Endoscopy 2018; 50(04): S51
DOI: 10.1055/s-0038-1637180
ESGE Days 2018 oral presentations
20.04.2018 – Colonoscopy quality parameters
Georg Thieme Verlag KG Stuttgart · New York

DOES A ONE-DAY QUALITY IMPROVEMENT CONFERENCE ON SCREENING COLONOSCOPY INFLUENCE THE ADR?

B Majcher
1   Medical University of Vienna, Department of Internal Medicine III, Division of Gastroenterology & Hepatology, Vienna, Austria
2   Austrian Society of Gastroenterology and Hepatology (OEGGH): Quality Assurance Working Group, Vienna, Austria
,
D Penz
1   Medical University of Vienna, Department of Internal Medicine III, Division of Gastroenterology & Hepatology, Vienna, Austria
2   Austrian Society of Gastroenterology and Hepatology (OEGGH): Quality Assurance Working Group, Vienna, Austria
,
E Waldmann
1   Medical University of Vienna, Department of Internal Medicine III, Division of Gastroenterology & Hepatology, Vienna, Austria
2   Austrian Society of Gastroenterology and Hepatology (OEGGH): Quality Assurance Working Group, Vienna, Austria
,
A Hinterberger
1   Medical University of Vienna, Department of Internal Medicine III, Division of Gastroenterology & Hepatology, Vienna, Austria
2   Austrian Society of Gastroenterology and Hepatology (OEGGH): Quality Assurance Working Group, Vienna, Austria
,
A Dokladanska
1   Medical University of Vienna, Department of Internal Medicine III, Division of Gastroenterology & Hepatology, Vienna, Austria
2   Austrian Society of Gastroenterology and Hepatology (OEGGH): Quality Assurance Working Group, Vienna, Austria
,
A Szymanska
1   Medical University of Vienna, Department of Internal Medicine III, Division of Gastroenterology & Hepatology, Vienna, Austria
2   Austrian Society of Gastroenterology and Hepatology (OEGGH): Quality Assurance Working Group, Vienna, Austria
,
A Asaturi
1   Medical University of Vienna, Department of Internal Medicine III, Division of Gastroenterology & Hepatology, Vienna, Austria
2   Austrian Society of Gastroenterology and Hepatology (OEGGH): Quality Assurance Working Group, Vienna, Austria
,
M Trauner
1   Medical University of Vienna, Department of Internal Medicine III, Division of Gastroenterology & Hepatology, Vienna, Austria
2   Austrian Society of Gastroenterology and Hepatology (OEGGH): Quality Assurance Working Group, Vienna, Austria
,
M Ferlitsch
1   Medical University of Vienna, Department of Internal Medicine III, Division of Gastroenterology & Hepatology, Vienna, Austria
2   Austrian Society of Gastroenterology and Hepatology (OEGGH): Quality Assurance Working Group, Vienna, Austria
› Author Affiliations
Further Information

Publication History

Publication Date:
27 March 2018 (online)

Also available at
 

Aims:

Positive impact of different training strategies on quality of screening colonoscopy was showed in prior studies (Kaminiski et al, Gut 2016). These trainings lasted for longer period.

Aim of this study was to evaluate if attending a one-day quality improvement conference on screening colonoscopy influences the adenoma detection rate (ADR).

Methods:

62 488 screening colonoscopies performed within the Austrian quality certificate from 203 endoscopists were analyzed. The one-day quality improvement conference was organized within framework of Austrian national quality assurance program on September 10th, 2016. Participants of the certificate were invited.

Results:

56 (27,59%) endoscopists attended the conference and 147 (72,41%) did not.

Data from year before (September 2015 to September 2016) versus year after conference (October 2016 to October 2017) was compared.

No significant difference was found between mean ADR from year before and after conference among participants of certificate attending the conference (28,44% (SD = 8,96) vs. 27,46 (SD = 9,25), p = 0,3792) and participants who did not (24,09% (SD = 14,06) vs. 23,86% (SD = 14,28), p = 0,8210).

Distinction of mean ADR between year before and after conference did not show any statistical significance among endoscopists who participated in the conference and who did not (- 0,98% (SD = 8,3) vs.- 0,23% (SD = 12,22), p = 0,6706).

Mean ADR of participants with ADR under 20% did not differ significantly in year before and after the conference (15,19% (SD = 4,23) vs. 17,19% (SD = 7,65), p = 0,4792).

Mean ADR did not show significant difference between year before and after the conference among internists (28,22% (SD = 9,11) vs. 27,88% (SD = 8,64), p = 0,7957) and surgeons (29,04 (SD = 9,37) vs. 26,68% (SD = 11,16), p = 0,3154) attending conference and related to specialty: private practices (28,28% (SD = 9,65) vs. 27,29% (SD = 9,96), p = 0,3967) and hospitals (29,39% (SD = 6,21) vs. 28,01% (SD = 6,57), p = 0,6875).

Conclusions:

The study did not show change in mean ADR between participants who attended the conference and who did not. Quality-improvement training over longer time like in prior studies could influence ADR more.

Also, most endoscopists who attended the conference already have a high ADR. Thus, not much improvement is needed. A one- day quality improvement conference could have more impact when more participants with low ADR (under 20%) would attend.