Ren KY, Yong CM, Cui MJ, Wang YT, Wei LZ, Cao B. Impact of endoscopy nurse involvement on polyp detection rates during colonoscopy.
Shijie Huaren Xiaohua Zazhi 2016;
24:1277-1281. [DOI:
10.11569/wcjd.v24.i8.1277]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023] Open
Abstract
AIM: To investigate the impact of endoscopy nurse involvement during colonoscopy on the polyp detection rate (PDR) and adenoma detection rate (ADR).
METHODS: This was a single-center, prospective study. Patients involved were prospectively randomized to a routine colonoscopy group or an endoscopy nurse involvement group. The association of nurse involvement with PDR and ADR was evaluated.
RESULTS: A total of 1192 patients were included in the study. The PDR was significantly higher (33.19% vs 27.81%, P = 0.000) among colonoscopies that included an endoscopy nurse compared with those performed by only a physician, as was the left-sided and the right-sided adenomas detected (P = 0.017). There was no difference in ADR between the two groups (20.88% vs 20.55%, P = 0.889). Nurse participation was associated with a higher detection rate of small (< 5 mm) polyps (P = 0.006).
CONCLUSION: Endoscopy nurse involvement in colonoscopies significantly improves the overall PDR. Involvement of a well-trained nurse in screening colonoscopies may be an effective strategy to increase access.
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