Matthew Miné-Goldring, BEng, Brad Evans, MD, Mark Borgaonkar, MD, David Pace, MD. Memorial University of NL
Introduction: A Colonoscopy Skills Improvement (CSI) course developed by the Canadian Association of Gastroenterology (CAG) attempts to improve colonoscopy quality.
Purpose: To measure the impact of this course on withdrawal time (wd).
Methods: This retrospective cohort study was performed on fourteen fully trained endoscopists practicing in St. John's, Newfoundland who underwent CSI training in October of 2014. The study included 1329 procedures immediately prior to and after undergoing training. Subjects were identified through health authority records. Data was extracted from the electronic medical record (EMR), recorded on a standardized data sheet and entered into SPSS version 20.0 for analysis. Student’s T-test was used to compare groups for continuous data, Chi-squared tests were used for categorical data.
Results: Thus far, partial data have been collected on 1329 colonoscopies conducted by seven Gastroenterologists and seven General Surgeons. The most common indication for colonoscopy was family history of colorectal cancer in 188 (14.1%) patients. Patient groups pre and post CSI training were comparable in terms of : mean age (59.6yrs v. 60.4yrs), sex (55.8% female v. 51.9% female), and indication. Polyp detection rate was higher post CSI training (44.9% v. 55.1%, p=0.067) but did not achieve statistical significance. Procedure was completed based on intent in 1232 (92.7%) cases. There was no difference in completion or cecal intubation rates between groups. Withdrawal time was recorded for 1241 (93.4%) cases. There was a statistically significant increase in mean wd after completion of the CSI program (12.35 min v. 13.20, p=0.036).
Conclusions: Participation in the CAG's CSI course is associated with longer withdrawal times. There is also a trend towards higher polyp detection rates.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 79677
Program Number: P648
Presentation Session: Poster (Non CME)
Presentation Type: Poster