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dc.contributor.authorHoff, Geir
dc.contributor.authorBotteri, Edoardo
dc.contributor.authorHuppertz-Hauss, Gert
dc.contributor.authorKvamme, Jan-Magnus
dc.contributor.authorHolme, Øyvind
dc.contributor.authorAabakken, Lars
dc.contributor.authorDahler, Stein
dc.contributor.authorMedhus, Asle Wilhelm
dc.contributor.authorBlomgren, Ingrid
dc.contributor.authorSandvei, Per
dc.contributor.authorDarre-Næss, Ole
dc.contributor.authorKjellevold, Øystein
dc.contributor.authorSeip, Birgitte Karen Berggreen
dc.date.accessioned2022-03-18T10:19:06Z
dc.date.available2022-03-18T10:19:06Z
dc.date.issued2021-02-23
dc.description.abstractBackground - Systematic training in colonoscopy is highly recommended; however, we have limited knowledge of the effects of “training-the-colonoscopy-trainer” (TCT) courses. Using a national quality register on colonoscopy performance, we aimed to evaluate the effects of TCT participation on defined quality indicators.<p> <p>Methods - This observational study compared quality indicators (pain, cecal intubation, and polyp detection) between centers participating versus not participating in a TCT course. Nonparticipating centers were assigned a pseudoparticipating year to match their participating counterparts. Results were compared between first year after and the year before TCT (pseudo)participation. Time trends up to 5 years after TCT (pseudo)participation were also compared. Generalized estimating equation models, adjusted for age, sex, and bowel cleansing, were used.<p> <p>Results - 11 participating and 11 nonparticipating centers contributed 18 555 and 10 730 colonoscopies, respectively. In participating centers, there was a significant increase in detection of polyps ≥ 5 mm, from 26.4 % to 29.2 % (P = 0.035), and reduction in moderate/severe pain experienced by women, from 38.2 % to 33.6 % (P = 0.043); no significant changes were found in nonparticipating centers. Over 5 years, 20 participating and 18 nonparticipating centers contributed 85 691 and 41 569 colonoscopies, respectively. In participating centers, polyp detection rate increased linearly (P = 0.003), and pain decreased linearly in women (P = 0.004). Nonparticipating centers did not show any significant time trend during the study period.<p> <p>Conclusions - Participation in a TCT course improved polyp detection rates and reduced pain experienced by women. These effects were maintained during a 5-year follow-up.en_US
dc.identifier.citationHoff G, Botteri E, Huppertz-Hauss G, Kvamme J, Holme Ø, Aabakken L, Dahler S, Medhus AW, Blomgren I, Sandvei P, Darre-Næss O, Kjellevold Ø, Seip BKB. The effect of train-the-colonoscopy-trainer course on colonoscopy quality indicators. Endoscopy. 2021;53(12):1229-1234en_US
dc.identifier.cristinIDFRIDAID 1893480
dc.identifier.doi10.1055/a-1352-4583
dc.identifier.issn0013-726X
dc.identifier.issn1438-8812
dc.identifier.urihttps://hdl.handle.net/10037/24450
dc.language.isoengen_US
dc.publisherThieme Gruppeen_US
dc.relation.journalEndoscopy
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2021 The Author(s)en_US
dc.titleThe effect of train-the-colonoscopy-trainer course on colonoscopy quality indicatorsen_US
dc.type.versionacceptedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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