Related Experiment Video
Updated: Apr 14, 2026
Structured Approach to Colonoscopy Technique Optimization: A Single-Center Experience with Novice Endoscopists
Published on: July 11, 2025
Enhancing colonoscopy reporting quality: impact of structured templates and educational tutorials on automated
Divya Rayapati1, Anmol Singh1,2, Navdeep Singh1
1Division of Gastroenterology, Johns Hopkins Hospital, Baltimore, Maryland, USA.
Background And Aims:
Adenoma detection rate (ADR) is a key colonoscopy quality metric. We previously created an automated ADR reporting tool, but inconsistent documentation hinders its quality. This study aims to evaluate the impact of structured colonoscopy report templates and educational tutorials on ADR metrics recorded by the reporting tool.
Methods:
We introduced structured colonoscopy report templates and an educational tutorial across 5 endoscopy centers. ADR-qualifying colonoscopies 120 days before and after intervention were analyzed. The Qlik analytics system-based automated ADR calculator (QlikTech Inc, King of Prussia, Pa, USA) was used to review screening colonoscopies and calculate ADR.
Results:
A total of 5382 colonoscopies were performed during the study period. Among 1436 ADR-qualifying colonoscopies, the reporting of ADR increased from 28.8% to 34.6% (P = .019), and reporting of polyp detection rate improved from 67.8% to 71.7% (P = .031) using the automated ADR reporting tool. The tool was not significantly associated with increased reporting in multivariate analysis.
Conclusions:
An increase in reporting of ADR was noted after the intervention period, with results durable up to 120 days after the intervention. However, multivariate analysis suggests the possibility of confounding factors beyond the intervention alone. Educational interventions on structured colonoscopy reporting improved quality metrics.
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