Open-access colonoscopy is safe: study
Nurse-driven, open-access colonoscopy programs are as effective and safe as colonoscopy following a consultation with a gastroenterologist, according to researchers at Henry Ford Hospital.
"Our results showed no significant differences in safety outcomes related to perforation rate, emergent surgery, post-polypectomy bleed, overall lower gastrointestinal bleed, or death," says Gregory Olds, M.D., chief of interventional gastroenterology and director of endoscopy at Henry Ford Hospital and co-author of the study.
With a nurse-driven open access program, a routine colonoscopy screening is scheduled without a pre-procedure examination by a gastroenterologist but nurses review patient history via electronic medical records and determine if they meet health requirements before scheduling procedures.
Study results were presented this week at Digestive Diseases Week in Chicago.
"Referral for colonoscopy without prior gastroenterologist consultation is becoming routine in the United States, but current literature regarding overall safety is limited so our aim was to compare the safety outcomes of patients enrolled in a large, nurse-driven, open-access protocol to outcomes of patients who were seen first by a gastroenterologist," says Dr. Olds.
The Henry Ford researchers looked at 15,901 patients who were enrolled in open-access colonoscopy from 2006 to 2010 and compared outcomes to 6,861 patients, from 1995 to 2002, who received outpatient gastroenterology consultation prior to screening.
Referrals for patients who went through the open-access program were made from primary care providers for average-risk colon cancer screening, a personal or familial history of colon polyps or cancer, blood in the stool, hematochezia, and radiographic testing suggestive of colon polyps.
Data was collected for post colonoscopy bleeding (overall and post-polypectomy), hospitalization, emergency room visits, repeat colonoscopy within two months, perforation, death, and time-to-colonoscopy.
The study found that outcomes for patients undergoing colonoscopy through an open-access program were similar to those who underwent a consultation before colonoscopy -- in fact, they had fewer emergency room visits (1.6% vs. 1.16%) and inpatient stays (1.02% vs. 0.62%).
"The results of this study, using such a large cohort of patients, suggest that open-access programs can be utilized cost-effectively to make this important screening procedure more easily accessible to patients," says Dr. Olds.
Provided by Henry Ford Health System
- Study: Less prep needed for colonoscopy May 02, 2010 | not rated yet | 0
- Studies lend insights into colorectal cancer screening Oct 01, 2007 | not rated yet | 0
- Patient interest in video recording of colonoscopy Feb 04, 2010 | not rated yet | 0
- Study shows unsedated colonoscopy for colorectal cancer screening well accepted by patients Oct 26, 2009 | not rated yet | 0
- Diverticulosis not associated with higher incidence of polyps Oct 26, 2009 | not rated yet | 0
- Motion perception revisited: High Phi effect challenges established motion perception assumptions Apr 23, 2013 | 3 / 5 (2) | 2
- Anything you can do I can do better: Neuromolecular foundations of the superiority illusion (Update) Apr 02, 2013 | 4.5 / 5 (11) | 5
- The visual system as economist: Neural resource allocation in visual adaptation Mar 30, 2013 | 5 / 5 (2) | 9
- Separate lives: Neuronal and organismal lifespans decoupled Mar 27, 2013 | 4.9 / 5 (8) | 0
- Sizing things up: The evolutionary neurobiology of scale invariance Feb 28, 2013 | 4.8 / 5 (10) | 14
Why is zone 1 in liver more prone to ischemic injury?
May 23, 2013 Hi, Is it because around central vein, there is only deoxygenated blood from the vein where as in the periphery there is hepatic artery. Also why...
How can there be villous adenoma in colon, if there are no villi there
May 22, 2013 As title suggest. Thanks :smile:
How can there be a term called "intestinal metaplasia" of stomach
May 21, 2013 Hello everyone, Ok Stomach's normal epithelium is simple columnar, now in intestinal type of adenocarcinoma of stomach it undergoes "intestinal...
Pressure-volume curve: Elastic Recoil Pressure don't make sense
May 18, 2013 From pressure-volume curve of the lung and chest wall (attached photo), I don't understand why would the elastic recoil pressure of the lung is...
If you became brain-dead, would you want them to pull the plug?
May 17, 2013 I'd want the rest of me to stay alive. Sure it's a lousy way to live but it beats being all-the-way dead. Maybe if I make it 20 years they'll...
MRI bill question
May 15, 2013 Dear PFers, The hospital gave us a $12k bill for one MRI (head with contrast). The people I talked to at the hospital tell me that they do not...
- More from Physics Forums - Medical Sciences
More news stories
In recent years, microRNAs (miRNAs) and other non-coding RNAs are small molecules that help control the expression of specific proteins. In recent years they have emerged as disease biomarkers. miRNA profiles have been used ...
Cancer May 24, 2013 | not rated yet | 0
Cancer cells spread and grow by avoiding detection and destruction by the immune system. Stimulation of the immune system can help to eliminate cancer cells; however, there are many factors that cause the immune system to ...
Cancer May 24, 2013 | 5 / 5 (1) | 0
Researchers from London's Kingston University have begun a two-year study which could help prolong the lives of people with colorectal tumours.
Cancer May 24, 2013 | 5 / 5 (1) | 0
Transformative research from Western University has identified new hormones in the body which may suppress breast cancer and stimulate the regression of breast tumors.
Cancer May 24, 2013 | 5 / 5 (2) | 0
(Medical Xpress)—Curtin University researchers have found evidence that targeting specific cells in the body can reverse the effects of cancer on the immune system.
Cancer May 24, 2013 | 5 / 5 (4) | 0
(HealthDay)—Animals make great companions for senior citizens, but elderly people who always drive with a pet in the car are far more likely to crash than those who never drive with a pet, researchers have ...
13 minutes ago | not rated yet | 0
Coenzyme Q10 decreases all cause mortality by half, according to the results of a multicentre randomised double blind trial presented today at Heart Failure 2013 congress. It is the first drug to improve heart failure mortality ...
8 hours ago | 5 / 5 (2) | 5
Heart failure accelerates the aging process and brings on early andropausal syndrome (AS), according to research presented today at the Heart Failure Congress 2013. AS, also referred to as male 'menopause', was four times ...
8 hours ago | not rated yet | 1
Mortality and length of stay are highest in heart failure patients admitted in January, on Friday, and overnight, according to research presented today at the Heart Failure Congress 2013. The analysis of nearly 1 million ...
8 hours ago | not rated yet | 0
(AP)—Department of Justice lawyers have again asked a federal appeals court in New York to delay lifting age restrictions and prescription requirements on an emergency contraceptive popularly known as the morning-after ...
8 hours ago | not rated yet | 0
Talking on a hands-free device while behind the wheel can lead to a sharp increase in errors that could imperil other drivers on the road, according to new research from the University of Alberta.
23 hours ago | not rated yet | 1