dc.date.accessioned | 2022-04-19T16:50:31Z | |
dc.date.available | 2022-04-19T16:50:31Z | |
dc.date.created | 2021-02-25T09:06:15Z | |
dc.date.issued | 2021 | |
dc.identifier.citation | Hoff, Geir Botteri, Edoardo Huppertz-Hauss, Gert Kvamme, Jan-Magnus Holme, Øyvind Aabakken, Lars Dahler, Stein Medhus, Asle Wilhelm Blomgren, Ingrid Sandvei, Per Darre-Næss, Ole Kjellevold, Øystein Seip, Birgitte Karen Berggreen . The effect of train-the-colonoscopy-trainer course on colonoscopy quality indicators. Endoscopy. 2021, 53(12), 1229-1234 | |
dc.identifier.uri | http://hdl.handle.net/10852/93603 | |
dc.description.abstract | Background: Systematic training in colonoscopy is highly recommended; however, we have limited knowledge of the effects of "training-the-colonoscopy-trainer" (TCT) courses. Using a national quality register on colonoscopy performance, we aimed to evaluate the effects of TCT participation on defined quality indicators. Methods: This observational study compared quality indicators (pain, cecal intubation, and polyp detection) between centers participating versus not participating in a TCT course. Nonparticipating centers were assigned a pseudoparticipating year to match their participating counterparts. Results were compared between first year after and the year before TCT (pseudo)participation. Time trends up to 5 years after TCT (pseudo)participation were also compared. Generalized estimating equation models, adjusted for age, sex, and bowel cleansing, were used. Results: 11 participating and 11 nonparticipating centers contributed 18 555 and 10 730 colonoscopies, respectively. In participating centers, there was a significant increase in detection of polyps ≥ 5 mm, from 26.4 % to 29.2 % (P = 0.035), and reduction in moderate/severe pain experienced by women, from 38.2 % to 33.6 % (P = 0.043); no significant changes were found in nonparticipating centers. Over 5 years, 20 participating and 18 nonparticipating centers contributed 85 691 and 41 569 colonoscopies, respectively. In participating centers, polyp detection rate increased linearly (P = 0.003), and pain decreased linearly in women (P = 0.004). Nonparticipating centers did not show any significant time trend during the study period. Conclusions: Participation in a TCT course improved polyp detection rates and reduced pain experienced by women. These effects were maintained during a 5-year follow-up. | |
dc.language | EN | |
dc.title | The effect of train-the-colonoscopy-trainer course on colonoscopy quality indicators | |
dc.type | Journal article | |
dc.creator.author | Hoff, Geir | |
dc.creator.author | Botteri, Edoardo | |
dc.creator.author | Huppertz-Hauss, Gert | |
dc.creator.author | Kvamme, Jan-Magnus | |
dc.creator.author | Holme, Øyvind | |
dc.creator.author | Aabakken, Lars | |
dc.creator.author | Dahler, Stein | |
dc.creator.author | Medhus, Asle Wilhelm | |
dc.creator.author | Blomgren, Ingrid | |
dc.creator.author | Sandvei, Per | |
dc.creator.author | Darre-Næss, Ole | |
dc.creator.author | Kjellevold, Øystein | |
dc.creator.author | Seip, Birgitte Karen Berggreen | |
cristin.unitcode | 185,53,48,12 | |
cristin.unitname | Avdeling for transplantasjonsmedisin | |
cristin.ispublished | true | |
cristin.fulltext | postprint | |
cristin.qualitycode | 2 | |
dc.identifier.cristin | 1893480 | |
dc.identifier.bibliographiccitation | info:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Endoscopy&rft.volume=53&rft.spage=1229&rft.date=2021 | |
dc.identifier.jtitle | Endoscopy | |
dc.identifier.volume | 53 | |
dc.identifier.issue | 12 | |
dc.identifier.startpage | 1229 | |
dc.identifier.endpage | 1234 | |
dc.identifier.doi | https://doi.org/10.1055/a-1352-4583 | |
dc.identifier.urn | URN:NBN:no-96147 | |
dc.type.document | Tidsskriftartikkel | |
dc.type.peerreviewed | Peer reviewed | |
dc.source.issn | 0013-726X | |
dc.identifier.fulltext | Fulltext https://www.duo.uio.no/bitstream/handle/10852/93603/1/artikkel.pdf | |
dc.type.version | AcceptedVersion | |