Impact of moderate versus deep sedation on adenoma detection rate in index average-risk screening colonoscopies

2019 ◽  
Vol 90 (3) ◽  
pp. 502-505 ◽  
Author(s):  
Erica P. Turse ◽  
Francis E. Dailey ◽  
Matthew L. Bechtold
Keyword(s):  
Detection Rate ◽  
Deep Sedation ◽  
Adenoma Detection Rate ◽  
Average Risk ◽  
Risk Screening ◽  
Adenoma Detection

IBD Patients Have a Lower Adenoma Detection Rate Than the Average-Risk Screening Population at a University Medical Center

2014 ◽  
Vol 109 ◽  
pp. S614
Author(s):  
Steven Zeddun ◽  
Abdullah Al-shahrani ◽  
Vikesh Khanijow ◽  
Lakshmi Lattimer ◽  
Timoth Dougherty ◽  
...  
Keyword(s):  
Detection Rate ◽  
Medical Center ◽  
Adenoma Detection Rate ◽  
Average Risk ◽  
Risk Screening ◽  
Adenoma Detection ◽  
Screening Population

Increased Adenoma Detection Rate in an Average-Risk Urban Population

2014 ◽  
Vol 109 ◽  
pp. S616
Author(s):  
Steven Zeddun ◽  
Brandon Rieders ◽  
Lakshmi Lattimer ◽  
Timothy Dougherty ◽  
Marie Borum
Keyword(s):  
Urban Population ◽  
Detection Rate ◽  
Adenoma Detection Rate ◽  
Average Risk ◽  
Adenoma Detection

scholarly journals Defining adenoma detection rate benchmarks in average-risk male veterans

2019 ◽  
Vol 89 (1) ◽  
pp. 137-143 ◽  
Author(s):  
Mustapha M. El-Halabi ◽  
Douglas K. Rex ◽  
Akira Saito ◽  
George J. Eckert ◽  
Charles J. Kahi
Keyword(s):  
Detection Rate ◽  
Adenoma Detection Rate ◽  
Average Risk ◽  
Male Veterans ◽  
Adenoma Detection

scholarly journals Comparison of Flexible Sigmoidoscopy Screening in Average Risk Patients Performed by Nurses Versus Gastroenterologists

2018 ◽  
Vol 1 (2) ◽  
pp. 82-86 ◽  
Author(s):  
Anas Makhzoum ◽  
Jacob Louw ◽  
William G Paterson
Keyword(s):  
Colorectal Cancer ◽  
Detection Rate ◽  
Flexible Sigmoidoscopy ◽  
Screening Program ◽  
Low Risk ◽  
Adenoma Detection Rate ◽  
Average Risk ◽  
Detection Rates ◽  
Screening Programs ◽  
Adenoma Detection

Abstract Background Screening sigmoidoscopy is effective in reducing mortality from colorectal cancer. In 2009, Cancer Care Ontario (CCO) launched a nurse-performed screening flexible sigmoidoscopy program at Hotel Dieu Hospital, Kingston, Ontario. Prior to this program, there was a pilot sigmoidoscopy screening program by gastroenterologists in a similar average risk cohort. Aim To compare neoplasia detection rates and associated costs of screening sigmoidoscopy performed by nurses and gastroenterologists. Method A retrospective chart review was conducted on flexible sigmoidoscopies performed as part of two average risk screening programs performed by gastroenterologists and nurse-endoscopists. Detected polyps were categorized as hyperplastic, low-risk adenomas or high-risk adenomas. Average cost per procedure was estimated based on physician fee for service charges, nurse wage and benefits, physician supervisory fees, pathology costs and administrative expenses. Results There were 538 procedures performed by nurses and 174 by physicians. Adenomas were detected in 18% of nurse-performed procedures versus 9% in physician-performed procedures (p=0.003), with the higher adenoma detection rate restricted to low risk adenomas. One cancer was found in the physician group. Seven physicians performed the 174 sigmoidoscopies, with one physician performing the majority. This physician’s adenoma detection rate was 4.5%, whereas detection rate for the remaining physicians combined was 16.5%. Nurses biopsied more polyps per case (0.96 versus 0.18). Average estimated cost per case was greater for nurses ($387.54 versus $309.37). Conclusion Well-trained nurse-endoscopists can provide an effective service for colorectal cancer screening, but as currently structured in Ontario, the associated cost is higher for nurse-performed procedures.

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
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