1. Impact of Fellow Participation During Colonoscopy on Adenoma Detection Rates
- Author
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James L. Araujo, Wajiha Kazmi, Karthik Ragunathan, Christopher A Klinger, Palashkumar Jaiswal, Evan Grossman, Sabrin Salim, Alexander Le, Fray Martin M. Arroyo-Mercado, Shivakumar Vignesh, Gurasees S. Chawla, Tanuj Chokshi, Raza M Mirza, Canny Li, and Nikita Gupta
- Subjects
Adenoma ,Male ,medicine.medical_specialty ,Physiology ,Colorectal cancer ,education ,Colonic Polyps ,Colonoscopy ,Screening colonoscopy ,Education ,03 medical and health sciences ,Sex Factors ,0302 clinical medicine ,Internal medicine ,medicine ,Humans ,Fellowships and Scholarships ,Fellowship training ,Veterans Affairs ,Early Detection of Cancer ,medicine.diagnostic_test ,business.industry ,Teaching ,Gastroenterology ,Middle Aged ,Hepatology ,medicine.disease ,United States ,030220 oncology & carcinogenesis ,Female ,030211 gastroenterology & hepatology ,Detection rate ,Colorectal Neoplasms ,business - Abstract
An endoscopist’s adenoma detection rate (ADR) is inversely related to interval colorectal cancer risk and cancer mortality. Previous studies evaluating the impact of gastroenterology fellow participation in colonoscopy on ADR have generated conflicting results. We aimed to determine the impact of fellow participation, duration of fellowship training, and physician sex on ADR and advanced ADR (AADR). We retrospectively analyzed average-risk patients undergoing screening colonoscopy at Veterans Affairs New York Harbor Healthcare System Brooklyn Campus and Kings County Hospital Center. Review of colonoscopy and pathology reports were performed to obtain adenoma-specific details, including the presence of advanced adenoma and adenoma location (right vs. left colon). There were 893 colonoscopies performed by attending only and 502 performed with fellow participation. Fellow participation improved overall ADR (44.6% vs. 35.4%, p
- Published
- 2021
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