P3840 - Colonoscopy Quality Metrics at a Community Veterans Affairs Hospital: A Snapshot From July 2023 to March 2024 at the Robert J. Dole VA Medical Center
University of Kansas School of Medicine Wichita, KS
Mahmoud Mahdi, MD1, Lawrence Zhou, MD1, Daly Al-Hadeethi, MD1, Stephanie J. Melquist, MD1, Kevin Singh, MD1, Rahul Shekhar, MD1, William J. Salyers, MD, MPH1, Nathan Tofteland, MD1, Kyle Rowe, MD2 1University of Kansas School of Medicine, Wichita, KS; 2University of Kansas Medical Center, Wichita, KS
Introduction: Colorectal cancer (CRC) contributes to 8% of cancer deaths. Screening (colonoscopy and FIT tests) reduces mortality. Colonoscopy is influenced by technical skills measured with metrics such as adenoma detection rate (ADR), sessile serrated lesion detection rate (SSLDR), and adenomas per colonoscopy (APC). This study evaluated metrics in a community veteran population.
Methods: Colonoscopy metrics were tracked for nine months at the Dole VA Medical Center in Wichita, Kansas. ADR was defined as the percentage of average risk colonoscopies in which at least one adenoma was detected. SSLDR was defined as the percentage of colonoscopies in which at least one SSL was detected. APC was defined as the total number of adenomas found per average risk screening colonoscopy.
Results: Data from 1009 colonoscopies revealed: 92% males, 53% with fellow involvement, 95% with adequate preparation. Per indication, 30% were average-risk CRC screening with 68.8% polyp surveillance. Polyps were removed in 69% of cases. Average risk ADR at 55.2%. Polyp surveillance ADR was 68.6%. SSLDR was 11%. APC was 1.6. Polyp surveillance ADR was 67%.
Discussion: CRC prevalence in US veterans emphasizes monitoring colonoscopy quality, thus scrutinizing ADR is vital. The addition of APC and SSLDR can improve colonoscopy performance. Our analysis shows ADR exceeding that of national benchmarks. Benchmarks for APC and SSLDR are not well defined. However, recent studies suggest that higher SSLDR and APC correlate with lower risk of post-colonoscopy CRC. SSLDR of > 6% is suggested as a possible benchmark.
Note: The table for this abstract can be viewed in the ePoster Gallery section of the ACG 2024 ePoster Site or in The American Journal of Gastroenterology's abstract supplement issue, both of which will be available starting October 27, 2024.
Disclosures:
Mahmoud Mahdi indicated no relevant financial relationships.
Lawrence Zhou indicated no relevant financial relationships.
Daly Al-Hadeethi indicated no relevant financial relationships.
Stephanie Melquist indicated no relevant financial relationships.
Kevin Singh indicated no relevant financial relationships.
Rahul Shekhar indicated no relevant financial relationships.
William Salyers indicated no relevant financial relationships.
Nathan Tofteland indicated no relevant financial relationships.
Kyle Rowe indicated no relevant financial relationships.
Mahmoud Mahdi, MD1, Lawrence Zhou, MD1, Daly Al-Hadeethi, MD1, Stephanie J. Melquist, MD1, Kevin Singh, MD1, Rahul Shekhar, MD1, William J. Salyers, MD, MPH1, Nathan Tofteland, MD1, Kyle Rowe, MD2. P3840 - Colonoscopy Quality Metrics at a Community Veterans Affairs Hospital: A Snapshot From July 2023 to March 2024 at the Robert J. Dole VA Medical Center, ACG 2024 Annual Scientific Meeting Abstracts. Philadelphia, PA: American College of Gastroenterology.
