Waiting is hating
Americans hate to wait, whether it’s for food, Internet connectivity, or a green light. So it should come as no surprise that the more time patients spend waiting to see a physician, the more dissatisfied they are. What might be surprising is that longer wait times have a negative impact on other, potentially more consequential aspects of the patient experience, specifically patients’ confidence in their physician and how they perceive their quality of care.
Topics: colorectal cancer, CRC, colonoscopy, screening, ColoWrap, cecal intubation time, patient experience, hospital costs, tortuous colon, gastroenterologist, endoscopy nursing, GI nursing, endoscopist, looping in colonoscopy, healthcare costs, difficult colonoscopy, endoscopy
Research consistently shows that the adenoma detection rate (ADR) is higher the more time spent withdrawing the scope. In fact, a presentation at the 2018 meeting of the American College of Gastroenterology indicated a significantly higher adenoma detection rate when the withdrawal time in the right colon was greater than three minutes. The reverse is true as well; in a review of 76,810 screening colonoscopies, faster withdrawal times were independently associated with lower ADRs.
Topics: gastroenterologist, colorectal cancer, CRC, endoscopist, adenoma, endocopy, tortuous colon, difficult colonoscopy, abdominal pressure colonoscopy, looping in colonoscopy, cecal intubation time, withdrawal time
All physicians want to provide superior care for their patients, but practicing medicine today can be complicated. In the last decade, doctors have been tasked with navigating new technologies, government mandates, and payment guidelines, all of which can detract from caring for patients.
Topics: gastroenterologist, colorectal cancer, CRC, endoscopist, adenoma, endocopy, women in GI, patient experience, nurse injury, GI injury, injury endoscopist, tortuous colon, difficult colonoscopy, bowel prep colonoscopy, abdominal pressure colonoscopy, looping in colonoscopy, safe patient hadling, screening
I attended ACG 2018 to represent my company whose mission is to make colonoscopy easier, safer, and more effective . I am also the daughter of a Stage IV colon cancer survivor and watched as my father underwent chemo, numerous surgeries, and immeasurable mental and physical stress. Both professionally and personally, promoting colonoscopy is high on my priority list. It is through these lenses that I experienced the conference.
A mainstay U.S. gastroenterology event is set to take place October 5 through 10 in Philadelphia, PA: the ACG Annual Scientific Meeting & Postgraduate Course. The agenda is jam-packed with worthwhile lectures, poster presentations, hands-on workshops, plus an exhibition hall full hundreds of vendors. The choices can be overwhelming, ranging from a roundtable discussion on how to get published to a lunch session on the endoscopic treatment of patients with pancreatobiliary cancers.
For those interested in educational and networking opportunities specific to colonoscopy and colorectal cancer (CRC), the sample agenda below should come in handy.
Why would you have a sedation-free colonoscopy, when the norm is sleeping through the procedure and having no recollection of it?
Topics: gastroenterologist, patient experience, hospital costs, colorectal cancer, CRC, endoscopist, endoscopy nursing, GI nursing, patient safety, Propofol for colonoscopy, Deep sedation, Propofol, polyp, adenoma, screening, patient, endocopy, nurse
The safety and comfort of patients undergoing colonoscopy is of paramount importance to hospitals, providers, and of course, the patients themselves. But what about the physicians performing the procedure? It might be news to those outside the field, but gastroenterologists are commonly injured on the job. A review of current literature found that musculoskeletal complaints are extremely common among GIs; the incidence of pain and injuries ranges from 29% up to 89%. Another study indicated that 45% of endoscopists undergo physical therapy to combat pain, 26.8% get steroid injections, and 13.3% require surgery.
What do we really know about fiber and colon health? Certainly, if you believe media reports and marketing campaigns, you might think that fiber was the panacea for a wide variety of ailments. Cereals, supplements, and snack bars labeled as “rich in fiber” are touted to be healthy for your colon.
Observational studies indicate that colonoscopy lowers colorectal cancer (CRC) rates and mortality in the general population. In support of these findings, a large-case control study showed that the procedure can significantly reduce the incidence of CRC and CRC-related mortality. However, colonoscopy may not be optimally effective for right-sided lesions. This might be due, in large part, to sessile serrated adenomas (SSAs).