Survey on Colonoscopy Insertion Techniques
Author Information
Author(s): Hoff Geir, Volker Moritz, Bretthauer Michael, Aabakken Lars, Høie Ole, Lange Thomas, Berset Ingrid, Kjellevold Øystein, Glomsaker Tom, Huppertz-Hauss Gert, Lange Ove, Sandvei Per
Primary Institution: Dept of Medicine, Telemark Hospital, Norway
Hypothesis
What are the differences in performance and quality assurance indicators between one-person and two-person techniques for colonoscopy insertion?
Conclusion
The two-person technique for colonoscope insertion may have some beneficial elements worth exploring, as it showed similar or better quality assurance indicators compared to the one-person technique.
Supporting Evidence
- 75 endoscopists responded to the survey, representing 9368 colonoscopies.
- Caecal intubation was 96% in the two-person group compared to 92% in the one-person group.
- Patients' pain reports were similar in both groups.
Takeaway
This study looked at how colonoscopies are done, either by one doctor or with help from a nurse. It found that having a nurse help can sometimes make the procedure go better.
Methodology
A survey was conducted among 100 colonoscopists from 18 centers to determine their use of one-person or two-person techniques during colonoscopy insertion.
Potential Biases
Potential selection bias due to non-respondents performing colonoscopies with different pain and sedation rates.
Limitations
The study relied on self-reported data from colonoscopists and may not represent all practices in Norway.
Participant Demographics
Patients were categorized by gender and 5-year age groups, with a median age category of 61-65 years.
Statistical Information
P-Value
p<0.001
Confidence Interval
95% CI 48-54 years for one-person group; 95% CI 48-61 years for two-person group
Statistical Significance
p<0.001
Digital Object Identifier (DOI)
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