Factors associated with lesion detection in colonoscopy among different indications

Background and objective Different factors may influence colonoscopy performance measures. We aimed to analyze procedure- and endoscopist-related factors associated with detection of colorectal lesions and whether these factors have a similar influence in the context of different colonoscopy indicat...

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Autores: Mangas-Sanjuan, C, Seoane, A, Alvarez-Gonzalez, MA, Lue, A, Suarez, A, Alvarez-Garcia, V, Bujanda, L, Portillo, I, Gonzalez, N, Cid-Gomez, L, Cubiella, J, Rodriguez-Camacho, E, Ponce, M, Diez-Redondo, P, Herraiz, M, Pellise, M, Ono, A, Baile-Maxia, S, Medina-Prado, L, Murcia, O, Zapater, P, Jover, R
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
Repositorio:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
OAI Identifier:oai:isabial.fundanetsuite.com:p9340
Acceso en línea:https://isabial.portalinvestigacion.com/publicaciones9340
Access Level:acceso abierto
Palabra clave:adenoma detection
colonoscopy
colorectal cancer
endoscopist
serrated polyp
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spelling Factors associated with lesion detection in colonoscopy among different indicationsMangas-Sanjuan, CSeoane, AAlvarez-Gonzalez, MALue, ASuarez, AAlvarez-Garcia, VBujanda, LPortillo, IGonzalez, NCid-Gomez, LCubiella, JRodriguez-Camacho, EPonce, MDiez-Redondo, PHerraiz, MPellise, MOno, ABaile-Maxia, SMedina-Prado, LMurcia, OZapater, PJover, Radenoma detectioncolonoscopycolorectal cancerendoscopistserrated polypBackground and objective Different factors may influence colonoscopy performance measures. We aimed to analyze procedure- and endoscopist-related factors associated with detection of colorectal lesions and whether these factors have a similar influence in the context of different colonoscopy indications: positive fecal immunochemical test (+FIT) and post-polypectomy surveillance colonoscopies. Methods This multicenter cross-sectional study included adults aged 40-80 years. Endoscopists (N = 96) who had performed >= 50 examinations were assessed for physician-related factors. Adenoma detection rate (ADR), adenomas per colonoscopy rate (APCR), advanced ADR, serrated polyp detection (SDR), and serrated polyps per colonoscopy rate (SPPCR) were calculated. Results We included 12,932 procedures, with 4810 carried out after a positive FIT and 1967 for surveillance. Of the 96 endoscopists evaluated, 43.8% were women, and the mean age was 41.9 years. The ADR, advanced ADR, and SDR were 39.7%, 17.7%, and 12.8%, respectively. Adenoma detection rate was higher in colonoscopies after a +FIT (50.3%) with a more than doubled advanced ADR compared to non-FIT procedures (27.6% vs. 13.0%) and similar results in serrated lesions (14.7% vs. 13.5%). Among all the detection indicators analyzed, withdrawal time was the only factor independently related to improvement (p < 0.001). Regarding FIT-positive and surveillance procedures, for both indications, withdrawal time was also the only factor associated with a higher detection of adenomas and serrated polyps (p < 0.001). Endoscopist-related factors (i.e., weekly hours dedicated to endoscopy, annual colonoscopy volume and lifetime number of colonoscopies performed) had also impact on lesion detection (APCR, advanced ADR and SPPCR). Conclusions Withdrawal time was the factor most commonly associated with improved detection of colonic lesions globally and in endoscopies for + FIT and post-polypectomy surveillance. Physician-related factors may help to address strategies to support training and service provision. Our results can be used for establishing future benchmarking and quality improvement in different colonoscopy indications.JOHN WILEY & SONS LTD2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://isabial.portalinvestigacion.com/publicaciones9340United European Gastroenterology JournalISSN: 20506406ISSNe: 20506414reponame:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicanteinstname:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)Inglésinfo:eu-repo/semantics/openAccessoai:isabial.fundanetsuite.com:p93402026-06-12T10:20:37Z
dc.title.none.fl_str_mv Factors associated with lesion detection in colonoscopy among different indications
title Factors associated with lesion detection in colonoscopy among different indications
spellingShingle Factors associated with lesion detection in colonoscopy among different indications
Mangas-Sanjuan, C
adenoma detection
colonoscopy
colorectal cancer
endoscopist
serrated polyp
