Copyright
©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. May 16, 2017; 9(5): 204-210
Published online May 16, 2017. doi: 10.4253/wjge.v9.i5.204
Published online May 16, 2017. doi: 10.4253/wjge.v9.i5.204
Association of trainee participation with adenoma and polyp detection rates
Emad Qayed, Lauren Shea, Stephan Goebel, Department of Medicine, Division of Digestive diseases, Emory University School of Medicine, Atlanta, GA 30324, United States
Emad Qayed, Grady Memorial Hospital, Atlanta, GA 30303, United States
Roberd M Bostick, Emory University Rollins School of Public Health, Department of Epidemiology, Atlanta, GA 30324, United States
Roberd M Bostick, Emory University, Winship Cancer Institute Atlanta, GA 30324, United States
Author contributions: Qayed E designed the research, collected and analyzed the data, drafted, and revised the manuscript; Shea L collected the data and revised the manuscript, Goebel S collected the data and revised the manuscript; Bostick RM designed the research and revised the manuscript for important intellectual content; all authors read and approved the final version of the manuscript.
Institutional review board statement: The study was reviewed and approved by Emory University Institutional Review Board.
Informed consent statement: Informed consent was waived by the Institutional Review Board due to the retrospective nature of the study, the large number of patients, the rights and welfare of the subjects will not be adversely affected by this research.
Conflict-of-interest statement: The authors report no conflict of interest.
Data sharing statement: Statistical code is available from the corresponding author at eqayed@emory.edu. Consent was not obtained, but the presented data are anonymized with no risk of identification. No additional data are available.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Dr. Emad Qayed, MD, MPH, Chief of Gastroenterology, Grady Memorial Hospital, 49 Jesse Hill Junior Drive, Atlanta, GA 30303, United States. eqayed@emory.edu
Telephone: +1-404-7781685 Fax: +1-404-7781681
Received: December 7, 2016
Peer-review started: December 8, 2016
First decision: January 7, 2017
Revised: January 12, 2017
Accepted: February 28, 2017
Article in press: March 2, 2017
Published online: May 16, 2017
Peer-review started: December 8, 2016
First decision: January 7, 2017
Revised: January 12, 2017
Accepted: February 28, 2017
Article in press: March 2, 2017
Published online: May 16, 2017
Core Tip
Core tip: In this large sample of screening colonoscopies, we found that fellow participation has an overall favorable effect on adenoma and polyp detection rates, especially for fellows after their first year of training. The higher detection rate was evident in both the right and left colon. There were no differences overall regarding adenoma per colon or polyp per colon, between the fellow participation and attending groups. In summary, performance of screening colonoscopies by fellows under the strict supervision of attendings does not negatively affect the quality of the procedure, but rather increases adenoma and polyp detection.