Predicting Colonoscopy Time: A Quality Improvement Initiative
Background/Aims There is lack of consensus on the optimal time allotted for colonoscopy, which increases patient wait times. Our aim was to identify and quantify the individual pre-procedural factors that determine the total procedure time (TPT) of colonoscopy. Methods This retrospective study invol...
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| Format: | Article |
| Language: | English |
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Korean Society of Gastrointestinal Endoscopy
2016-11-01
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| Series: | Clinical Endoscopy |
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| Online Access: | http://www.e-ce.org/upload/pdf/ce-2015-110.pdf |
| _version_ | 1827802241245904896 |
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| author | Deepanshu Jain Abhinav Goyal Stacey Zavala |
| author_facet | Deepanshu Jain Abhinav Goyal Stacey Zavala |
| author_sort | Deepanshu Jain |
| collection | DOAJ |
| description | Background/Aims There is lack of consensus on the optimal time allotted for colonoscopy, which increases patient wait times. Our aim was to identify and quantify the individual pre-procedural factors that determine the total procedure time (TPT) of colonoscopy. Methods This retrospective study involved 4,494 subjects, undergoing outpatient colonoscopy. Effects of age, sex, body mass index, abdominal surgery history, procedure indication (screening, surveillance, or diagnostic), procedure session (morning or afternoon), and endoscopist’s experience (fellow or attending) on TPT were evaluated using multiple regression analysis. A p<0.05 was considered significant. Results A total of 1,239 subjects satisfied the inclusion/exclusion criteria. Women, older individuals, and those with a history of abdominal surgery were found to have a shorter TPT (p>0.05) as did afternoon session colonoscopies (p=0.004). Less experienced endoscopists had longer TPTs (p>0.05). Screening (p=0.01) and surveillance (p=0.008) colonoscopies had a longer TPT than diagnostic procedures. Overall, the F-value of the regression model was 0.0009. Conclusions The indication for colonoscopy and the time of day have statistically significant associations with TPT. These results will help in streamlining workflow, reduce wait time, and improve patient satisfaction. |
| first_indexed | 2024-03-11T20:37:04Z |
| format | Article |
| id | doaj.art-24e8e22bc61f4083a938f8788341b11d |
| institution | Directory Open Access Journal |
| issn | 2234-2400 2234-2443 |
| language | English |
| last_indexed | 2024-03-11T20:37:04Z |
| publishDate | 2016-11-01 |
| publisher | Korean Society of Gastrointestinal Endoscopy |
| record_format | Article |
| series | Clinical Endoscopy |
| spelling | doaj.art-24e8e22bc61f4083a938f8788341b11d2023-10-02T05:48:16ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432016-11-0149655555910.5946/ce.2015.1106844Predicting Colonoscopy Time: A Quality Improvement InitiativeDeepanshu Jain0Abhinav Goyal1Stacey Zavala2 Department of Internal Medicine, Albert Einstein Medical Center, Philadelphia, PA, USA Department of Internal Medicine, Albert Einstein Medical Center, Philadelphia, PA, USA Division of Gastroenterology, Department of Internal Medicine, Albert Einstein Medical Center, Philadelphia, PA, USABackground/Aims There is lack of consensus on the optimal time allotted for colonoscopy, which increases patient wait times. Our aim was to identify and quantify the individual pre-procedural factors that determine the total procedure time (TPT) of colonoscopy. Methods This retrospective study involved 4,494 subjects, undergoing outpatient colonoscopy. Effects of age, sex, body mass index, abdominal surgery history, procedure indication (screening, surveillance, or diagnostic), procedure session (morning or afternoon), and endoscopist’s experience (fellow or attending) on TPT were evaluated using multiple regression analysis. A p<0.05 was considered significant. Results A total of 1,239 subjects satisfied the inclusion/exclusion criteria. Women, older individuals, and those with a history of abdominal surgery were found to have a shorter TPT (p>0.05) as did afternoon session colonoscopies (p=0.004). Less experienced endoscopists had longer TPTs (p>0.05). Screening (p=0.01) and surveillance (p=0.008) colonoscopies had a longer TPT than diagnostic procedures. Overall, the F-value of the regression model was 0.0009. Conclusions The indication for colonoscopy and the time of day have statistically significant associations with TPT. These results will help in streamlining workflow, reduce wait time, and improve patient satisfaction.http://www.e-ce.org/upload/pdf/ce-2015-110.pdfColonoscopyTotal procedure timeTiming of colonoscopyIndication of colonoscopy |
| spellingShingle | Deepanshu Jain Abhinav Goyal Stacey Zavala Predicting Colonoscopy Time: A Quality Improvement Initiative Clinical Endoscopy Colonoscopy Total procedure time Timing of colonoscopy Indication of colonoscopy |
| title | Predicting Colonoscopy Time: A Quality Improvement Initiative |
| title_full | Predicting Colonoscopy Time: A Quality Improvement Initiative |
| title_fullStr | Predicting Colonoscopy Time: A Quality Improvement Initiative |
| title_full_unstemmed | Predicting Colonoscopy Time: A Quality Improvement Initiative |
| title_short | Predicting Colonoscopy Time: A Quality Improvement Initiative |
| title_sort | predicting colonoscopy time a quality improvement initiative |
| topic | Colonoscopy Total procedure time Timing of colonoscopy Indication of colonoscopy |
| url | http://www.e-ce.org/upload/pdf/ce-2015-110.pdf |
| work_keys_str_mv | AT deepanshujain predictingcolonoscopytimeaqualityimprovementinitiative AT abhinavgoyal predictingcolonoscopytimeaqualityimprovementinitiative AT staceyzavala predictingcolonoscopytimeaqualityimprovementinitiative |