Optimized Sedation Improves Colonoscopy Quality Long-Term

Table 1

Improvement of the four quality indicators after the implementation of the continuous quality improvement program.

Patients cohorts; per Era: 1, 2, and 3

SAR, % (CI)

CCR, % (CI)

ADR, % (CI)

CR, % (CI)

Era 1

Era 2

Era 3

Era 1

Era 2

Era 3

Era 1

Era 2

Era 3

Era 1

Era 2

Era 3

(A)

41.5; (38.7–44.3)

63.5^a; (60.7–66.3)

(83.8–89.2)

3.4; (2.4–4.4)

1.9^a; (1.1–2.7)

(0–0.7)

(B)

42; (39.2–44.8)

65.2^a; (62.4–68)

(85–90.2)

88.3; (86.5–90.1)

90.6; (88.9–92.3)

(94.9–97.9)

3.4; (2.4–4.4)

2; (1.2–2.8)

(0–0.7)

(C)

41; (35.6–46.4)

68.7^a; (64.2–73.2)

(84.4–92.6)

93.2; (90.0–95.9)

95.3; (93.2–97.4)

98.3^c; (96.6–100)

25.9; (21.1–30.7)

30.6; (26.1–35.1)

35.0^c; (28.9–41.1)

2.5; (0.8–4.2)

1.5; (0.3–2.7)

0.9; (0–2.1)

: number of colonoscopies; SAR: sedation administration rate; CI: confidence interval; CCR: colonoscopy completion rate; ADR: adenoma detection rate; CR: early complications rate; ^asignificance over Era 1; ^bsignificance over Era 2; ^csignificance over Era 1 during Era 3.