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Colonoscopy-Naïve Raters Can Be Trained to Assess Colonoscopy Quality.
Keswani, Rajesh N; Benson, Mark; Beveridge, Claire; Gawron, Andrew J; Gluskin, Adam B; Kahi, Charles J; Kaltenbach, Tonya R; McClure, Jessica; Schenck, Robert; Yadlapati, Rena H; Duloy, Anna.
Afiliação
  • Keswani RN; Department of Gastroenterology and Hepatology, Northwestern University, Chicago, Illinois. Electronic address: rkeswani@nm.org.
  • Benson M; Department of Gastroenterology and Hepatology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
  • Beveridge C; Department of Medicine, Northwestern University, Chicago, Illinois.
  • Gawron AJ; Department of Gastroenterology, University of Utah, Salt Lake City, Utah.
  • Gluskin AB; Department of Medicine, Northwestern University, Chicago, Illinois.
  • Kahi CJ; Department of Gastroenterology, Indiana University Medical Center, Indianapolis, Indiana.
  • Kaltenbach TR; Department of Gastroenterology, University of California, San Francisco, San Francisco, California.
  • McClure J; Department of Medicine, Northwestern University, Chicago, Illinois.
  • Schenck R; Department of Medicine, Northwestern University, Chicago, Illinois.
  • Yadlapati RH; Department of Gastroenterology, University of Colorado, Denver, Colorado.
  • Duloy A; Department of Gastroenterology, University of Colorado, Denver, Colorado.
Clin Gastroenterol Hepatol ; 18(4): 989-991.e1, 2020 04.
Article em En | MEDLINE | ID: mdl-31228569
ABSTRACT
The ability of a colonoscopist to detect colon polyps is commonly measured by the adenoma detection rate (ADR). The outcome of colonoscopy varies based on ADR, and the relationship between decreasing provider ADR and the increased risk of subsequent fatal colorectal cancer has been clearly established.1 Despite the importance of provider ADR, it is of limited value at lower provider volumes due to imprecise measurements. We have previously shown that ratings of colonoscopy inspection quality (CIQ) from video-taped colonoscopies by experts highly correlate with provider ADR, and can provide colonoscopists with specific techniques in need of remediation.2 It is unclear, however, whether these video-based evaluations are a feasible method of assessing colonoscopy quality due to a reliance upon expert evaluations. The primary aim of this study was to determine whether video-based assessments of colonoscopy inspection quality by colonoscopy-naïve raters (novice raters) correlate with assessments by expert raters and with established colonoscopy quality metrics.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias Colorretais / Adenoma / Pólipos do Colo Tipo de estudo: Diagnostic_studies / Screening_studies Limite: Humans Idioma: En Revista: Clin Gastroenterol Hepatol Assunto da revista: GASTROENTEROLOGIA Ano de publicação: 2020 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias Colorretais / Adenoma / Pólipos do Colo Tipo de estudo: Diagnostic_studies / Screening_studies Limite: Humans Idioma: En Revista: Clin Gastroenterol Hepatol Assunto da revista: GASTROENTEROLOGIA Ano de publicação: 2020 Tipo de documento: Article