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Nurse endoscopist, colorectal cancer screening,

Jeong-Yeop Song, Youn Hee Cho, Mi A Kim, Jeong-Ae Kim, Chun Tek Lee, Moon Sung Lee
AIM: To evaluate the full-spectrum endoscopy (FUSE) colonoscopy system as the first report on the utility thereof in a Korean population. METHODS: We explored the efficacy of the FUSE colonoscopy in a retrospective, single-center feasibility study performed between February 1 and July 20, 2015. A total of 262 subjects (age range: 22-80) underwent the FUSE colonoscopy for colorectal cancer screening, polyp surveillance, or diagnostic evaluation. The cecal intubation success rate, the polyp detection rate (PDR), the adenoma detection rate (ADR), and the diverticulum detection rate (DDR), were calculated...
February 28, 2016: World Journal of Gastroenterology: WJG
Isabelle Lynch, Ann Hayes, Martha D Buffum, Erin E Conners
The standard of practice for colonoscopy is room air insufflation. Recent research demonstrates safety and significant decrease in postcolonoscopy discomfort from distention when carbon dioxide (CO2) is used during insufflation. Reducing abdominal pain after colonoscopy may lead to increased acceptance of colonoscopy screening for colorectal cancer. This study aims to compare patient comfort intra- and postprocedure, length of recovery, and nursing time in patients undergoing colonoscopy using room air vs. CO2 insufflation...
May 2015: Gastroenterology Nursing: the Official Journal of the Society of Gastroenterology Nurses and Associates
Donald MacIntosh, Catherine Dubé, Roger Hollingworth, Sander Veldhuyzen van Zanten, Sandra Daniels, George Ghattas
BACKGROUND: Increasing use of gastrointestinal endoscopy, particularly for colorectal cancer screening, and increasing emphasis on health care quality highlight the need for endoscopy facilities to review the quality of the service they offer. OBJECTIVE: To adapt the United Kingdom Global Rating Scale (UK-GRS) to develop a web-based and patient-centred tool to assess and improve the quality of endoscopy services provided. METHODS: Based on feedback from 22 sites across Canada that completed the UK endoscopy GRS, and integrating results of the Canadian consensus on safety and quality indicators in endoscopy and other Canadian consensus reports, a working group of endoscopists experienced with the GRS developed the GRS-Canada (GRS-C)...
February 2013: Canadian Journal of Gastroenterology, Journal Canadien de Gastroenterologie
Alaa Rostom, Erin D Ross, Catherine Dubé, Matthew D Rutter, Thomas Lee, Roland Valori, Ronald J Bridges, Darlene Pontifex, Veronica Webbink, Colin Rees, Carly Brown, Deborah H Whetter, Susan G Kelsey, Robert J Hilsden
BACKGROUND: Comfort during colonoscopy is a critical component of safety and quality. OBJECTIVE: To develop and validate the Nurse-Assessed Patient Comfort Score (NAPCOMS). DESIGN: Prospective scale validation. SETTING: Colorectal cancer screening centers in the United Kingdom and Canada. PATIENTS: A total of 300 consecutive patients undergoing colonoscopy at participating colorectal cancer screening centers...
February 2013: Gastrointestinal Endoscopy
Siew C Ng, Sunny H Wong
INTRODUCTION: The incidence and mortality of colorectal cancer are rapidly rising in several countries in Asia. However, screening guidelines are lacking. SOURCES OF DATA: Review of literature and local data published in peer review journals. AREAS OF AGREEMENT: The incidence, anatomical distribution and mortality of colorectal cancer among Asian populations are comparable to those in Western countries. Flat and depressed colonic lesions are not uncommon...
2013: British Medical Bulletin
Yaron Niv, Yossi Tal
Colonoscopy has become the leading procedure for early detection and prevention of colorectal cancer. Patients' experience of colonic endoscopic procedures is scarcely reported, even though it is considered a major factor in colorectal cancer screening participation. Pain due to air inflation or stretching the colon with an endoscope is not rare during examination and may be the main obstacle to cooperation and participation in a screening program. We propose a four-stage study for developing a tool dedicated to pain monitoring during colonoscopy, as follows: (1) comparison of patient, nurse, and endoscopist questionnaire responses about patient pain and technical details of the procedure using the PAINAD tool during colonoscopy; (2) observation of the correlation between patients' facial expressions and other parameters (using the short PAINAD); (3) development of a device for continuous monitoring of the patient's facial expression during the procedure; (4) assessment of the usability of such a tool and its contribution to the outcomes of colonoscopy procedures...
