Endoscopy Nurse Participation May Increase the Polyp Detection Rate by Second-Year Fellows during Screening Colonoscopies
Gut and Liver
; : 344-348, 2012.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-119851
Responsible library:
WPRO
ABSTRACT
BACKGROUND/AIMS:
The aim of this study was to assess the effects of endoscopy nurse participation on polyp detection rate (PDR) and adenoma detection rate (ADR) of second-year fellows during screening colonoscopies.METHODS:
This was a single-center, prospective, randomized study comparing a fellow alone and a fellow plus an endoscopy nurse as an additional observer during afternoon outpatient screening colonoscopies. The primary end points were PDR and ADR.RESULTS:
One hundred ninety-one colonoscopies performed by a fellow alone and 192 colonoscopies performed by a fellow plus an endoscopy nurse were analyzed. The PDR was significantly higher when the nurse was involved (53.1% vs. 41.3%, p or =2 polyps, advanced adenomas, polyp size, polyp location, and polyp shapes between the two groups. There was no difference in the PDR according to the level of experience of the endoscopy nurse.CONCLUSIONS:
Endoscopy nurse participation as an additional observer during screening colonoscopy performed by second-year fellow increases the PDR; however, the level of experience of the nurse was not an important factor.
Full text:
Available
Health context:
SDG3 - Health and Well-Being
Health problem:
Target 3.4: Reduce premature mortality due to noncommunicable diseases
Database:
WPRIM (Western Pacific)
Main subject:
Outpatients
/
Polyps
/
Adenoma
/
Mass Screening
/
Prospective Studies
/
Colonoscopy
/
Endoscopy
Type of study:
Controlled clinical trial
/
Diagnostic study
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Observational study
/
Prognostic study
/
Screening study
Limits:
Humans
Language:
English
Journal:
Gut and Liver
Year:
2012
Document type:
Article