Improving colonoscopy quality through individualised training programmes

Lasse Pedersen; Inge Bernstein; Karen Lindorff-Larsen; Charlotte Green Carlsen; Christian Torp-Pedersen

Improving colonoscopy quality through individualised training programmes

Lasse Pedersen, Inge Bernstein, Karen Lindorff-Larsen, Charlotte Green Carlsen, Christian Torp-Pedersen

Research output: Contribution to journal › Journal article › Research › peer-review

4 Citations (Scopus)

58 Downloads (Pure)

Abstract

INTRODUCTION: In Denmark, quality-improvement initiatives aimed at providing a better colonoscopy service are few. The primary objective of this study was to improve colonoscopy quality at Aalborg University Hospital, Denmark, using structured training programmes. The secondary aim was to introduce a system for individual colonoscopist performance monitoring.

METHODS: We conducted a colonoscopy-quality pilot study covering two major quality performance indicators: caecum intubation rate (CIR) and polyp detection rate (PDR). The pilot study was followed by colonoscopy training programmes offering experienced colonoscopists colonoscopy skills upgrading, polypectomy and train-the-trainers courses taught by English experts. Junior doctors completed a 20-day module-based colonoscopy-training programme. A regional individual colonoscopy quality-reporting system was developed as a supplementary file within the electronic health records.

RESULTS: The CIR increased from 87.1% to 92.1% (p less-than 0.001) and the PDR from 33.7% to 41.7% (p less-than 0.001) in the course of the structured training programme. Multivariable analysis adjusting for patient sex, patient age and colonoscopy indication showed a significant increase in CIR (p less-than 0.001), but not in PDR (p = 0.19). The colonoscopy quality reporting system was introduced and now provides biannual feedback to all colonoscopists.

CONCLUSIONS: Quality-improvement initiatives may lead to an improved CIR and possibly PDR. Nationwide training programmes and performance monitoring should be implemented to further improve and monitor colonoscopy quality.

FUNDING: none.

TRIAL REGISTRATION: not relevant.

Original language	English
Article number	A01200028
Journal	Danish Medical Journal
Volume	67
Issue number	8
ISSN	1603-9629
Publication status	Published - 1 Aug 2020

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Pedersen et al. (2020) Improving colonoscopy quality through individualised training programmesFinal published version, 564 KBLicence: CC BY-NC 4.0

https://ugeskriftet.dk/dmj/improving-colonoscopy-quality-through-individualised-training-programmesLicence: CC BY-NC 4.0

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4 Citations
1 PhD thesis

Aspects of quality in colonoscopy: Post-colonoscopy colorectal cancer, individualized training programmes, assessing colonoscopy adverse events and standardized/overall colonoscopy performance indicators
Pedersen, L. J., 2020, Aalborg Universitetsforlag. 87 p.
Research output: PhD thesis

Open Access
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Cite this

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title = "Improving colonoscopy quality through individualised training programmes",

abstract = "INTRODUCTION: In Denmark, quality-improvement initiatives aimed at providing a better colonoscopy service are few. The primary objective of this study was to improve colonoscopy quality at Aalborg University Hospital, Denmark, using structured training programmes. The secondary aim was to introduce a system for individual colonoscopist performance monitoring.METHODS: We conducted a colonoscopy-quality pilot study covering two major quality performance indicators: caecum intubation rate (CIR) and polyp detection rate (PDR). The pilot study was followed by colonoscopy training programmes offering experienced colonoscopists colonoscopy skills upgrading, polypectomy and train-the-trainers courses taught by English experts. Junior doctors completed a 20-day module-based colonoscopy-training programme. A regional individual colonoscopy quality-reporting system was developed as a supplementary file within the electronic health records.RESULTS: The CIR increased from 87.1% to 92.1% (p less-than 0.001) and the PDR from 33.7% to 41.7% (p less-than 0.001) in the course of the structured training programme. Multivariable analysis adjusting for patient sex, patient age and colonoscopy indication showed a significant increase in CIR (p less-than 0.001), but not in PDR (p = 0.19). The colonoscopy quality reporting system was introduced and now provides biannual feedback to all colonoscopists.CONCLUSIONS: Quality-improvement initiatives may lead to an improved CIR and possibly PDR. Nationwide training programmes and performance monitoring should be implemented to further improve and monitor colonoscopy quality.FUNDING: none.TRIAL REGISTRATION: not relevant.",

author = "Lasse Pedersen and Inge Bernstein and Karen Lindorff-Larsen and Carlsen, {Charlotte Green} and Christian Torp-Pedersen",

note = "Articles published in the DMJ are “open access”. This means that the articles are distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits any non-commercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.",

