Adenoma Detection Rates On Screening Colonoscopy in Average Risk Patients At a Large, Rural Tertiary Care Center

2008 ◽  
Vol 67 (5) ◽  
pp. AB315
Author(s):  
Duane E. Deivert ◽  
Amitpal Johal ◽  
H. Lester Kirchner ◽  
Nicholas A. Inverso
Keyword(s):  
Care Center ◽  
Tertiary Care ◽  
Screening Colonoscopy ◽  
Average Risk ◽  
Tertiary Care Center ◽  
Detection Rates ◽  
Adenoma Detection ◽  
Risk Patients ◽  
Adenoma Detection Rates

scholarly journals Does deep sedation with propofol affect adenoma detection rates in average risk screening colonoscopy exams?

2017 ◽  
Vol 9 (4) ◽  
pp. 177 ◽  
Author(s):  
Selvi Thirumurthi ◽  
Gottumukkala S Raju ◽  
Mala Pande ◽  
Joseph Ruiz ◽  
Richard Carlson ◽  
...  
Keyword(s):  
Deep Sedation ◽  
Screening Colonoscopy ◽  
Average Risk ◽  
Risk Screening ◽  
Detection Rates ◽  
Adenoma Detection ◽  
Adenoma Detection Rates

scholarly journals Trainee participation during screening colonoscopy does not affect ADR at subsequent surveillance, but may result in early follow-up

2020 ◽  
Vol 08 (12) ◽  
pp. E1732-E1740
Author(s):  
Alexander J. Eckardt ◽  
Joan Kheder ◽  
Anjali Basil ◽  
Taryn Silverstein ◽  
Krunal Patel ◽  
...  
Keyword(s):  
Primary Outcome ◽  
Final Analysis ◽  
Screening Colonoscopy ◽  
Secondary Outcome ◽  
Average Risk ◽  
Detection Rates ◽  
Screening And Surveillance ◽  
Adenoma Detection ◽  
Adenoma Detection Rates

Abstract Background and study aims Training future endoscopists is essential to meet rising demands for screening and surveillance colonoscopies. Studies have shown conflicting results regarding the influence of trainees on adenoma detection rates (ADR). It is unclear whether trainee participation during screening adversely affects ADR at subsequent surveillance and whether it alters surveillance recommendations. Patients and methods A retrospective analysis of average-risk screening colonoscopies and surveillance exams over a subsequent 10-year period was performed. The initial inclusion criteria were met by 5208 screening and 2285 surveillance exams. Patients with poor preparation were excluded. The final analysis included 7106 procedures, including 4922 screening colonoscopies and 2184 surveillance exams. Data were collected from pathology and endoscopy electronic databases. The primary outcome was the ADR with and without trainee participation. Surveillance recommendations were analyzed as a secondary outcome. Results Trainees participated in 1131 (23 %) screening and in 232 (11 %) surveillance exams. ADR did not significantly differ (P = 0.19) for screening exams with trainee participation (19.5 %) or those without (21.4 %). ADRs were higher at surveillance exams with (22.4 %) and without (27.5 %) trainee participation. ADR at surveillance was not adversely affected by trainee participation during the previous colonoscopy. Shorter surveillance intervals were given more frequently if trainees participated during the initial screening procedure (P = 0.0001). Conclusions ADR did not significantly differ in screening or surveillance colonoscopies with or without trainee participation. ADR at surveillance was not adversely affected by trainee participation during the previous screening exam. However, trainee participation may result in shorter surveillance recommendations.

scholarly journals Adenoma Detection Rates Decline with Increasing Procedural Hours in an Endoscopist’s Workload

2015 ◽  
Vol 29 (6) ◽  
pp. 304-308 ◽  
Author(s):  
Majid A Almadi ◽  
Maida Sewitch ◽  
Alan N Barkun ◽  
Myriam Martel ◽  
Lawrence Joseph
Keyword(s):  
Tertiary Care ◽  
Screening Colonoscopy ◽  
Average Risk ◽  
Care Hospital ◽  
Detection Rates ◽  
Factors Affecting ◽  
Included Patient ◽  
Adenoma Detection ◽  
Electronic Chart ◽  
Operator Fatigue