2012: Drug, Healthcare and Patient Safety
Vui Heng Chong
AIM: To assess the gender preferences, specifically the gender of the nursing staff (endoscopy assistants) and the impact on acceptance for screening colonoscopy (SC). METHODS: Patients or relatives attending the clinics or health care workers working in a tertiary center were invited to participate in this questionnaire study. The questionnaire enquired on the general demographics (1) age, gender, ethnicity, education level, and employment status, previous history of colonoscopy, family or personal history of colonic pathologies, personal and family history of any cancers; (2) subjects were asked if they would go for an SC if they had appropriate indications (age over 50 years, family history of colorectal cancer (CRC), fecal occult blood positive, anemia especially iron deficiency anemia, bleeding per rectum with or without loss of appetite, weight loss and abdominal pain) with and without symptoms attributable to CRC; and (3) preferences for the gender of the endoscopists and assistants and whether they would still undergo SC even if their preferences were not met...
July 21, 2012: World Journal of Gastroenterology: WJG
C Hassan, D K Rex, G S Cooper, R Benamouzig
BACKGROUND: Propofol for colonoscopy is largely administered by anesthesiologists or anesthesiology nurses in the United States (US) and Europe. Endoscopist-directed administration of propofol (EDP) by nonanesthesiologists has recently been proposed, with potential savings of anesthetist reimbursement costs. We aimed to assess potential EDP-related benefit in a screening setting. METHODS: In a Markov model the total number of screening and follow-up colonoscopies in a cohort of 100 000 US subjects were estimated...
May 2012: Endoscopy
Michele Limoges-Gonzalez, Nirmal Singh Mann, Amar Al-Juburi, David Tseng, John Inadomi, Lorenzo Rossaro
Several barriers to colorectal cancer screening have been identified including limited access to trained endoscopists and highlight insufficient capacity to meet projected demand for colonoscopies. Two European studies have found that nonphysician providers can perform colonoscopies as safely and accurately as physicians. Training nurse practitioners (NP) to perform colonoscopy may be an effective strategy to increase access. The goal of this study was to compare accuracy, safety, and patient satisfaction in screening colonoscopy performed by board certified gastroenterologists (GI-MD) and a gastroenterology trained nurse practitioner (GI-NP)...
May 2011: Gastroenterology Nursing: the Official Journal of the Society of Gastroenterology Nurses and Associates
Nga F Shum, Yau L Lui, Hok K Choi, So C Lau, Judy W C Ho
AIMS: To describe the process and explore the feasibility of training a colorectal nurse in Hong Kong to perform flexible sigmoidoscopy. BACKGROUND: Given the shortage and high turnover rate of medical staff, a pilot programme was designed to train and expand the role of colorectal nurse clinicians. It was hoped that such nurses could share some of the clinical duties of the medical staff. An advanced practice nurse was selected for the programme. One of the training components was the performance of flexible sigmoidoscopy...
July 2010: Journal of Clinical Nursing
Jan J Koornstra, Sietske Corporaal, Wiesje M Giezen-Beintema, Sietske E de Vries, Hendrik M van Dullemen
BACKGROUND: Screening by using colonoscopy is recommended in many countries to reduce the risk of death from colorectal cancer. Given the limited supply of medical endoscopists, nurse endoscopists may represent an economic alternative. OBJECTIVE: To develop a colonoscopy training program for nurse endoscopists and to evaluate the feasibility of this program. DESIGN: Two nurse endoscopists and 1 first-year GI fellow were enrolled in a colonoscopy training protocol, including computer-simulator training, flexible sigmoidoscopies, and colonoscopies under direct supervision...
March 2009: Gastrointestinal Endoscopy
P G van Putten, M E van Leerdam, E J Kuipers
BACKGROUND: Nurse endoscopists may provide a solution for the insufficient endoscopic capacity in colorectal cancer (CRC) screening. AIM: To determine the views of gastroenterologists about the potential role of nurse endoscopists in gastrointestinal endoscopy. METHODS: A postal questionnaire was sent to all registered gastroenterologists (n = 301) and gastroenterology residents (n = 79) in the Netherlands. RESULTS: Two hundred and thirty five of 380 (62%) gastroenterologists and residents completed the questionnaire...
