ASGE Postgraduate Course at ACG 2022: Expanding the Scope of Fundamental and Advanced Endoscopy | October 2022-7 Shaukat

7 Shaukat_ASGE quality indicators beyond adr 2022

Pdf Summary

In this document, Aasma Shaukat, MD, discusses various quality indicators and interventions to improve the quality of colonoscopies. She emphasizes the importance of the adenoma detection rate (ADR), which measures the percentage of colonoscopies in which at least one adenoma is found. The recommended minimum threshold for ADR is 25%, with higher percentages for men over 50 and women over 50. A higher ADR is associated with a lower risk of colorectal cancer (CRC).<br /><br />Shaukat also discusses other quality indicators, including withdrawal time (WT), bowel prep quality, cecal intubation rate, and polyp detection rate (PDR). She highlights the association between these indicators and the risk of interval CRC.<br /><br />The document suggests interventions to improve these quality indicators. These interventions include measuring and reporting quality indicators, providing report cards to endoscopists, using split-dose or same-day bowel prep, focusing on polyp recognition and complete resection, and employing various techniques and technologies such as withdrawal time, enhanced imaging techniques, and AI-enabled programs for computer-aided detection (CADe).<br /><br />Shaukat also discusses the importance of multidisciplinary interventions and the use of video recording and feedback to improve quality indicators. Additionally, she emphasizes the need for ongoing research and studies to further enhance the quality of colonoscopies.<br /><br />Overall, the document provides valuable insights into quality indicators and interventions that can help improve the effectiveness and reliability of colonoscopies in detecting and preventing colorectal cancer.

Keywords

Aasma Shaukat

quality indicators

interventions

colonoscopies

adenoma detection rate

colorectal cancer

withdrawal time

bowel prep quality

polyp detection rate

interval CRC