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Predicting Colonoscopy Time: A Quality Improvement Initiative.

Deepanshu Jain1, Abhinav Goyal1, Stacey Zavala2

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Summary

Colonoscopy procedure time varies by indication and time of day. Understanding these factors can help reduce patient wait times and improve satisfaction with the colonoscopy process.

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ColonoscopyIndication of colonoscopyTiming of colonoscopyTotal procedure time

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Area of Science:

  • Gastroenterology
  • Medical Procedures
  • Health Services Research

Background:

  • Optimal scheduling for colonoscopy remains debated, contributing to extended patient wait times.
  • Identifying factors influencing colonoscopy duration is crucial for improving healthcare efficiency.

Purpose of the Study:

  • To determine and quantify pre-procedural factors affecting total procedure time (TPT) for colonoscopies.
  • To provide data for optimizing colonoscopy scheduling and reducing patient wait times.

Main Methods:

  • Retrospective analysis of 4,494 outpatient colonoscopies.
  • Multiple regression analysis evaluated factors including patient demographics, surgical history, indication, session time, and endoscopist experience on TPT.

Main Results:

  • Colonoscopy indication (screening, surveillance) and time of day (afternoon) were significantly associated with TPT.
  • Factors such as female sex, older age, and prior abdominal surgery did not significantly impact TPT.
  • Endoscopist experience level did not show a statistically significant effect on TPT.

Conclusions:

  • Colonoscopy indication and time of day are key determinants of total procedure time.
  • These findings can inform strategies to streamline colonoscopy workflows.
  • Optimizing scheduling based on these factors may lead to reduced wait times and enhanced patient satisfaction.