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Impact of Fellow Participation During Colonoscopy on Adenoma Detection Rates.
- Source :
-
Digestive diseases and sciences [Dig Dis Sci] 2022 Jan; Vol. 67 (1), pp. 85-92. Date of Electronic Publication: 2021 Feb 21. - Publication Year :
- 2022
-
Abstract
- Background: An endoscopist's adenoma detection rate (ADR) is inversely related to interval colorectal cancer risk and cancer mortality. Previous studies evaluating the impact of gastroenterology fellow participation in colonoscopy on ADR have generated conflicting results.<br />Aims: We aimed to determine the impact of fellow participation, duration of fellowship training, and physician sex on ADR and advanced ADR (AADR).<br />Methods: We retrospectively analyzed average-risk patients undergoing screening colonoscopy at Veterans Affairs New York Harbor Healthcare System Brooklyn Campus and Kings County Hospital Center. Review of colonoscopy and pathology reports were performed to obtain adenoma-specific details, including the presence of advanced adenoma and adenoma location (right vs. left colon).<br />Results: There were 893 colonoscopies performed by attending only and 502 performed with fellow participation. Fellow participation improved overall ADR (44.6% vs. 35.4%, p < 0.001), right-sided ADR (34.1% vs. 25.2%, p < 0.001), and AADR (15.3% vs. 8.3%, p < 0.001); however, these findings were institution-specific. Year of fellowship training did not impact overall ADR or overall AADR, but did significantly improve right-sided AADR (p-value for trend 0.03). Female attending physicians were associated with increased ADR (47.1% vs. 37.0%, p = 0.0037). Fellow sex did not impact ADR.<br />Conclusions: Fellow participation in colonoscopy improved overall ADR and AADR, and female attending physicians were associated with improved ADR. Year of fellowship training did not impact overall ADR or AADR.<br /> (© 2021. This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply.)
- Subjects :
- Early Detection of Cancer methods
Education methods
Education statistics & numerical data
Female
Humans
Male
Middle Aged
Sex Factors
United States
Adenoma diagnosis
Adenoma epidemiology
Adenoma surgery
Colonic Polyps diagnosis
Colonic Polyps epidemiology
Colonic Polyps surgery
Colonoscopy methods
Colorectal Neoplasms diagnosis
Colorectal Neoplasms prevention & control
Fellowships and Scholarships methods
Fellowships and Scholarships organization & administration
Fellowships and Scholarships statistics & numerical data
Gastroenterology education
Gastroenterology methods
Teaching organization & administration
Teaching statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1573-2568
- Volume :
- 67
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Digestive diseases and sciences
- Publication Type :
- Academic Journal
- Accession number :
- 33611689
- Full Text :
- https://doi.org/10.1007/s10620-021-06887-6