Endoscopist fatigue estimates and colonoscopic adenoma detection in a large community-based setting.

ABSTRACT:

Background and aims

Endoscopist fatigue may impact colonoscopy quality, but prior studies conflict, and minimal data exist from community-based practices where most colonoscopies are performed.

Methods

Within a large, community-based integrated healthcare system, we evaluated the associations among 4 measures of endoscopist fatigue and colonoscopic adenoma detection from 2010 to 2013. Fatigue measures included afternoon versus morning colonoscopy and the number of GI procedures performed before a given colonoscopy, including consideration of prior procedure complexity. Analyses were adjusted for potential confounders using multivariate logistic regression.

Results

We identified 126 gastroenterologists who performed 259,064 total GI procedures (median, 6 per day; range

SUBMITTER: Lee A 

PROVIDER: S-EPMC5318254 | biostudies-literature | 2017 Mar

REPOSITORIES: biostudies-literature