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190621s20192019 xxu||||| |||| 00| 0 eng d
0163-2116
Ovid MEDLINE(R)
31152331
Significant Variation in the Detection Rates of Proximal Serrated Polyps Among Academic Gastroenterologists, Community Gastroenterologists, and Colorectal Surgeons in a Single Tertiary Care Center.
Digestive Diseases & Sciences. 64(9):2614-2621, 2019 09.
Dig Dis Sci. 64(9):2614-2621, 2019 09.
Dig Dis Sci. 2019 May 31
Digestive diseases and sciences
2019
FY2020
aheadofprint
ppublish
2019-06-21
Digestive Diseases & Sciences. 2019 May 31
FY2019
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.
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.
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.
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.
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).
English
*Adenoma/dg [Diagnostic Imaging]
*Colonic Polyps/dg [Diagnostic Imaging]
*Colonoscopy
*Colorectal Surgery/sn [Statistics & Numerical Data]
*Gastroenterology/sn [Statistics & Numerical Data]
Adenoma/pa [Pathology]
Colon, Ascending
Colon, Transverse
Colonic Polyps/pa [Pathology]
Early Detection of Cancer
Female
Humans
Male
Middle Aged
Tertiary Care Centers
MedStar Washington Hospital Center
Gastroenterology
Medicine/Internal Medicine
Journal Article
Baig, Kamal
Barnhill, Michele
Cho, Won
Hasan, Lubaba
Jhaveri, Khushali
Mandaliya, Rohan
Mohammed, Usman
Murugesan, Vagishwari
Som, Aniruddh
Tran, Jennifer
Vangimalla, Shiva Shankar
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
https://dx.doi.org/10.1007/s10620-019-05664-w
https://dx.doi.org/10.1007/s10620-019-05664-w
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authcat
authcat
2019-06-21
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31152331
31152331
2019-06-21
2019-06-21
ART
4304
4304