کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3305123 1210349 2012 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Adenoma detection rate is not influenced by full-day blocks, time, or modified queue position
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری‌های گوارشی
پیش نمایش صفحه اول مقاله
Adenoma detection rate is not influenced by full-day blocks, time, or modified queue position
چکیده انگلیسی

BackgroundRecent studies have shown the adenoma detection rate (ADR) to decrease from endoscopist fatigue.ObjectiveOur primary objective was to evaluate the afternoon ADR in half-day versus full-day blocks. Secondary objectives were to determine whether time or complexity of prior procedures (modified queue position) influence ADR.DesignRetrospective chart review on consecutive colonoscopies.SettingTertiary-care teaching hospital.PatientsThis study involved all patients in our database who were over age 45 and who underwent screening and surveillance colonoscopies.Main Outcome MeasurementADR.ResultsA total of 3085 patients were included in the study, with an overall 31% ADR. Of these procedures, 2148 (70%) were done in the morning, and 937 (30%) were done in the afternoon (512 full-day block, 425 half-day block). By multivariate analysis, there was no difference in ADR between full-day blocks compared with afternoon-only blocks (35% vs 32%; odds ratio [OR] 1.1; 95% confidence interval [CI], 0.8-1.5; P = .2). For all afternoon colonoscopies, no decrease in ADR was noted with increasing queue position (P = .9) or time (P = .3). In addition, no difference was found comparing ADR between all afternoon colonoscopies versus morning colonoscopies (33% vs 30%; OR 1.1; CI, 1.0-1.3; P = .1). No difference was found for advanced adenomas and number of adenomas between either afternoon-only blocks versus afternoon colonoscopy in full-day blocks or morning versus all afternoon cases.LimitationsRetrospective study; not all withdrawal times were recorded; trainees performed some of the procedures.ConclusionOur data show that colonoscopy can be performed in full-day blocks and 30-minute slots without compromising ADR.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Gastrointestinal Endoscopy - Volume 75, Issue 4, April 2012, Pages 827–834
نویسندگان
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