Endoscopy 2020; 52(S 01): S74-S75
DOI: 10.1055/s-0040-1704225
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HAS COLONOSCOPY WITHDRAWAL TIME CHANGED SINCE THE INTRODUCTION OF NATIONAL ENDOSCOPY DATABASE REPORTING SOFTWARE?

MG Shiha
1   Sheffield Teaching Hospitals, Department of Gastroenterology, Sheffield, UK
,
A Al-Rifaie
1   Sheffield Teaching Hospitals, Department of Gastroenterology, Sheffield, UK
,
M Thoufeeq
2   Sheffield Teaching Hospitals, Department of Gastroenterology, 1 Danby Vale, North Ferriby,Hu14 3bt, UK
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

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Aims Colonoscopy withdrawal time (CWT) is a core quality indicator affecting Adenoma detection rate (ADR) and subsequently preventing colorectal cancer. however, Studies have shown wide variation in CWT and ADR between different endoscopists. The National Endoscopy Database (NED) was implemented to ensure quality in all endoscopy units across the UK and also to avoid variation in practice. Our aim is to assess whether CWT changed since the introduction of NED compliant endoscopy reporting software (ERS) and whether CWT affected ADR.

Methods We collected the data regarding the CWT of 27 colonoscopists from NED for the 4 quarters of 2019. We compared this data against their performance in 2016 from a previous study. We also wanted to see if there is link between CWT and ADR.

Results CWT ranged from 3 - 11.2 minutes in 2016 and 6.18 - 12.44 minutes in 2019, Mean withdrawal time in 2016 was 7.83 minutes (SD 2.43) compared to 9.3 minutes (SD 2.08) in 2019 (p=0.0002). 74% of endoscopists (20/27) had CWT > 6 minutes in 2016 vs. 100% (27/27) in 2019, Longer CWT in 2019 positively correlated with the ADR (r=0.411, p=0.033).

Conclusions NED usage increased withdrawal times in colonoscopy. Longer withdrawal time was associated with higher ADR.