Sessile serrated lesion detection rates continue to increase: 2008–2020
Background and study aims We assessed sessile serrated lesion detection rate (SSLDR) at a large academic medical center from 2008 to 2020 and modeled a local, aspirational target SSLDR. We also assessed SSLDRs among all gastroenterology fellows to better understand the relationship between SSLDRs an...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Georg Thieme Verlag KG
2023-01-01
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| Series: | Endoscopy International Open |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/a-1990-0509 |
| _version_ | 1811173043940098048 |
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| author | Nicholas Edwardson Prajakta Adsul Zorisadday Gonzalez V. Shane Pankratz Gulshan Parasher Kevin English Shiraz Mishra |
| author_facet | Nicholas Edwardson Prajakta Adsul Zorisadday Gonzalez V. Shane Pankratz Gulshan Parasher Kevin English Shiraz Mishra |
| author_sort | Nicholas Edwardson |
| collection | DOAJ |
| description | Background and study aims We assessed sessile serrated lesion detection rate (SSLDR) at a large academic medical center from 2008 to 2020 and modeled a local, aspirational target SSLDR. We also assessed SSLDRs among all gastroenterology fellows to better understand the relationship between SSLDRs and total colonoscopies performed.
Patients and methods SSL-positive pathology results were flagged from a dataset composed of all screening colonoscopies for average-risk patients from 2008 to 2020. Unadjusted SSLDRs were calculated for individual endoscopists by year. A mixed effects logistic regression was used to estimate the log odds of SSL detection, with one model estimating division-wide predictors of SSL detection and a second model focused exclusively on colonoscopies performed by fellows. Model-adjusted SSLDRs were estimated for all 13 years and across both categories of all endoscopists and fellows only.
Results Adjusted SSLDRs showed a consistent improvement in SSLDR from a low of 0.37 % (95 % confidence interval [CI]: 0.10–0.63) in 2008 to a high of 7.94 % (95 % CI: 6.34–9.54) in 2020. Among fellows only, the odds of SSL detection were significantly lower during their first year compared to their second year (OR: 0.80, 95 % CI: 0.66–0.98) but not significantly higher in their third year compared to their second year (OR: 1.09, 95 % CI: 0.85–1.4).
Conclusions SSLDR increased steadily and significantly throughout our study period but variance among endoscopists persists. The peak SSLDR from 2020 of 7.94 % should serve as the local aspirational target for this division’s attendings and fellows but should be continuously reevaluated. |
| first_indexed | 2024-04-10T17:41:25Z |
| format | Article |
| id | doaj.art-b9d41a429b2444aea82b1c21f756a4ef |
| institution | Directory Open Access Journal |
| issn | 2364-3722 2196-9736 |
| language | English |
| last_indexed | 2024-04-10T17:41:25Z |
| publishDate | 2023-01-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | Endoscopy International Open |
| spelling | doaj.art-b9d41a429b2444aea82b1c21f756a4ef2023-02-03T13:46:24ZengGeorg Thieme Verlag KGEndoscopy International Open2364-37222196-97362023-01-011101E107E11610.1055/a-1990-0509Sessile serrated lesion detection rates continue to increase: 2008–2020Nicholas Edwardson0Prajakta Adsul1Zorisadday Gonzalez2V. Shane Pankratz3Gulshan Parasher4Kevin English5Shiraz Mishra6University of New Mexico, School of Public Administration, Albuquerque, New Mexico, United StatesUniversity of New Mexico, Department of Internal Medicine, Albuquerque, New Mexico, United StatesUniversity of New Mexico, Department of Internal Medicine, Albuquerque, New Mexico, United StatesUniversity of New Mexico, Department of Internal Medicine, Albuquerque, New Mexico, United StatesUniversity of New Mexico, Department of Internal Medicine, Albuquerque, New Mexico, United StatesAlbuquerque Area Indian Health Board Inc., Albuquerque Area Southwest Tribal Epidemiology Center, Albuquerque, New Mexico, United StatesUniversity of New Mexico, Comprehensive Cancer Center, Cancer Control and Population Sciences, Albuquerque, New Mexico, United StatesBackground and study aims We assessed sessile serrated lesion detection rate (SSLDR) at a large academic medical center from 2008 to 2020 and modeled a local, aspirational target SSLDR. We also assessed SSLDRs among all gastroenterology fellows to better understand the relationship between SSLDRs and total colonoscopies performed. Patients and methods SSL-positive pathology results were flagged from a dataset composed of all screening colonoscopies for average-risk patients from 2008 to 2020. Unadjusted SSLDRs were calculated for individual endoscopists by year. A mixed effects logistic regression was used to estimate the log odds of SSL detection, with one model estimating division-wide predictors of SSL detection and a second model focused exclusively on colonoscopies performed by fellows. Model-adjusted SSLDRs were estimated for all 13 years and across both categories of all endoscopists and fellows only. Results Adjusted SSLDRs showed a consistent improvement in SSLDR from a low of 0.37 % (95 % confidence interval [CI]: 0.10–0.63) in 2008 to a high of 7.94 % (95 % CI: 6.34–9.54) in 2020. Among fellows only, the odds of SSL detection were significantly lower during their first year compared to their second year (OR: 0.80, 95 % CI: 0.66–0.98) but not significantly higher in their third year compared to their second year (OR: 1.09, 95 % CI: 0.85–1.4). Conclusions SSLDR increased steadily and significantly throughout our study period but variance among endoscopists persists. The peak SSLDR from 2020 of 7.94 % should serve as the local aspirational target for this division’s attendings and fellows but should be continuously reevaluated.http://www.thieme-connect.de/DOI/DOI?10.1055/a-1990-0509 |
| spellingShingle | Nicholas Edwardson Prajakta Adsul Zorisadday Gonzalez V. Shane Pankratz Gulshan Parasher Kevin English Shiraz Mishra Sessile serrated lesion detection rates continue to increase: 2008–2020 Endoscopy International Open |
| title | Sessile serrated lesion detection rates continue to increase: 2008–2020 |
| title_full | Sessile serrated lesion detection rates continue to increase: 2008–2020 |
| title_fullStr | Sessile serrated lesion detection rates continue to increase: 2008–2020 |
| title_full_unstemmed | Sessile serrated lesion detection rates continue to increase: 2008–2020 |
| title_short | Sessile serrated lesion detection rates continue to increase: 2008–2020 |
| title_sort | sessile serrated lesion detection rates continue to increase 2008 2020 |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/a-1990-0509 |
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