Physician Perceptions on Colonoscopy Quality: Results of a National Survey of Gastroenterologists
Table 3
Impact of quality feedback on colonoscopy practice in multivariable analyses.
Variable
No feedback ()
Yes feedback ()
value
Discuss risk of missed lesions in consent
Yes
65 (67.0%)
52 (86.7%)
<0.01
No
32 (33.0%)
8 (13.3%)
Attempt to intubate the terminal ileum
Never
2 (2.0%)
1 (1.6%)
0.65
Rarely
9 (9.2%)
10 (16.1%)
Sometimes
40 (40.8%)
21 (33.9%)
Usually
33 (33.7%)
10 (16.1%)
Always
14 (14.3%)
20 (32.3%)
Attempt to retroflex in the right colon
Never
28 (28.6%)
8 (12.9%)
<0.01
Rarely
47 (48.0%)
22 (33.5%)
Sometimes
16 (16.3%)
17 (27.4%)
Usually
4 (4.1%)
11 (17.7%)
Always
3 (3.1%)
4 (6.5%)
Attempt to retroflex in the rectum
Never
2 (2.0%)
0
0.72
Rarely
2 (2.0)
1 (1.6%)
Sometimes
3 (3.1%)
1 (1.6%)
Usually
9 (9.2%)
7 (11.3%)
Always
82 (83.7%)
53 (85.5%)
Prolong procedure to meet quality standards for withdrawal time
Never
42 (42.9%)
26 (43.3%)
0.85
Rarely
16 (16.3%)
14 (23.3%)
Sometimes
18 (18.4%)
11 (18.3%)
Usually
10 (10.2%)
2 (3.3%)
Always
12 (12.2%)
7 (11.7%)
Remove polyps solely to increase adenoma detection rate
Never
56 (57.1%)
39 (62.9%)
0.87
Rarely
13 (13.3%)
4 (6.5%)
Sometimes
6 (6.1%)
5 (8.1%)
Usually
16 (16.3%)
9 (14.5%)
Always
7 (7.1%)
5 (8.1%)
value based on multivariable linear regression model that included sex, years in practice, GI board certification, practice setting, productivity bonus, and colonoscopy volume as covariates.
