ASGE Postgraduate Course at ACG 2022: Expanding the Scope of Fundamental and Advanced Endoscopy | October 2022-Practice Updates: Quality Indicators Beyond ADR and Interventions to Achieve Them

Practice Updates: Quality Indicators Beyond ADR and Interventions to Achieve Them

Video Transcription

Video Summary

The video discusses the importance of high-quality colonoscopy and provides an overview of several key quality indicators. The main focus is on adenoma detection rate (ADR), which is the number of colonoscopies where one or more adenomas are found divided by the total number of colonoscopies. Higher ADR translates to a higher quality exam and leads to fewer missed cancers. The video also mentions other metrics to consider, such as polyp detection rate, sessile serrated polyp detection rate, incomplete resection rate, and withdrawal time. Techniques and technologies to improve these metrics are discussed, including split-dose prep, polyp recognition, complete resection, and good withdrawal technique. The video also introduces AI-enabled programs as a potential tool for improving ADR and APC. The importance of measuring these quality indicators, providing feedback to endoscopists, and implementing interventions to improve quality are emphasized. Finally, a publication containing a summary of techniques and interventions to improve ADR is recommended.

Asset Subtitle

Aasma Shaukat, MD, MPH, FASGE, FACG

Keywords

high-quality colonoscopy

adenoma detection rate

polyp detection rate

sessile serrated polyp detection rate

incomplete resection rate