TY - JOUR
T1 - Sizing of Polyp Illustrations Differs by Endoscopists’ Gender and Improves With a Measurement Reference
AU - Shamsi, Nabiha
AU - Shaukat, Aasma
AU - Halperin-Goldstein, Sofia
AU - Colton, Joshua
N1 - Publisher Copyright:
© The Author(s) 2019.
PY - 2020/12/1
Y1 - 2020/12/1
N2 - Colorectal cancer surveillance intervals by colonoscopy are based on the size and number of polyps removed. Evidence suggests endoscopists’ estimation of polyp size is often inaccurate, but the differences by endoscopists’ characteristics have not been reported. This study assesses endoscopists’ accuracy of measuring polyp illustrations, the effect of endoscopists’ characteristics, and the impact of having a measurement reference. Endoscopists in a community-based, gastroenterology practice estimated the size of several illustrations in a booklet. One month later, they estimated the size of illustrations with a provided measurement reference. Accuracy was defined as no difference between estimated and actual value. Endoscopists were accurate in sizing only 15% of the time, with a tendency toward undersizing. Female endoscopists, those with less than 10 years in practice and those with lower adenoma detection rates, were more likely to undersize polyps. Accuracy of measuring the polyp illustrations increased to 50% (p <.01) with the measurement reference. The improvement in accuracy was seen across endoscopists’ demographic groups. Endoscopists had poor accuracy of measuring polyp illustrations. Almost universally, endoscopists tended to undersize the polyp illustrations. Accuracy improved significantly with the use of a polyp-measuring guide, particularly when considering important surveillance thresholds of 5 and 10 mm.
AB - Colorectal cancer surveillance intervals by colonoscopy are based on the size and number of polyps removed. Evidence suggests endoscopists’ estimation of polyp size is often inaccurate, but the differences by endoscopists’ characteristics have not been reported. This study assesses endoscopists’ accuracy of measuring polyp illustrations, the effect of endoscopists’ characteristics, and the impact of having a measurement reference. Endoscopists in a community-based, gastroenterology practice estimated the size of several illustrations in a booklet. One month later, they estimated the size of illustrations with a provided measurement reference. Accuracy was defined as no difference between estimated and actual value. Endoscopists were accurate in sizing only 15% of the time, with a tendency toward undersizing. Female endoscopists, those with less than 10 years in practice and those with lower adenoma detection rates, were more likely to undersize polyps. Accuracy of measuring the polyp illustrations increased to 50% (p <.01) with the measurement reference. The improvement in accuracy was seen across endoscopists’ demographic groups. Endoscopists had poor accuracy of measuring polyp illustrations. Almost universally, endoscopists tended to undersize the polyp illustrations. Accuracy improved significantly with the use of a polyp-measuring guide, particularly when considering important surveillance thresholds of 5 and 10 mm.
KW - colon cancer screening
KW - colon cancer surveillance
KW - colonoscopy
KW - polyp sizing
KW - polypectomy
KW - quality improvement
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U2 - 10.1177/0163278719840078
DO - 10.1177/0163278719840078
M3 - Article
C2 - 30929453
AN - SCOPUS:85063899730
SN - 0163-2787
VL - 43
SP - 270
EP - 273
JO - Evaluation and the Health Professions
JF - Evaluation and the Health Professions
IS - 4
ER -