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Quality Indicators for Colonoscopy
Quality Indicators for Colonoscopy
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Video Transcription
Video Summary
In this video, Dr. Jason Dominitz discusses quality indicators for colonoscopy and how to improve colonoscopy quality. He starts by polling the audience on which quality indicators they track in their practice and how they report them. He then goes on to discuss the importance of measuring and improving adenoma detection rate (ADR) and cecal intubation rate as key quality indicators for colonoscopy. He emphasizes that ADR directly correlates with colon cancer incidence and mortality and that low ADR can lead to an increased risk of interval cancers. He also discusses the challenges in measuring ADR, such as the need for large sample sizes and the debate on whether to include all indications or only screening colonoscopies. Dominitz explains the importance of adequate withdrawal time, as shorter withdrawal times are associated with an increased risk of interval cancers. He also mentions the importance of appropriate surveillance recommendations, proper use of prophylactic antibiotics, and management of anti-thrombotic therapy. Dominitz concludes by emphasizing the importance of measuring and reporting colonoscopy quality and implementing interventions to improve performance for endoscopists who fall below benchmarks. Overall, the video highlights the key quality indicators for colonoscopy and the challenges and strategies for improving colonoscopy quality.
Asset Subtitle
Jason Dominitz, MD, MHS, FASGE
Keywords
colonoscopy quality
quality indicators
improving colonoscopy
adenoma detection rate
cecal intubation rate
interval cancers
withdrawal time
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