Published online Jun 16, 2018. doi: 10.4253/wjge.v10.i6.109
Peer-review started: January 5, 2018
First decision: January 31, 2018
Revised: March 5, 2018
Accepted: April 11, 2018
Article in press: April 11, 2018
Published online: June 16, 2018
Processing time: 161 Days and 5.9 Hours
To compare the adenoma detection rate (ADR) between gastroenterologists and colorectal surgeons at Box Hill Hospital, Melbourne, Australia.
A total of 300 colonoscopies performed by gastroenterologists and colorectal surgeons at Box Hill Hospital were retrospectively reviewed from May 2016 to June 2017. Exclusion criteria were: Patients ≤ 50 years old, colonoscopies with failure of caecal intubation, patients who previously had colon cancer and/or a colonic resection, history of polyposis syndromes or inflammatory bowel disease, or a colonoscopy within the last 10 years. Patient demographics, indications, symptoms and procedural-related outcomes were measured.
The ADR was not significantly different between gastroenterologists and colorectal surgeons (34% vs 34.67%; P = 0.90). The adjusted odds ratio correcting for gender, age, 1st degree relative with colorectal cancer, previous colonoscopy, trainee involvement and caecal or terminal ileum intubation rate was 1.19 (0.69-2.05).
Both specialties at our institution exceed benchmark standards suggested by published Australian and American guidelines. An association between endoscopist specialty and ADR was not observed.
Core tip: Our study concludes that there is no association between specialty (gastroenterology and colorectal surgeons) and proficiency in colonoscopy, using adenoma detection rate as a quality indicator. The adenoma detection rate in both specialties at our institution exceed benchmark standards suggested by published Australian and American guidelines, reflecting the high standards of care and efficacy of the common training pathway for both specialties.