Abstract
Tu1724 - The Effect of Mid-Year Report Cards on Colonoscopy Quality Measures
Highlights
Since 2011, our institution has distributed annual reports, in June, to providers with personalized data regarding adenoma detection rate (ADR), colonoscope withdrawal time (CW), and cecal intubation (CI) rate, using standardized reporting systems
Based on the inclusion criteria, 15 providers who performed more than 20 colonoscopies per year in all 5 years were eligible for the study
The ADR decreased in the 2nd half of 2012 (26.1% to 22.9%) and 2013 (26.7% to 25.2%) as compared to the first half whereas it increased in the remaining years
Summary
Since 2011, our institution has distributed annual reports, in June, to providers with personalized data regarding adenoma detection rate (ADR), colonoscope withdrawal time (CW), and cecal intubation (CI) rate, using standardized reporting systems. Endoscopists at our institutions met/exceeded the quality metrics in the first half of each year from the beginning of the study. Long-term studies to determine if periodic feedback to endoscopists improves the quality of endoscopy as per national standards for detection of early colorectal cancers are required. Colonoscopy is widely used in the diagnosis and treatment of colon disorders It has a primary role in the detection and prevention of colorectal cancer (CRC), the third leading cause of cancer death in the United States [1]. The ability to reduce the incidence of colorectal cancer using colonoscopy is dependent on the removal of adenomas and depends on the operator [6]. Suboptimal performance of colonoscopy by some endoscopists, as evidenced by variable performance, is an obstacle to colonoscopy’s ability to provide protection against incident colorectal cancers [7]. Concerned about the miss rate, despite being low, for cancers and adenomatous polyps, high-quality examination was suggested to ensure the detection and removal of all neoplastic lesions [8, 9]
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