Evaluating the Improvement in Colonoscopy Quality Indicators Subsequent to Publication of Professional Society Guidelines

摘要: Introduction  Quality metrics of colonoscopy should be routinely monitored with a focus on optimizing the patient's subsequent risk colorectal cancer development. Documentation bowel preparation, adenoma detection rate (ADR), and post-colonoscopy follow-up recommendations are three most important quality indicators for colonoscopy, but significant improvement has been challenging to achieve. The goal this study is determine whether publication indicator guidelines in 2015 resulted an measures physicians our endoscopy suite as compared before. Methods  We reviewed electronic medical records patients who underwent screening or surveillance 2014 2017. Colonoscopies were performed open-access center suite, staffed by groups (academic gastroenterologists (AGs), non-academic (non-AGs), surgeons). We gathered demographic data, preparation reports, recommendations, notice primary care physician, calculated ADR patients. Age- gender-matched both years analyzed ADR. These data further subcategorized each group physicians. Results  There 553 1,095 Overall, male gender African American race constituted majority years. Among age- 2017 (412 243 patients, respectively), within endoscopists was not significantly different between these two (AGs 44% vs. 50%; non-AGs 32% 27%; surgeons 25% 21%; p>0.05 all). However, 2017, higher AG non-AG (p<0.006 p<0.0004, respectively). Reporting (82% 87%) documenting recommended period report (68% 78%) improved (p=0.002 p=0.0001, Correct only (74% 82% p=0.003). Conclusion  Based current guidelines, far exceeding target goals, superior other endoscopists. Although improvements noted after guideline publications, areas needed respect meeting gastroenterology society remained. fact that individual performing billing equipped creates environment where responsibility cannot readily assigned.