![](/images/graphics-bg.png)
Optimized Sedation Improves Colonoscopy Quality Long-Term
Joint Authors
Ladas, Spiros D.
Karamanolis, George
Sioulas, Athanasios D.
Kalli, Theodora
Misailidis, Nikolaos
Polymeros, Dimitrios
Papanikolaou, Ioannis S.
Triantafyllou, K.
Source
Gastroenterology Research and Practice
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-01-08
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Background.
Quality monitoring and improvement is prerequisite for efficient colonoscopy.
Aim.
To assess the effects of increased sedation administration on colonoscopy performance.
Materials and Methods.
During Era 1 we prospectively measured four colonoscopy quality indicators: sedation administration, colonoscopy completion rate, adenoma detection rate, and early complications rate in three cohorts: cohort A: intention for total colonoscopy cases; cohort B: cohort A excluding bowel obstruction cases; cohort C: CRC screening-surveillance cases within cohort B.
We identified deficiencies and implemented our plan to optimize sedation.
We prospectively evaluated its effects in both short- (Era 2) and long-term period (Era 3).
Results.
We identified that sedation administration and colonoscopy completion rates were below recommended standards.
After sedation optimization its use rate increased significantly (38.1% to 55.8% to 69.5%) and colonoscopy completion rate increased from 88.3% to 90.6% to 96.4% in cohort B and from 93.2% to 95.3% to 98.3% in cohort C, in Eras 1, 2, and 3, respectively.
Adenoma detection rate increased in cohort C (25.9% to 30.6% to 35%) and early complications rate decreased from 3.4% to 1.9% to 0.3%.
Most endoscopists increased significantly their completion rate and this was preserved long-term.
Conclusion.
Increased sedation administration results in long-lasting improvement of colonoscopy quality indicators.
American Psychological Association (APA)
Triantafyllou, K.& Sioulas, Athanasios D.& Kalli, Theodora& Misailidis, Nikolaos& Polymeros, Dimitrios& Papanikolaou, Ioannis S.…[et al.]. 2015. Optimized Sedation Improves Colonoscopy Quality Long-Term. Gastroenterology Research and Practice،Vol. 2015, no. 2015, pp.1-9.
https://search.emarefa.net/detail/BIM-1063930
Modern Language Association (MLA)
Triantafyllou, K.…[et al.]. Optimized Sedation Improves Colonoscopy Quality Long-Term. Gastroenterology Research and Practice No. 2015 (2015), pp.1-9.
https://search.emarefa.net/detail/BIM-1063930
American Medical Association (AMA)
Triantafyllou, K.& Sioulas, Athanasios D.& Kalli, Theodora& Misailidis, Nikolaos& Polymeros, Dimitrios& Papanikolaou, Ioannis S.…[et al.]. Optimized Sedation Improves Colonoscopy Quality Long-Term. Gastroenterology Research and Practice. 2015. Vol. 2015, no. 2015, pp.1-9.
https://search.emarefa.net/detail/BIM-1063930
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1063930