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AU - Pedersen, Lasse

AU - Bernstein, Inge

AU - Lindorff-Larsen, Karen

AU - Carlsen, Charlotte Green

AU - Torp-Pedersen, Christian

N1 - Articles published in the DMJ are “open access”. This means that the articles are distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits any non-commercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.

PY - 2020/8/1

Y1 - 2020/8/1

N2 - INTRODUCTION: In Denmark, quality-improvement initiatives aimed at providing a better colonoscopy service are few. The primary objective of this study was to improve colonoscopy quality at Aalborg University Hospital, Denmark, using structured training programmes. The secondary aim was to introduce a system for individual colonoscopist performance monitoring.METHODS: We conducted a colonoscopy-quality pilot study covering two major quality performance indicators: caecum intubation rate (CIR) and polyp detection rate (PDR). The pilot study was followed by colonoscopy training programmes offering experienced colonoscopists colonoscopy skills upgrading, polypectomy and train-the-trainers courses taught by English experts. Junior doctors completed a 20-day module-based colonoscopy-training programme. A regional individual colonoscopy quality-reporting system was developed as a supplementary file within the electronic health records.RESULTS: The CIR increased from 87.1% to 92.1% (p less-than 0.001) and the PDR from 33.7% to 41.7% (p less-than 0.001) in the course of the structured training programme. Multivariable analysis adjusting for patient sex, patient age and colonoscopy indication showed a significant increase in CIR (p less-than 0.001), but not in PDR (p = 0.19). The colonoscopy quality reporting system was introduced and now provides biannual feedback to all colonoscopists.CONCLUSIONS: Quality-improvement initiatives may lead to an improved CIR and possibly PDR. Nationwide training programmes and performance monitoring should be implemented to further improve and monitor colonoscopy quality.FUNDING: none.TRIAL REGISTRATION: not relevant.

AB - INTRODUCTION: In Denmark, quality-improvement initiatives aimed at providing a better colonoscopy service are few. The primary objective of this study was to improve colonoscopy quality at Aalborg University Hospital, Denmark, using structured training programmes. The secondary aim was to introduce a system for individual colonoscopist performance monitoring.METHODS: We conducted a colonoscopy-quality pilot study covering two major quality performance indicators: caecum intubation rate (CIR) and polyp detection rate (PDR). The pilot study was followed by colonoscopy training programmes offering experienced colonoscopists colonoscopy skills upgrading, polypectomy and train-the-trainers courses taught by English experts. Junior doctors completed a 20-day module-based colonoscopy-training programme. A regional individual colonoscopy quality-reporting system was developed as a supplementary file within the electronic health records.RESULTS: The CIR increased from 87.1% to 92.1% (p less-than 0.001) and the PDR from 33.7% to 41.7% (p less-than 0.001) in the course of the structured training programme. Multivariable analysis adjusting for patient sex, patient age and colonoscopy indication showed a significant increase in CIR (p less-than 0.001), but not in PDR (p = 0.19). The colonoscopy quality reporting system was introduced and now provides biannual feedback to all colonoscopists.CONCLUSIONS: Quality-improvement initiatives may lead to an improved CIR and possibly PDR. Nationwide training programmes and performance monitoring should be implemented to further improve and monitor colonoscopy quality.FUNDING: none.TRIAL REGISTRATION: not relevant.

M3 - Journal article

C2 - 32741439

SN - 1603-9629

VL - 67

JO - Danish Medical Journal

JF - Danish Medical Journal

IS - 8

M1 - A01200028

ER -

Improving colonoscopy quality through individualised training programmes

Abstract

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Research output

Aspects of quality in colonoscopy: Post-colonoscopy colorectal cancer, individualized training programmes, assessing colonoscopy adverse events and standardized/overall colonoscopy performance indicators

Cite this