April 15, 2009: Alimentary Pharmacology & Therapeutics
A Postgate, P Tekkis, A Fitzpatrick, P Bassett, C Fraser
BACKGROUND AND STUDY AIMS: Indications for capsule endoscopy include polyp surveillance in Peutz-Jeghers syndrome and potentially colorectal examination and bowel cancer screening. The ability to detect and accurately size polyps associated with these conditions is critical when deciding which patients require further investigation or therapy. Inexperience may affect the ability of capsule endoscopists to perform these skills resulting in sub-optimal patient care. We assessed the performance of volunteers with different levels of endoscopy and capsule endoscopy experience using an animal-based polyp model...
June 2008: Endoscopy
J W Leung, S Mann, F W Leung
BACKGROUND: The direct and indirect costs of sedation limit access to screening colonoscopy amongst United States veterans. AIM: To determine if offering the option of sedation on-demand reduces the need for sedation. Design A retrospective review of prospectively collected performance improvement data in an open access screening colonoscopy programme. SETTING: Performance improvement programme to minimize the burden of sedation at a single VA Medical Center...
August 15, 2007: Alimentary Pharmacology & Therapeutics
Andrew Yeoman, Susan Parry
AIMS: Population screening for colorectal cancer (CRC) in New Zealand is under review and would increase demand for colonoscopy. This National Screening Unit commissioned survey aimed to determine the current level of colonoscopy provision in New Zealand's public hospitals, the gap in demand and provision for diagnostic and surveillance procedures, and factors limiting colonoscopy capacity. METHOD: A survey, based on the United States SECAP study, was posted to all public endoscopy units within New Zealand in April 2005...
2007: New Zealand Medical Journal
Hannah Brotherstone, Maggie Vance, Robert Edwards, Anne Miles, Kathryn A Robb, Ruth E C Evans, Jane Wardle, Wendy Atkin
OBJECTIVE: To assess uptake of once-only flexible sigmoidoscopy (FS) in a community sample to determine whether FS would be viable as a method of population-based screening for colorectal cancer. METHODS: All adults aged 60-64 years registered at three General Practices in North West London, UK (510 men and women) were sent a letter of invitation to attend FS screening carried out by an experienced nurse, followed by a reminder if they did not make contact to confirm or decline the invitation...
2007: Journal of Medical Screening
Subodh K Lal, Adam Barrison, Timothy Heeren, Paul C Schroy
OBJECTIVES: Expanding the pool of primary care endoscopists to perform flexible sigmoidoscopy (FS) has been advocated as a strategy for building colorectal cancer screening capacity. The principal aim of this study was to evaluate the availability and structure of FS training among internal medicine (IM), family practice (FP), physician assistant (PA), and nurse practitioner (NP) training programs. METHODS: A postal survey of all accredited IM (n = 445), FP (n = 471), PA (n = 118), and NP (n = 149) training programs nationwide was conducted...
May 2004: American Journal of Gastroenterology
J Blom, A Lidén, J Nilsson, L Påhlman, O Nyrén, L Holmberg
AIM: To evaluate tolerability and technical feasibility of colorectal cancer screening with flexible sigmoidoscopy. METHODS: One thousand men and women aged 59-61 years, randomly selected from the population register of Uppsala, Sweden, were invited by mail. After random allocation, half of them were called up by a nurse (group 1), while the other half were asked to call themselves (group 2) to book a sigmoidoscopy. After the examination, the participants anonymously answered a questionnaire about their subjective experiences...
May 2004: European Journal of Surgical Oncology
Linda Rabeneck, Lawrence F Paszat
No abstract text is available yet for this article.
August 5, 2003: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
Ankur Jain, John Falzarano, Amod Jain, Robert Decker, Gail Okubo, Daryl Fujiwara
OBJECTIVES: There have been several studies to date establishing the efficacy of nurse endoscopists in colorectal screening. However, no such study has ever been conducted in Hawaii. Utilizing the large sample size of our study, we hope to further support endoscopy by nurses as both a safe and cost-effective means of screening for colon cancer. METHODS: This is a retrospective study of the results of more than 5,000 flexible sigmoidoscopies done by nurse endoscopists in the colorectal screening clinic at Kaiser Hospital in Honolulu, Hawaii, between November 1995 and February 2001...
June 2002: Hawaii Medical Journal
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