Colonoscopy skills improvement training improves patient comfort during colonoscopy

B. Evans, J. Ellsmere, I. Hossain, M. Ennis, E. O’Brien, L. Bacque, M. Ge, J. Brodie, J. Harnett, M. Borgaonkar, D. Pace

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

Abstract

Introduction: We aimed to assess the effect of Colonoscopy Skills Improvement (CSI) training on patient comfort and sedation-related complications during colonoscopy. Methods: This retrospective cohort study was performed on 19 endoscopists practicing in a Canadian tertiary care center who completed CSI training between October 2014 and May 2016. Data from 50 procedures immediately prior to, immediately after, and eight months following CSI training were included for each endoscopist. The primary outcome variable was intraprocedural comfort, and secondary outcomes included intraprocedural hypotension and hypoxia. Data were extracted from an electronic medical record and analyzed using SPSS version 20.0. Univariate analysis and stepwise multivariable logistic regression were performed to determine if there was an association between patient comfort and CSI training. Predictors of these outcomes including patient age, gender, sedation use and dosing, procedure completion, quality of bowel preparation, endoscopist experience, and specialty were included in the analysis. Results: 2533 colonoscopies were included in the study. The mean dose of sedatives was reduced immediately following CSI training and at 8 months for both Fentanyl (75.4 mcg v. 67.8 mcg v. 65.9 mcg, p < 0.001) and Midazolam (2.57 mg v. 2.27 mg v. 2.19 mg, p < 0.001). The percentage of patients deemed to have a comfortable exam improved following endoscopist participation in CSI training and remained improved at 8 months (55.1% v. 70.2% v. 69.8%, p < 0.001). No significant change in rates of intraprocedural hypoxia or hypotension were noted following CSI training. Conclusion: CSI training is associated with improved patient comfort and reduced sedation requirements during colonoscopy.

Original languageEnglish
Pages (from-to)4588-4592
Number of pages5
JournalSurgical Endoscopy
Volume36
Issue number6
DOIs
Publication statusPublished - Jun 2022

Bibliographical note

Funding Information:
We would like to acknowledge Eastern Health for their support of this project through a Quality Healthcare Scholarship.

Publisher Copyright:
© 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

ASJC Scopus Subject Areas

  • Surgery

PubMed: MeSH publication types

  • Journal Article
  • Research Support, Non-U.S. Gov't

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