The Learning Curve for Endocuff Assisted Colonoscopy
Joseph Marsano, Demetrios Tzima, Farid Razavi, Nazia Hasan, ADAM J. Goodman, Mark Pochapin, Seth A Gross. Gastrointestinal Endoscopy 2014 Volume 79, No. 5S AB445.
The learning curve for using the ENDOCUFF™ was studied by comparing adenoma detection rate (ADR) over a 3-week period. ADR was calculated for each week and weeks 2 and 3 were compared to week 1, which served as the control. The total number of ENDOCUFF™ procedures in week 1 was divided by the number of operators to determine the average procedures needed to overcome the learning curve. 58 patients underwent ENDOCUFF™ assisted colonoscopy during the 3-week period. A total of 15, 21, and 22 patients had procedure performed in weeks 1, 2, and 3, respectively. ADR for week 1 was 20% which increased to 54.5% in week 2 (p=0.03) and reached its peak at 63.6% in week 3 (p=0.004). Given the significant improvement in week 2 compared to week 1, the learning curve was approximately 4 procedures based on a total of 15 procedures performed in week 1 divided amongst four operators.
Conclusion: The results show that that ADR significantly increases with operator experience after four procedures suggesting that it will increase ADR with a short learning curve.
The Endocuff is feasible, safe, reliable and easy to handle and might have potential to reduce the incidence of colorectal cancer
Dr Meister, Clinical Endocrirology News Digital Network
...potential to become an indispensable tool of every colon cancer surveillance program
Dr Meister, UEGW 2014
My colleagues and I have definitely found polyps that they didn’t see with the forward view. We feel we were doing an excellent exam with current colonoscopy and that this made it better.
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