ArticleBMJ open gastroenterology2017
Impact of feedback and monitoring on colonoscopy withdrawal times and polyp detection rates.
Article in BMJ open gastroenterology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 18 citations in OpenAlex.
- Evaluation of Net Withdrawal Time and Colonoscopy Video Summarization Using Deep Learning Based Automated Temporal Video Segmentation.Journal of imaging informatics in medicine · 2026Article
- Withdrawal time in colonoscopy, past, present, and future, a narrative review.Translational gastroenterology and hepatology · 2023Review
- Factors Associated with Withdrawal Time in European Colonoscopy Practice: Findings of the European Colonoscopy Quality Investigation (ECQI) Group.Diagnostics (Basel, Switzerland) · 2022Article
- Measuring and Improving Quality of Colonoscopy for Colorectal Cancer Screening.Techniques and innovations in gastrointestinal endoscopy · 2022Article
- Regular feedback to individual endoscopists is associated with improved adenoma detection rate and other key performance indicators for colonoscopy.Frontline gastroenterology · 2022Article
- Impact of the National Endoscopy Database (NED) on colonoscopy withdrawal time: a tertiary centre experience.BMJ open gastroenterology · 2021Article
- Individual feedback and monitoring of endoscopist performance improves the adenoma detection rate in screening colonoscopy: a prospective case-control study.Surgical endoscopy · 2021Article
- Impact of feedback on adenoma detection rate: a systematic review and meta-analysis.Annals of gastroenterology · 2021Article
- The proof is in the pudding: improving adenoma detection rates reduces interval colon cancer development.Translational gastroenterology and hepatology · 2017Article
- Implementing visual cues to improve the efficacy of screening colonoscopy: exploiting the Hawthorne effect.Annals of gastroenterologyArticle
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrevious studies have shown colonoscopy withdrawal time (WT) to be a reliable surrogate indicator for polyp detection rate (PDR) and adenoma detection rate (ADR) in colonoscopy. Our aim was to assess the impact of feedback and monitoring of WT on PDR in routine colonoscopies with long-term follow-up. MATERIALS AND
methodsA total of 307 colonoscopies were performed in three separate clinical scenarios. First, PDR and WT were recorded without the staff being aware of the specific objective of the study. Before the second scenario, the staff was given interventional information and feedback on WTs and PDRs from the first scenario and was encouraged to aim for a minimum WT of 8 min. Retention of knowledge gained was reassessed in the third scenario 1 year later.
resultsThe PDR in the first two scenarios differed significantly (p<0.01), with a more than 90% increase in PDR after intervention from 22% to 42% (95% CI 1.44 to 4.95), although the mean WT did not change (6.8 vs 7.2 min; p>0.05). The increase in PDR between the first and second scenarios was retained in the third follow-up scenario 1 year later where the WT of both polyp-positive and polyp-negative colonoscopies was found to be longer.
conclusionsPDR almost doubled from the first to the second scenario of a real-life colonoscopy setting, indicating that awareness of WT is crucial. The knowledge gained from this intervention in routine practice was even retained after a year.
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