BACKGROUND: Operator fatigue may negatively influence adenoma detection (AD) during screening colonoscopy.OBJECTIVE: To better characterize factors affecting AD, including the number of hours worked, and the number and type of procedures performed before an index screening colonoscopy.METHODS: A retrospective cohort study was conducted involving individuals undergoing a screening colonoscopy at a major tertiary care hospital in Montreal, Quebec. Individuals were identified using an endoscopic reporting database; AD was identified by an electronic chart review. A hierarchical logistic regression analysis was performed to determine the association between patient- and endoscopist-related variables and AD.RESULTS: A total of 430 consecutive colonoscopies performed by 10 gastroenterologists and two surgeons were included. Patient mean (± SD) age was 63.4±10.9 years, 56.3% were males, 27.7% had undergone a previous colonoscopy and the cecal intubation rate was 95.7%. The overall AD rate was 25.7%. Age was associated with AD (OR 1.06 [95% CI 1.03 to 1.08]), while female sex (OR 0.44 [95% CI 0.25 to 0.75]), an indication for average-risk screening (OR 0.47 [95% CI 0.27 to 0.80]) and an increase in the number of hours during which endoscopies were performed before the index colonoscopy (OR 0.87 [95% CI 0.76 to 0.99]) were associated with lower AD rates. On exploratory univariable analysis, a threshold of 3 h of endoscopy time performed before the index colonoscopy was associated with decreased AD.CONCLUSION: The number of hours devoted to endoscopies before the index colonoscopy was inversely associated with AD rate, with decreased performance possibly as early as within 3 h. This metric should be confirmed in future studies and considered when optimizing scheduling practices.

Adenoma Detection Rates in Male Average Risk Veterans versus Non-veterans Undergoing Screening Colonoscopy

2017 ◽  
Vol 112 ◽  
pp. S159
Author(s):  
Mustapha El-Halabi ◽  
Akira Saito ◽  
Jean M. Chalhoub ◽  
Douglas K. Rex ◽  
Charles J. Kahi
Keyword(s):  
Screening Colonoscopy ◽  
Average Risk ◽  
Detection Rates ◽  
Adenoma Detection ◽  
Adenoma Detection Rates

scholarly journals To study the effectiveness of prophylactic use of ceftriaxone (single dose) in caesarean section in low risk patients in a tertiary care center, Moradabad, India

2017 ◽  
Vol 5 (12) ◽  
pp. 5278
Author(s):  
Ruby Kumari ◽  
Arti Sharma ◽  
. Sheetal ◽  
Pratibha Roy ◽  
. Anupriya
Keyword(s):  
Single Dose ◽  
Caesarean Section ◽  
Surgical Site Infection ◽  
Care Center ◽  
Tertiary Care ◽  
Infectious Complications ◽  
Low Risk ◽  
Tertiary Care Center ◽  
Site Infection ◽  
Risk Patients

Background: There is increasing incidence of caesarean section throughout the world. As caesarean section is associated with infectious complications which increase the rate of morbidity and mortality of mothers. For prevention of infectious complications antibiotics are used but careless use of antibiotics increasing incidence of antibiotic resistance. Many guidelines and studies recommend single dose antibiotic prophylaxis for women undergoing elective or non-elective caesarean section. The aim of this study was to assess the effectiveness of Ceftriaxone as prophylactic antibiotic (single dose) in caesarean section in low risk patients.Methods: A Prospective single blind study was carried out in the department of obstetrics and gynaecology, TMMC and RC Moradabad, a tertiary care center, in all low risk patients underwent for Elective and Emergency Lower segment caesarean section for 1 year from 1st June 2015 to May 2016 on 110 patients. Data was collected and analyzed by percentage and proportion.Results: Prevalence of caesarean section was maximum in women of 26-35years age group (52.72%),about 67.27% was emergency LSCS, most common indication of caesarean section was Fetal distress (29.09%),refusal for vaginal delivery after caesarean section (10.90%) was one of the cause for increasing rate of repeat caesarean section, 41.81% women in labour,72.27% cases were with intact membrane, in 9.09% cases, antibiotic had to change in post-operative period due to urinary tract infection and surgical site infection, most common post-operative complication was superficial surgical site infection with purulent discharge (2.72%). No major life-threatening complication occurred.Conclusions: Single dose of Ceftriaxone is effective for prevention of post-caesarean infectious complication.

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