The American Journal of Medicine
Volume 123, Issue 6 , Pages 528-535 , June 2010

Specialty Differences in Polyp Detection, Removal, and Biopsy during Colonoscopy

  • Cynthia W. Ko, MD, MS

      Affiliations

    • Department of Medicine, University of Washington, Seattle, Wash
    • Corresponding Author InformationRequests for reprints should be addressed to Cynthia W. Ko, MD, MS, Division of Gastroenterology, Box 356424, University of Washington, Seattle, WA 98195
  • ,
  • Jason A. Dominitz, MD, MHS

      Affiliations

    • Department of Medicine, University of Washington, Seattle, Wash
    • Veterans Affairs Puget Sound Health Care System, Seattle, Wash
  • ,
  • Pam Green, PhD

      Affiliations

    • Department of Family Medicine, University of Washington, Seattle
  • ,
  • William Kreuter, MPA

      Affiliations

    • Department of Rehabilitation Medicine, University of Washington, Seattle
  • ,
  • Laura-Mae Baldwin, MD, MPH

      Affiliations

    • Department of Family Medicine, University of Washington, Seattle

References 

  1. Seeff LC, Richards TB, Shapiro JA, et al. How many endoscopies are performed for colorectal cancer screening? (Results from CDC's survey of endoscopic capacity). Gastroenterology. 2004;127:1670–1677
  2. Hopper W, Kyker KA, Rodney WM. Colonoscopy by a family physician: a 9-year experience of 1048 procedures. J Fam Pract. 1996;43:561–566
  3. Pierzchajlo RP, Ackermann RJ, Vogel RL. Colonoscopy performed by a family physician (A case series of 751 procedures). J Fam Pract. 1997;44:473–480
  4. Harper MB, Pope JB, Mayeaux EJ, et al. Colonoscopy experience at a family practice residency: a comparison to gastroenterology and general surgery services. Fam Med. 1997;29:575–579
  5. Wexner SD, Forde KA, Sellers G, et al. How well can surgeons perform colonoscopy?. Surg Endosc. 1998;12:1410–1414
  6. Rex DK, Rahmani EY, Haseman JH, et al. Relative sensitivity of colonoscopy and barium enema for detection of colorectal cancer in clinical practice. Gastroenterology. 1997;112:17–23
  7. Pabby A, Schoen RE, Weissfeld JL, et al. Analysis of colorectal cancer occurrence during surveillance colonoscopy in the dietary Polyp Prevention Trial. Gastrointest Endosc. 2005;61:385–391
  8. Robertson DJ, Lieberman DA, Winawer SJ, et al. Interval cancer after total colonoscopy: results from a pooled analysis of eight studies. Gastroenterology. 2008;134(Suppl 1):A111
  9. Farrar WD, Sawhney MS, Nelson DB, et al. Colorectal cancers found after a complete colonoscopy. Clin Gastroenterol Hepatol. 2006;4:1259–1264
  10. Bressler B, Paszat LF, Chen Z, et al. Rates of new or missed colorectal cancers after colonoscopy and their risk factors: a population-based analysis. Gastroenterology. 2007;132:96–102
  11. Baldwin LM, Adamache W, Klabunde CN, et al. Linking physician characteristics and Medicare claims data: issues in data availability, quality, and measurement. Med Care. 2002;40(Suppl 8):IV-82–95
  12. Morrill R, Cromartie J, Hart G. Metropolitan, urban, and rural commuting areas: toward a better depiction of the United States settlement system. Urban Geogr. 1999;20:727–748
  13. Deyo RA, Cherkin DC, Ciol MA. Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases. J Clin Epidemiol. 1992;45:613–619
  14. Zhang J, Yu KF. What's the relative risk? (A method of correcting the odds ratio in cohort studies of common outcomes). JAMA. 1998;280(19):1690–1691
  15. The Gastroenterology Core Curriculum. 3rd edition. 2007;http://www.gastro.org/user-assets/Documents/04_Education_Training/2007_Version_Core_Curriculum.pdfAccessed August 7, 2009
  16. Residency Review Committee for General Surgery, Accreditation Council for Graduate Medical Education. Surgery policy information. 2006;http://www.acgme.org/acWebsite/RRC_440/440_policyArchive.aspAccessed August 7, 2009
  17. King L. Colon and rectal surgery procedures and proposed minimums. 2009;http://www.acgme.org/acWebsite/RRC_060/060_memo_4_2009.aspAccessed August 7, 2009
  18. American Academy of Family Practice. Colonoscopy (position paper). 2008;http://www.aafp.org/online/en/home/policy/policies/c/colonoscopypositionpaper.htmlAccessed August 7, 2009
  19. Spier BJ, Benson M, Pfau PR, Nelligan G, Lucey MR, Gaumnitz EA. Colonoscopy training in gastroenterology fellowships: determining competence. Gastrointest Endosc. 2010;71(2):319–324
  20. Barclay RL, Vicari JJ, Doughty AS, et al. Colonoscopic withdrawal times and adenoma detection during screening colonoscopy. N Engl J Med. 2006;355:2533–2541
  21. Simmons DT, Harewood GC, Baron TH, et al. Impact of endoscopist withdrawal speed on polyp yield: implications for optimal colonoscopy withdrawal time. Aliment Pharmacol Ther. 2006;24:965–971
  22. Baxter NN, Goldwasser MA, Paszat LF, et al. Association of colonoscopy and death from colorectal cancer. Ann Intern Med. 2009;150:1–8
  23. Katz JN, Barrett J, Liang MH, et al. Sensitivity and positive predictive value of Medicare Part B physician claims for rheumatologic diagnoses and procedures. Arthritis Rheum. 1997;40:1594–1600
  24. Du X, Freeman JL, Warren JL, et al. Accuracy and completeness of Medicare claims data for surgical treatment of breast cancer. Med Care. 2000;38:719–727
  25. Smith-Bindman R, Quale C, Chu PW, et al. Can Medicare billing claims data be used to assess mammography utilization among women ages 65 and older?. Med Care. 2006;44:463–470
  26. Quan H, Parsons GA, Ghali WA. Validity of information on comorbidity derived from ICD-9-CCM administrative data. Med Care. 2002;40:675–685
  27. Wilchesky M, Tamblyn RM, Huang A. Validation of diagnostic codes within medical services claims. J Clin Epidemiol. 2004;57:131–141

 Funding: This work was funded by the American College of Gastroenterology. Dr. Dominitz was supported by the American Society for Gastrointestinal Endoscopy Endoscopic Research Career Development Award. This material is the result of work supported in part by resources from the VA Puget Sound Health Care System, Seattle, Washington. The views and opinions of authors expressed herein do not necessarily state or reflect those of the United States Government or the Department of Veterans Affairs.

 Conflict of Interest: The authors have no conflicts of interest.

 Authorship: All authors had access to the data and role in writing the manuscript.

PII: S0002-9343(10)00130-0

doi: 10.1016/j.amjmed.2010.01.016

The American Journal of Medicine
Volume 123, Issue 6 , Pages 528-535 , June 2010