Substantial and sustained improvement of serrated polyp detection after a simple educational intervention: results from a prospective controlled trial.

Gut
Arne G C BleijenbergJoep E G IJspeert

Abstract

Serrated polyps (SPs) are an important cause of postcolonoscopy colorectal cancers (PCCRCs), which is likely the result of suboptimal SP detection during colonoscopy. We assessed the long-term effect of a simple educational intervention focusing on optimising SP detection. An educational intervention, consisting of two 45 min training sessions (held 3 years apart) on serrated polyp detection, was given to endoscopists from 9 Dutch hospitals. Hundred randomly selected and untrained endoscopists from other hospitals were selected as control group. Our primary outcome measure was the proximal SP detection rate (PSPDR) in trained versus untrained endoscopists who participated in our faecal immunochemical test (FIT)-based population screening programme. Seventeen trained and 100 untrained endoscopists were included, who performed 11 305 and 51 039 colonoscopies, respectively. At baseline, PSPDR was equal between the groups (9.3% vs 9.3%). After training, the PSPDR of trained endoscopists gradually increased to 15.6% in 2018. This was significantly higher than the PSPDR of untrained endoscopists, which remained stable around 10% (p=0.018). All below-average (ie, PSPDR ≤6%) endoscopists at baseline improved their PSPDR after training ...Continue Reading

Associated Clinical Trials

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Citations

May 23, 2021·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Jooyoung LeeJoo Sung Kim
Jul 15, 2021·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Kenichiro Imai
Oct 9, 2021·Journal of Gastroenterology and Hepatology·Paul P ShaoFelix W Leung

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Software Mentioned

Statistical Package for Social Sciences
GraphPad Prism
RStudio
lme4
GraphPad

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