopists: academic gastroenterologists, community gastroenterologists, and colorectal surgeons (40.3% vs 36.0% vs 39.6%, respectively). However, academic gastroenterologists had a significantly higher PSPDR compared to community gastroenterologists or colorectal surgeons (12.3% vs 5.4% vs 4.5%, respectively, ANOVA p = 0.006).