title_short Factors associated with lesion detection in colonoscopy among different indications
title_full Factors associated with lesion detection in colonoscopy among different indications
title_fullStr Factors associated with lesion detection in colonoscopy among different indications
title_full_unstemmed Factors associated with lesion detection in colonoscopy among different indications
title_sort Factors associated with lesion detection in colonoscopy among different indications
dc.creator.none.fl_str_mv Mangas-Sanjuan, C
Seoane, A
Alvarez-Gonzalez, MA
Lue, A
Suarez, A
Alvarez-Garcia, V
Bujanda, L
Portillo, I
Gonzalez, N
Cid-Gomez, L
Cubiella, J
Rodriguez-Camacho, E
Ponce, M
Diez-Redondo, P
Herraiz, M
Pellise, M
Ono, A
Baile-Maxia, S
Medina-Prado, L
Murcia, O
Zapater, P
Jover, R
author Mangas-Sanjuan, C
author_facet Mangas-Sanjuan, C
Seoane, A
Alvarez-Gonzalez, MA
Lue, A
Suarez, A
Alvarez-Garcia, V
Bujanda, L
Portillo, I
Gonzalez, N
Cid-Gomez, L
Cubiella, J
Rodriguez-Camacho, E
Ponce, M
Diez-Redondo, P
Herraiz, M
Pellise, M
Ono, A
Baile-Maxia, S
Medina-Prado, L
Murcia, O
Zapater, P
Jover, R
author_role author
author2 Seoane, A
Alvarez-Gonzalez, MA
Lue, A
Suarez, A
Alvarez-Garcia, V
Bujanda, L
Portillo, I
Gonzalez, N
Cid-Gomez, L
Cubiella, J
Rodriguez-Camacho, E
Ponce, M
Diez-Redondo, P
Herraiz, M
Pellise, M
Ono, A
Baile-Maxia, S
Medina-Prado, L
Murcia, O
Zapater, P
Jover, R
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv adenoma detection
colonoscopy
colorectal cancer
endoscopist
serrated polyp
topic adenoma detection
colonoscopy
colorectal cancer
endoscopist
serrated polyp
description Background and objective Different factors may influence colonoscopy performance measures. We aimed to analyze procedure- and endoscopist-related factors associated with detection of colorectal lesions and whether these factors have a similar influence in the context of different colonoscopy indications: positive fecal immunochemical test (+FIT) and post-polypectomy surveillance colonoscopies. Methods This multicenter cross-sectional study included adults aged 40-80 years. Endoscopists (N = 96) who had performed >= 50 examinations were assessed for physician-related factors. Adenoma detection rate (ADR), adenomas per colonoscopy rate (APCR), advanced ADR, serrated polyp detection (SDR), and serrated polyps per colonoscopy rate (SPPCR) were calculated. Results We included 12,932 procedures, with 4810 carried out after a positive FIT and 1967 for surveillance. Of the 96 endoscopists evaluated, 43.8% were women, and the mean age was 41.9 years. The ADR, advanced ADR, and SDR were 39.7%, 17.7%, and 12.8%, respectively. Adenoma detection rate was higher in colonoscopies after a +FIT (50.3%) with a more than doubled advanced ADR compared to non-FIT procedures (27.6% vs. 13.0%) and similar results in serrated lesions (14.7% vs. 13.5%). Among all the detection indicators analyzed, withdrawal time was the only factor independently related to improvement (p < 0.001). Regarding FIT-positive and surveillance procedures, for both indications, withdrawal time was also the only factor associated with a higher detection of adenomas and serrated polyps (p < 0.001). Endoscopist-related factors (i.e., weekly hours dedicated to endoscopy, annual colonoscopy volume and lifetime number of colonoscopies performed) had also impact on lesion detection (APCR, advanced ADR and SPPCR). Conclusions Withdrawal time was the factor most commonly associated with improved detection of colonic lesions globally and in endoscopies for + FIT and post-polypectomy surveillance. Physician-related factors may help to address strategies to support training and service provision. Our results can be used for establishing future benchmarking and quality improvement in different colonoscopy indications.
publishDate 2022
dc.date.none.fl_str_mv 2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://isabial.portalinvestigacion.com/publicaciones9340
url https://isabial.portalinvestigacion.com/publicaciones9340
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv JOHN WILEY & SONS LTD
publisher.none.fl_str_mv JOHN WILEY & SONS LTD
dc.source.none.fl_str_mv United European Gastroenterology Journal
ISSN: 20506406
ISSNe: 20506414
reponame:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
instname:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
instname_str Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
reponame_str r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
collection r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.81155

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