ArticleGastrointestinal endoscopy2017
Endoscopist fatigue estimates and colonoscopic adenoma detection in a large community-based setting.
Article in Gastrointestinal endoscopy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed, 26 citations in OpenAlex.
- An Attention-Enhanced ViT-HLNN Hybrid Ensemble Framework for Multi-Class Gastrointestinal Disease Classification.Scientific reports · 2026Article
- Pilot evaluation of a novel, automated ergonomics assessment tool.Endoscopy international open · 2025Article
- Effect of different working periods on missed diagnosis of colorectal polyps in colonoscopy.BMC gastroenterology · 2024Article
- Endoscopist's Satisfaction with the Insertion Phase of Colonoscopy Is a Potential Quality Indicator for Colorectal Polyp Detection: A Propensity Score Matching Study.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2024Article
- The Role of an Artificial Intelligence Method of Improving the Diagnosis of Neoplasms by Colonoscopy.Diagnostics (Basel, Switzerland) · 2023Article
- Assessment of the Role of Artificial Intelligence in the Association Between Time of Day and Colonoscopy Quality.JAMA network open · 2023Article
- When should we perform colonoscopy to increase the adenoma detection rate?World journal of gastrointestinal endoscopy · 2021Review
- Use of ambient lighting during colonoscopy and its effect on adenoma detection rate and eye fatigue: results of a pilot study.Endoscopy international open · 2021Article
- Cecal intubation time in screening colonoscopy.Medicine · 2021Observational
- Association of Intensive Endoscopic Screening Burden With Gastric Cancer Detection.JAMA network open · 2021Article
- Adenoma detection rate as a quality indicator for colonoscopy: a descriptive cross-sectional study from a tertiary care hospital in Pakistan.Endoscopy international open · 2020Article
- UEG Week 2019 Poster Presentations.United European gastroenterology journal · 2019Article
- Effect of time of day and daily endoscopic workload on outcomes of endoscopic mucosal resection for large sessile colon polyps.United European gastroenterology journal · 2019Article
- Prolonged Cecal Insertion Time Is Not Associated with Decreased Adenoma Detection When a Longer Withdrawal Time Is Achieved.Digestive diseases and sciences · 2018Article
- Adenoma Detection Rate Falls at the End of the Day in a Large Multi-site Sample.Digestive diseases and sciences · 2018Article
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9 authors at 3 institutions in 1 country.
Funding
Abstract
BACKGROUND AND
aimsEndoscopist fatigue may impact colonoscopy quality, but prior studies conflict, and minimal data exist from community-based practices where most colonoscopies are performed.
methodsWithin a large, community-based integrated healthcare system, we evaluated the associations among 4 measures of endoscopist fatigue and colonoscopic adenoma detection from 2010 to 2013. Fatigue measures included afternoon versus morning colonoscopy and the number of GI procedures performed before a given colonoscopy, including consideration of prior procedure complexity. Analyses were adjusted for potential confounders using multivariate logistic regression.
resultsWe identified 126 gastroenterologists who performed 259,064 total GI procedures (median, 6 per day; range, 1-24), including 76,445 screening and surveillance colonoscopies. Compared with morning examinations, colonoscopies in the afternoon were not associated with lower adenoma detection for screening examinations, surveillance examinations, or their combination (OR for combination, .99; 95% CI, .96-1.03). The number of procedures performed before a given colonoscopy, with or without consideration of prior procedure complexity, was also not inversely associated with adenoma detection (OR for adenoma detection for colonoscopies in the fourth quartile of fatigue based on the number of prior procedures performed vs colonoscopies performed as the first procedure of the day, .99; 95% CI, .94-1.04).
conclusionsIn a large community-based setting, adenoma detection for screening and surveillance colonoscopies were not associated with either time of day or the number of prior procedures performed by the endoscopist, within the range of procedure volumes evaluated. The lack of association persisted after accounting for prior procedure complexity.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.