Endoscopy Unit-Level Measures That Improve ADR: Report Cards and a Second Observer
Von

Endoscopy Unit-Level Measures That Improve ADR: Report Cards and a Second Observer

Douglas K. Rex, MD, MASGE, reviewing Arora A, et al. Clin Gastroenterol Hepatol 2023 Apr 18.

In a systematic review and meta-analysis, 15 studies evaluating the impact of report cards on adenoma detection rate (ADR) were among the 34 studies that qualified for inclusion. The odds ratio (OR) for the ADR increase after report card implementation was significant at 1.28.

Among other studies and findings, 4 studies evaluated the effect of an additional observer on ADR, which resulted in a significant ADR increase (OR, 1.25), and monitoring withdrawal time (5 studies) did not impact ADR (OR, 1.35; 95% confidence interval, 0.93-1.96).

Douglas K. Rex, MD, FASGE

COMMENT

Endoscopy unit-level steps to improve ADR are important because they can impact all endoscopists. Withdrawal time should still be recorded in every case and monitored as a signal of poor technique. Thus, doctors with a low ADR and short mean withdrawal times need technique remediation.

Note to readers: At the time we reviewed this paper, its publisher noted that it was not in final form and that subsequent changes might be made.

CITATION(S)

Arora A, McDonald C, Guizzetti L, et al. Endoscopy unit level interventions to improve adenoma detection rate — a systematic review and meta-analysis. Clin Gastroenterol Hepatol 2023 Apr 18. (Epub ahead of print) (https://doi.org/10.1016/j.cgh.2023.03.049)

Ähnliche Beiträge

VOR
Nach oben scrollen