Melissa Ge, Jane Brodie, Bradley Evans, MD, Mark Borgaonkar, MD, MSc, FRCPC, David Pace, MD, MBA, FRCSC, Matthew Goldring, Darrell Boone, MD, FRCSC, Jerry McGrath, MD, FRCPC. Memorial University of Newfoundland
The Canadian Association of Gastroenterology (CAG) has implemented the Colonoscopy Skills Improvement (CSI) program across Canada with the goal of improving colonoscopy quality. The program’s efficacy has not yet been formally assessed.
This retrospective cohort study was performed on nineteen endoscopists practicing in a tertiary referral center who have undergone CSI training since October 2014. Fifty consecutive procedures immediately prior to, immediately after, and eight months after CSI training were included for each endoscopist. Data were extracted from the electronic medical record (EMR) 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. A p-value of less than 0.05 was considered significant.
Data for 2250 procedures have been analyzed. Patient groups immediately pre, post and eight months after CSI training were comparable in terms of: mean age (60.1yrs v. 60.4yrs v. 60.1yrs), sex (43.1% male v. 49.2% male v. 45.5% male), indication, and completion rate (94.0% v. 94.3% v. 94.4%). There was a statistically significant increase in withdrawal time (12.4min v. 13.2min, p = 0.043) immediately after CSI training. This was not maintained in the eight month follow up period (12.4min v. 12.3min, p = 0.940).
Participation in the CSI program is associated with increased withdrawal time immediately following training. However, this increase was not sustained at the eight-month follow up.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 87675
Program Number: P340
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster