ArticleSurgical endoscopy2017
Annual colonoscopy volume and maintenance of competency for surgeons.
Article in Surgical endoscopy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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The trial behind it
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Who cites it
8 citing papers in PubMed, 12 citations in OpenAlex.
- Assessment of colonoscopy skill using machine learning to measure quality: Proof-of-concept and initial validation.Endoscopy international open · 2024Article
- Critical aspects in developing curriculum-based assessment for emerging surgical procedures.International journal of medical education · 2021Article
- Trends in spatial access to colonoscopy in South Carolina, 2000-2014.Spatial and spatio-temporal epidemiology · 2021Article
- Assessment of quality benchmarks in adenoma detection in Mexico.Endoscopy international open · 2021Article
- Effect of an educational intervention on colonoscopy quality outcomes.Surgical endoscopy · 2020Article
- Colonoscopy education for surgical residents in Korea: a national survey of Korean Surgical Skill Study Group.Annals of surgical treatment and research · 2018Article
- Proximal Sessile Serrated Adenomas Are More Prevalent in Caucasians, and Gastroenterologists Are Better Than Nongastroenterologists at Their Detection.Gastroenterology research and practice · 2017Article
- Rural surgical and obstetric facility-level outcomes for index procedures: a retrospective cohort study (2016-2021).Canadian journal of surgery. Journal canadien de chirurgieObservational
Corrections and comments
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionTo determine whether the annual case volume of general surgeons (greater or less than 200 colonoscopies) is associated with quality outcomes.
methodsThis retrospective cohort study involved all adults who underwent colonoscopy by a surgeon in the city of St. John's, NL, during the first 6 months of 2012. Subjects were identified through records from the health authority, and data were recorded on a standardized data sheet. Univariate analysis followed by stepwise multivariable logistic regression was performed to determine whether there was an association between quality outcomes (colonoscopy completion rate, adenoma detection rate) and predictors of these outcomes including annual colonoscopy volume, patient age, gender, indication for colonoscopy, and ASA score. A Chi-squared test was used to determine whether other outcomes were associated with annual colonoscopy volume.
resultsData were collected on 1060 patients. Mean age was 59.5 (sd 12.2) years with 550 females. A total of 13 surgeons were studied, of which 7 performed less than 200 annual colonoscopies over the previous 2 years (low-volume group) and 6 performed more than 200 annual colonoscopies over the previous 2 years (high-volume group). While there was a significant difference in the colonoscopy completion rate favoring the high-volume group (82.2 vs. 91.1 %, p < 0.001), no difference was noted in the adenoma detection rate between groups (16.7 vs. 17.7 %, p = 0.762). The regression model revealed that colonoscopy completion was also associated with an indication of screening or surveillance and an ASA score of 1 or 2. The adenoma detection rate was associated with older age and male gender. There was no statistically significant association between annual colonoscopy volume and other safety outcome measures.
conclusionPerforming over 200 colonoscopies annually is associated with higher colonoscopy completion rates, but does not appear to be associated with other quality measures.
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