Por favor, use este identificador para citar o enlazar este ítem: https://hdl.handle.net/11000/30937

Factors associated with lesion detection in colonoscopy among different indications

Título :
Factors associated with lesion detection in colonoscopy among different indications
Autor :
Mangas-Sanjuan, Carolina  
Seoane, Agustín
Alvarez‐Gonzalez, Marco Antonio
Luè, Alberto
Suárez, Adolfo
Álvarez-García, Verónica
Bujanda, Luis  
Portillo, Isabel  
González, Natalia
Cid‐Gomez, Lucía
Cubiella, Joaquín
Rodríguez Camacho, Elena  
Ponce, Marta
Díez-Redondo, Pilar
Herraiz, Maite  
Pellisé, María
Ono, Akiko
Baile Maxía, Sandra  
Medina‐Prado, L.
Murcia, O
Zapater, Pedro
JOVER, RODRIGO  
Editor :
Wiley Online Library
Departamento:
Departamentos de la UMH::Medicina Clínica
Fecha de publicación:
2022-11
URI :
https://hdl.handle.net/11000/30937
Resumen :
Background and objective: Different factors may influence colonoscopy performance measures. We aimed to analyze procedure- and endoscopist-related factors associated with detection of colorectal lesions and whether these factors have a similar influence in the context of different colonoscopy indications: positive fecal immunochemical test (+FIT) and post-polypectomy surveillance colonoscopies. Methods: This multicenter cross-sectional study included adults aged 40-80 years. Endoscopists (N = 96) who had performed ≥50 examinations were assessed for physician-related factors. Adenoma detection rate (ADR), adenomas per colonoscopy rate (APCR), advanced ADR, serrated polyp detection (SDR), and serrated polyps per colonoscopy rate (SPPCR) were calculated. Results: We included 12,932 procedures, with 4810 carried out after a positive FIT and 1967 for surveillance. Of the 96 endoscopists evaluated, 43.8% were women, and the mean age was 41.9 years. The ADR, advanced ADR, and SDR were 39.7%, 17.7%, and 12.8%, respectively. Adenoma detection rate was higher in colonoscopies after a +FIT (50.3%) with a more than doubled advanced ADR compared to non-FIT procedures (27.6% vs. 13.0%) and similar results in serrated lesions (14.7% vs. 13.5%). Among all the detection indicators analyzed, withdrawal time was the only factor independently related to improvement (p < 0.001). Regarding FIT-positive and surveillance procedures, for both indications, withdrawal time was also the only factor associated with a higher detection of adenomas and serrated polyps (p < 0.001). Endoscopist-related factors (i.e., weekly hours dedicated to endoscopy, annual colonoscopy volume and lifetime number of colonoscopies performed) had also impact on lesion detection (APCR, advanced ADR and SPPCR). Conclusions: Withdrawal time was the factor most commonly associated with improved detection of colonic lesions globally and in endoscopies for + FIT and post-polypectomy surveillance. Physician-related factors may help to address strategies to support training and service provision. Our results can be used for establishing future benchmarking and quality improvement in different colonoscopy indications.
Palabras clave/Materias:
adenoma detection
colonoscopy
colorectal cancer
endoscopist
serrated polyp
Tipo documento :
application/pdf
Derechos de acceso:
info:eu-repo/semantics/openAccess
Attribution-NonCommercial-NoDerivatives 4.0 Internacional
DOI :
https://doi.org/10.1002/ueg2.12325
Aparece en las colecciones:
Artículos Medicina Clínica



Creative Commons La licencia se describe como: Atribución-NonComercial-NoDerivada 4.0 Internacional.