The analysis of multilevel factors affecting adenoma detection rates for colonoscopies: a large-scale retrospective study
Abstract Background Adenoma detection rate (ADR) is a validated primary quality indicator for colonoscopy procedures. However, there is growing concern over the variability associated with ADR indicators. Currently, the factors that influence ADRs are not well understood. Aims In this large-scale re...
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| Format: | Article |
| Language: | English |
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BMC
2021-10-01
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| Series: | BMC Gastroenterology |
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| Online Access: | https://doi.org/10.1186/s12876-021-01983-3 |
| _version_ | 1818729336937644032 |
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| author | Liang Huang Yue Hu Shan Liu Bo Jin Bin Lu |
| author_facet | Liang Huang Yue Hu Shan Liu Bo Jin Bin Lu |
| author_sort | Liang Huang |
| collection | DOAJ |
| description | Abstract Background Adenoma detection rate (ADR) is a validated primary quality indicator for colonoscopy procedures. However, there is growing concern over the variability associated with ADR indicators. Currently, the factors that influence ADRs are not well understood. Aims In this large-scale retrospective study, the impact of multilevel factors on the quality of ADR-based colonoscopy was assessed. Methods A total of 10,788 patients, who underwent colonoscopies performed by 21 endoscopists between January 2019 and December 2019, were retrospectively enrolled in this study. Multilevel factors, including patient-, procedure-, and endoscopist-level characteristics were analyzed to determine their relationship with ADR. Results The overall ADR was 20.21% and ranged from 11.4 to 32.8%. Multivariate regression analysis revealed that higher ADRs were strongly correlated with the following multilevel factors: patient age per stage (OR 1.645; 95% CI 1.577–1.717), male gender (OR 1.959; 95% CI 1.772–2.166), sedation (OR 1.402; 95% CI 1.246–1.578), single examiner colonoscopy (OR 1.330; 95% CI 1.194–1.482) and senior level endoscopists (OR 1.609; 95% CI 1.449–1.787). Conclusion The ADR is positively correlated with senior level endoscopists and single examiner colonoscopies in patients under sedation. As such, these procedure- and endoscopist-level characteristics are important considerations to improve the colonoscopy quality. |
| first_indexed | 2024-12-17T22:44:17Z |
| format | Article |
| id | doaj.art-7b0d504b934a447a9af73ca50dbbe5ab |
| institution | Directory Open Access Journal |
| issn | 1471-230X |
| language | English |
| last_indexed | 2024-12-17T22:44:17Z |
| publishDate | 2021-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Gastroenterology |
| spelling | doaj.art-7b0d504b934a447a9af73ca50dbbe5ab2022-12-21T21:29:50ZengBMCBMC Gastroenterology1471-230X2021-10-012111810.1186/s12876-021-01983-3The analysis of multilevel factors affecting adenoma detection rates for colonoscopies: a large-scale retrospective studyLiang Huang0Yue Hu1Shan Liu2Bo Jin3Bin Lu4Department of Gastroenterology, First Affiliated Hospital of Zhejiang, Chinese Medical UniversityDepartment of Gastroenterology, First Affiliated Hospital of Zhejiang, Chinese Medical UniversityCenter of Clinical Evaluation, The First Affiliated Hospital of Zhejiang Chinese Medical UniversityDepartment of Gastroenterology, First Affiliated Hospital of Zhejiang, Chinese Medical UniversityDepartment of Gastroenterology, First Affiliated Hospital of Zhejiang, Chinese Medical UniversityAbstract Background Adenoma detection rate (ADR) is a validated primary quality indicator for colonoscopy procedures. However, there is growing concern over the variability associated with ADR indicators. Currently, the factors that influence ADRs are not well understood. Aims In this large-scale retrospective study, the impact of multilevel factors on the quality of ADR-based colonoscopy was assessed. Methods A total of 10,788 patients, who underwent colonoscopies performed by 21 endoscopists between January 2019 and December 2019, were retrospectively enrolled in this study. Multilevel factors, including patient-, procedure-, and endoscopist-level characteristics were analyzed to determine their relationship with ADR. Results The overall ADR was 20.21% and ranged from 11.4 to 32.8%. Multivariate regression analysis revealed that higher ADRs were strongly correlated with the following multilevel factors: patient age per stage (OR 1.645; 95% CI 1.577–1.717), male gender (OR 1.959; 95% CI 1.772–2.166), sedation (OR 1.402; 95% CI 1.246–1.578), single examiner colonoscopy (OR 1.330; 95% CI 1.194–1.482) and senior level endoscopists (OR 1.609; 95% CI 1.449–1.787). Conclusion The ADR is positively correlated with senior level endoscopists and single examiner colonoscopies in patients under sedation. As such, these procedure- and endoscopist-level characteristics are important considerations to improve the colonoscopy quality.https://doi.org/10.1186/s12876-021-01983-3ColonoscopyAdenoma detection rateQuality indicatorColorectal cancer |
| spellingShingle | Liang Huang Yue Hu Shan Liu Bo Jin Bin Lu The analysis of multilevel factors affecting adenoma detection rates for colonoscopies: a large-scale retrospective study BMC Gastroenterology Colonoscopy Adenoma detection rate Quality indicator Colorectal cancer |
| title | The analysis of multilevel factors affecting adenoma detection rates for colonoscopies: a large-scale retrospective study |
| title_full | The analysis of multilevel factors affecting adenoma detection rates for colonoscopies: a large-scale retrospective study |
| title_fullStr | The analysis of multilevel factors affecting adenoma detection rates for colonoscopies: a large-scale retrospective study |
| title_full_unstemmed | The analysis of multilevel factors affecting adenoma detection rates for colonoscopies: a large-scale retrospective study |
| title_short | The analysis of multilevel factors affecting adenoma detection rates for colonoscopies: a large-scale retrospective study |
| title_sort | analysis of multilevel factors affecting adenoma detection rates for colonoscopies a large scale retrospective study |
| topic | Colonoscopy Adenoma detection rate Quality indicator Colorectal cancer |
| url | https://doi.org/10.1186/s12876-021-01983-3 |
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