• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2023 Scientific Session Call For Abstracts
      • 2023 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • SAGES 2022
      • SAGES 2021
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Video Based Assessments (VBA)
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy-Coming Soon!
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Store
    • “Unofficial” Logo Products
  • Log In

Colonoscopy Quality Metrics – A Performance Review of Colorectal Surgeons

Jacquelyn M Charbel, DO, Kevin C Long, MD, Amir L Bastawrous, MD, Rodney Kratz, MD, Darren Pollock, MD, Raman Menon, MD, Melinda Hawkins, MD, Daniel Froese, MD. Swedish Hospital

Introduction: Quality metrics for colonoscopy are commonly referenced when defining competence among endoscopists. Colonoscopy is a skill set practiced by many different specialists ranging from family practitioners to colorectal surgeons. A retrospective review from the Canadian health system database published in 2011 detailed colonoscopic quality metrics of gastroenterologists, general surgeons, and general practitioners. The study suggested that non-gastroenterologists did not perform as well as gastroenterologists, but did not include quality metrics from colorectal surgeons. The Canadian heath system review concluded that a polyp detection rate of > 30% leads to a significant decrease of proximal colorectal cancer development within 3 years of the colonoscopy (1).

Methods: In this study, our goal is to assess quality measures including polyp detection rate of a group of colorectal surgeons performing colonoscopy. We reviewed colonoscopic procedural data from the Swedish Colon and Rectal Surgery Clinic at Swedish Medical Center in Seattle, Washington. A total of 748 charts were reviewed from November 2013 to June 2014. The endpoints reviewed include polyp detection rate, overall adenoma detection rate (male and female), and sessile serrated adenoma detection rate (male and female). Quantitative metrics were collected to assess endpoints such as cecal intubation rate and time, as well as scope withdrawal time.

Results: The results for the colorectal surgeons reveal an overall polyp detection rate of 55.88% (49.11% female, 61.17% male), overall adenoma detection rate of 38.88% (27.47% female, 50.12% male), and overall sessile serrated adenoma detection rate of 9.54% (7.41% female, 10.72% male).

Quantitative metrics for the colorectal surgeons revealed a 99.5% cecal intubation rate with an average cecal intubation time of 8.18 minutes. The average recorded withdrawal time of a colonoscopy in which no polypectomy was performed was 8.99 minutes, as recorded by the endoscopy support staff in the electronic medical record. Average recorded withdrawal time of a colonoscopy in which 1 or more polypectomies were performed was 16.05 minutes.

Discussion: The national standard set by the American College of Gastroenterology (ACG) of 25% adenoma detection rate in men and 15% adenoma detection rate in women is significantly lower than the percentages achieved by the colorectal surgical group (5). Regarding quantitative recommendations, multiple studies have been published concerning colonoscopic procedures. The U.S. Multi-Society Task Force advocates a cecal intubation rate of 95% for screening colonoscopy. Cecal intubation average times ranging from 4.5 to 7 minutes have been reported in large studies (2, 3). The accepted withdrawal time is 6 minutes for a thorough mucosal evaluation (4). The addition of polypectomy upon withdrawal adds an average of 4 minutes for a withdrawal time of 10 minutes (3).

Conclusion: By investigating the aforementioned quality measures, we have shown that fellowship trained colorectal surgeons are capable of high quality colonoscopy.

469

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2015 abstract archive

Our Mission

Innovate, educate and collaborate to improve patient care.

Recently, on SAGES…

Critical View of Safety (CVS) Challenge QR Code

The SAGES Critical View of Safety Challenge – Donate Your Lap Chole Videos!

The Society of American Gastrointestinal and Endoscopic Surgeons is hosting the first Artificial Intelligence Data Challenge conducted by surgeons. The aim of this challenge is to generate a large and diverse dataset of laparoscopic cholecystectomy videos, annotated with respect to the subcomponents of the Critical View of Safety (CVS). Computer scientists from all over the […]

Respuesta de SAGES al Estudio NordICC sobre el beneficio de las colonoscopias de detección

SAGES desea aclarar los resultados del estudio NordICC y colocarlos en contexto de los esfuerzos de varias agencias nacionales para reducir el riesgo de cáncer colorrectal – la segunda causa de muerte por cáncer más frecuente en los Estados Unidos-, mediante la promoción de la detección y tratamiento oportuno de las lesiones.

SAGES Response to NordICC Study Regarding Benefit of Screening Colonoscopies

The NordICC Study recently published in The New England Journal of Medicine and widely reported on by media outlets has raised questions regarding the benefit of screening colonoscopy in lowering the risk of colorectal cancer and cancer-related deaths among otherwise healthy and symptom-free men and women aged 55 to 64. Provocative headlines and commentaries have […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
webmaster@sages.org
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons