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

7 Shaukat_ASGE quality indicators beyond adr 2022

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The document discusses quality indicators and interventions to improve the quality of colonoscopy procedures. The quality metrics and benchmarks include appropriate indication documented, informed consent, appropriate surveillance interval, bowel prep quality, cecal intubation rate, adenoma detection rate (ADR), withdrawal time, and attempted endoscopic removal of polyps before surgery referral, among others. Higher ADR is associated with a lower risk of interval cancer. Techniques such as withdrawal time, retroflexion in the cecum, and water immersion/exchange can improve ADR. The use of enhanced imaging techniques and new scopes have also shown potential. An AI-enabled program for computer-aided detection (CADe) has been FDA approved and can improve ADR. Multifaceted interventions, including video recording/feedback and AI, can help improve quality indicators. It is important to measure and track ADR and consider various interventions to enhance the quality of colonoscopy procedures.

Keywords

quality indicators

interventions

colonoscopy procedures

adenoma detection rate

withdrawal time

surgery referral

interval cancer

enhanced imaging techniques

CADe

multifaceted interventions