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Previous study findings are mixed regarding whether the simple process of measuring quality in colonoscopy leads to improvement in performance (Clin Gastroenterol Hepatol 2009; 7:1335; Gastrointest Endosc 2010; 71:1253). In the current study, researchers retrospectively assessed whether a quarterly report card intervention improved performance measures of adenoma detection rate (ADR) and cecal intubation rate in a group of six gastroenterologists at a U.S. Veterans Affairs medical center.
The clinicians performed screening colonoscopies in 928 patients at average risk for colorectal cancer (mean age, 59.8; 93% male; 78% white) during a 6-month pre-intervention period (336 colonoscopies) and a two-year intervention period (592 colonoscopies).…