Endoscopist's Satisfaction with the Insertion Phase of Colonoscopy Is a Potential Quality Indicator for Colorectal...

Area of Science:

• Gastroenterology
• Medical Quality Improvement

Background:

• Endoscopist fatigue and difficult scope insertion negatively impact colonoscopy quality.
• Exploring quality indicators during the colonoscopy insertion phase is crucial.

Purpose of the Study:

• To investigate the relationship between endoscopist satisfaction during colonoscopy scope insertion and polyp detection rate (PDR).

Main Methods:

• A comparative study utilizing propensity score matching (PSM) on colonoscopy data from April 2019 to December 2022.
• Endoscopist satisfaction (high vs. low) during insertion was recorded; PDR and adenoma detection rate (ADR) were compared post-PSM.

Main Results:

• High endoscopist satisfaction during insertion was an independent predictor of polyp detection (OR 1.79).
• After PSM, the high-satisfaction group showed significantly higher PDR (49.5% vs. 36.6%) and ADR (35.1% vs. 27.1%) compared to the low-satisfaction group.

Conclusions:

• Endoscopist satisfaction during the colonoscopy insertion phase is a significant predictor of polyp detection.
• Improving insertion experiences may enhance the quality of screening colonoscopies.