The impact of videorecording on the quality of colonoscopy performance

A pilot study

Douglas Rex, David G. Hewett, Meghana Raghavendra, Naga Chalasani

Research output: Contribution to journalArticle

65 Citations (Scopus)

Abstract

Objectives: Colonoscopy provides imperfect protection against colorectal cancer and is operator dependent. Colonoscopies typically are poorly documented. We aimed to determine whether videorecording impacts short-term performance of colonoscopy. Methods: We videorecorded routine colonoscopies by seven colonoscopists, with and without their awareness. Colonoscopy quality was measured by blinded assessment of inspection time and technique. Results: From pre- to post-awareness of videorecording, mean inspection time increased by 49% for all colonoscopies combined and increased significantly for four individual colonoscopists. The overall quality of mucosal inspection technique improved by 31% after awareness of videorecording. Conclusions: Awareness of videorecording improved physician performance of colonoscopy. Further investigation of the role of videorecording in achieving sustained improvements in the quality performance of colonoscopy, including increases in adenoma detection, is warranted.

Original languageEnglish
Pages (from-to)2312-2317
Number of pages6
JournalAmerican Journal of Gastroenterology
Volume105
Issue number11
DOIs
StatePublished - Nov 2010

Fingerprint

Video Recording
Colonoscopy
Quality Improvement
Adenoma
Colorectal Neoplasms
Physicians

ASJC Scopus subject areas

  • Gastroenterology

Cite this

The impact of videorecording on the quality of colonoscopy performance : A pilot study. / Rex, Douglas; Hewett, David G.; Raghavendra, Meghana; Chalasani, Naga.

In: American Journal of Gastroenterology, Vol. 105, No. 11, 11.2010, p. 2312-2317.

Research output: Contribution to journalArticle

Rex, Douglas ; Hewett, David G. ; Raghavendra, Meghana ; Chalasani, Naga. / The impact of videorecording on the quality of colonoscopy performance : A pilot study. In: American Journal of Gastroenterology. 2010 ; Vol. 105, No. 11. pp. 2312-2317.
@article{d267c232a8a846328a77bcc50c905876,
title = "The impact of videorecording on the quality of colonoscopy performance: A pilot study",
abstract = "Objectives: Colonoscopy provides imperfect protection against colorectal cancer and is operator dependent. Colonoscopies typically are poorly documented. We aimed to determine whether videorecording impacts short-term performance of colonoscopy. Methods: We videorecorded routine colonoscopies by seven colonoscopists, with and without their awareness. Colonoscopy quality was measured by blinded assessment of inspection time and technique. Results: From pre- to post-awareness of videorecording, mean inspection time increased by 49{\%} for all colonoscopies combined and increased significantly for four individual colonoscopists. The overall quality of mucosal inspection technique improved by 31{\%} after awareness of videorecording. Conclusions: Awareness of videorecording improved physician performance of colonoscopy. Further investigation of the role of videorecording in achieving sustained improvements in the quality performance of colonoscopy, including increases in adenoma detection, is warranted.",
author = "Douglas Rex and Hewett, {David G.} and Meghana Raghavendra and Naga Chalasani",
year = "2010",
month = "11",
doi = "10.1038/ajg.2010.245",
language = "English",
volume = "105",
pages = "2312--2317",
journal = "American Journal of Gastroenterology",
issn = "0002-9270",
publisher = "Nature Publishing Group",
number = "11",

}

TY - JOUR

T1 - The impact of videorecording on the quality of colonoscopy performance

T2 - A pilot study

AU - Rex, Douglas

AU - Hewett, David G.

AU - Raghavendra, Meghana

AU - Chalasani, Naga

PY - 2010/11

Y1 - 2010/11

N2 - Objectives: Colonoscopy provides imperfect protection against colorectal cancer and is operator dependent. Colonoscopies typically are poorly documented. We aimed to determine whether videorecording impacts short-term performance of colonoscopy. Methods: We videorecorded routine colonoscopies by seven colonoscopists, with and without their awareness. Colonoscopy quality was measured by blinded assessment of inspection time and technique. Results: From pre- to post-awareness of videorecording, mean inspection time increased by 49% for all colonoscopies combined and increased significantly for four individual colonoscopists. The overall quality of mucosal inspection technique improved by 31% after awareness of videorecording. Conclusions: Awareness of videorecording improved physician performance of colonoscopy. Further investigation of the role of videorecording in achieving sustained improvements in the quality performance of colonoscopy, including increases in adenoma detection, is warranted.

AB - Objectives: Colonoscopy provides imperfect protection against colorectal cancer and is operator dependent. Colonoscopies typically are poorly documented. We aimed to determine whether videorecording impacts short-term performance of colonoscopy. Methods: We videorecorded routine colonoscopies by seven colonoscopists, with and without their awareness. Colonoscopy quality was measured by blinded assessment of inspection time and technique. Results: From pre- to post-awareness of videorecording, mean inspection time increased by 49% for all colonoscopies combined and increased significantly for four individual colonoscopists. The overall quality of mucosal inspection technique improved by 31% after awareness of videorecording. Conclusions: Awareness of videorecording improved physician performance of colonoscopy. Further investigation of the role of videorecording in achieving sustained improvements in the quality performance of colonoscopy, including increases in adenoma detection, is warranted.

UR - http://www.scopus.com/inward/record.url?scp=78149247627&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=78149247627&partnerID=8YFLogxK

U2 - 10.1038/ajg.2010.245

DO - 10.1038/ajg.2010.245

M3 - Article

VL - 105

SP - 2312

EP - 2317

JO - American Journal of Gastroenterology

JF - American Journal of Gastroenterology

SN - 0002-9270

IS - 11

ER -