J. Brodie, B. Evans, M. Ge, M. Borgaonkar, D. Pace, M. Goldring, D. Boone, J. McGrath. Memorial University, Faculty of Medicine
The Canadian Association of Gastroenterology (CAG) CSI program was implemented across Canada as part of the Skills Enhancement for Endoscopy initiative, with a goal of improving colonoscopy quality. This study aims to assess impacts on adenoma detection.
We conducted a retrospective cohort study that included 17 endoscopists practicing in a tertiary referral center. Endoscopists underwent CSI training between October 2014 and December 2015. Fifty procedures immediately prior to, immediately after, and eight months after completion of training were included for each endoscopist. Data were extracted from the electronic medical record and entered into SPSS for analysis. Student’s T-test was used to compare groups for continuous data, and chi-squared tests were used for categorical data.
Data were collected for 2533 procedures. Patient groups pre, post, and eight months after CSI training were comparable in terms of age (60.1yrs, 60.3yrs, and 60.1yrs), sex (56.9% female v. 50.8% female v. 54.5% female), indication, and completion rate (94.0% v. 94.3% v. 94.4%). Polyps were removed from 1222 (48.2%) patients. There was a non-significant trend towards a higher adenoma detection rate immediately after training was complete (31.8% v. 33.4%, p=0.517) and at the eight month timepoint (31.8% v. 35.5%, p=0.118). The mean APC rate showed a non- significant increase between the pre and post training groups (1.42 v. 1.59, p=0.188). This became statistically significant at the eight month timepoint (1.42 v. 2.00, p<0.001).
Participation in the CSI program is associated with a higher APC rate.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 87161
Program Number: P731
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster