Evidence map›Paper›PMID 31820159›Full record

ArticleSurgical endoscopy2020

Effect of an educational intervention on colonoscopy quality outcomes.

Bradley Evans, David Pace, Mark Borgaonkar, John Harnett, Matthew Miné-Goldring, Melissa Meng Ge, Jane Brodie, Darryl Boone, Jerry McGrath

Abstract read
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Quality indicators for colonoscopy.Gastrointestinal endoscopy · 2024
    Guideline
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Quality Indicators for Colonoscopy.The American journal of gastroenterology · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Bradley EvansDepartment of Surgery, Memorial University, 300 Prince Phillip Drive, St. John's, NL, A1B 3V6, Canada. b.evans@mun.ca.ORCID 0000-0002-1504-081X
David PaceDepartment of Surgery, Memorial University, 300 Prince Phillip Drive, St. John's, NL, A1B 3V6, Canada.
Mark BorgaonkarDepartment of Medicine, Memorial University, St. John's, Canada.
John HarnettDepartment of Medicine, Memorial University, St. John's, Canada.
Matthew Miné-GoldringDepartment of Surgery, McMaster University, Hamilton, Canada.
Melissa Meng GeFaculty of Medicine, Memorial University, St. John's, Canada.
Jane BrodieFaculty of Medicine, Memorial University, St. John's, Canada.
Darryl BooneDepartment of Surgery, Memorial University, 300 Prince Phillip Drive, St. John's, NL, A1B 3V6, Canada.
Jerry McGrathDepartment of Surgery, Memorial University, 300 Prince Phillip Drive, St. John's, NL, A1B 3V6, Canada.
Memorial University of Newfoundland · CAMcMaster University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe aimed to assess the effect of a colonoscopy skills improvement (CSI) course on quality indicators at our institution.

methodsThis retrospective cohort study included ten surgeons and nine gastroenterologists practicing in a tertiary referral center who had undergone CSI training between 2014 and 2015. Procedural data for 50 colonoscopies by each physician was collected immediately before and after CSI training, and again 8 months after training. The primary outcome was adenoma detection rate (ADR) and secondary outcomes included colonoscopy completion rate (CCR), and withdrawal time (WT). Univariate analysis followed by stepwise multivariable logistic regression was performed to assess for predictors of these outcomes. These variables included patient age, gender, indication for colonoscopy, quality of bowel preparation, and CSI training.

results2533 colonoscopies were included. There was no improvement in ADR for the entire group immediately after training and at 8 months (31.8% vs. 33.6% vs. 35.3%, p = 0.319). In subgroup analysis, the ADR of surgeons improved non-significantly immediately after completing the course and increased further at 8 months (30.9% vs. 31.6% vs. 37.6%, p = 0.065). The same changes were not observed for the gastroenterology subgroup (32.9% vs. 36.0% vs. 32.8%, p = 0.550). No change was noted in CCR or WT. In multivariate analysis of the surgical subgroup, increased patient age, male gender, and the 8-month time point following CSI training were associated with higher ADR.

conclusionCSI training is associated with an improvement in ADR for surgeons at our institution.

Indexed as

Clinical CompetenceAdenomaAdultAgedColonoscopyColorectal NeoplasmsFemaleFollow-Up StudiesGastroenterologyHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisQuality ImprovementRetrospective StudiesAdenoma detection rateColonoscopyQuality improvement

Identifiers

PMID31820159
OpenAlexW2994074709

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.