Bradley Evans, MD, J Brodie, M Meng, M Borgaonkar, MD, FRCPC, D Pace, MD, FRCSC, M Goldring, D Boone, MD, FRCSC, J McGrath, MD, FRCPC. Memorial University of Newfoundland
The Canadian Association of Gastroenterology (CAG) has implemented the Colonoscopy Skills Improvement (CSI) program across Canada with a goal of improving colonoscopy quality. The programs' efficacy has not yet been formally assessed.
This retrospective cohort study was performed on fourteen endoscopists practicing in a tertiary referral center who have undergone CSI training between October 2014 and December 2015. Procedural data were collected before and after CSI training. Data were extracted from the electronic medical record (EMR) and entered into SPSS version 20.0 for analysis. Student’s T-test was used to compare groups for continuous data; Chi-squared tests were used for categorical data.
Data were collected for a total of 3783 procedures; 2383 were done before CSI training and 1400 procedures since CSI training. Our sample size provided 80% power to detect a mean difference in ADR improvement of 5%. The most common indication for colonoscopy was family history of colorectal cancer in 970 (25.6%) patients. While age (58.0yrs v. 60.1yrs, p<0.001) and gender (43.4% male v. 46.9% male, p=0.035) were similar, they were statistically different between groups. Groups were comparable in terms of indication, and completion rate (92.6% v. 94.2%).
ADR improved significantly after completing the course (23.5% v. 35%, p<0.001). An improvement was also noted in both polyp detection (37.6% v. 52.9%, p<0.001) and polyp removal (36.1% v. 50.4%, p<0.001).
We have seen a significant increase in ADR at out institution since implementing the CSI program.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 87976
Program Number: P743
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster