Nurses can perform colonoscopies as well as docs

Nurses can perform colonoscopies as well as docs

(HealthDay)—Colonoscopy quality and safety are comparable for nurse and physician endoscopy trainees, according to a study published in the March issue of Clinical Gastroenterology and Hepatology.

Renate Massl, M.D., from Erasmus Medical Center in Rotterdam, Netherlands, and colleagues examined the quality and safety of performed by seven and eight physician (gastroenterology fellows) endoscopy trainees. Participants were trained in , and then performed 135 consecutive colonoscopies (866 total by nurse trainees and 1,080 by physician trainees) under a gastroenterologist's supervision.

The researchers found that the quality and safety of endoscopies were similar for nurse and physician trainees. The overall rates of cecal intubation were not significantly different for nurse and physician trainees (95 and 93 percent, respectively; P = 0.38), and mean withdrawal times were 10.4 and 9.8 minutes, respectively (P = 0.44). The rate of complications was 0.5 percent for each group, and adenoma detection was 27 percent in each group. As the number of colonoscopies performed increased, the rates of unassisted cecal intubation gradually increased in both groups. The personnel costs decreased from $64.65 to $54.58 with a strategy in which one gastroenterologist supervises three nurses.

"In a supervised setting, nurse endoscopists perform colonoscopies according to quality and safety standards that are comparable with those of physician endoscopists and can substantially reduce costs," the authors write.

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Patient activation predicts bowel preparation quality

Mar 03, 2014

(HealthDay)—Lower patient activation, but not limited health literacy, is an independent predictor of suboptimal colonoscopy bowel preparation quality, according to a study published in the March issue ...

Recommended for you

AbbVie hikes forecast, tops Street expectations

4 hours ago

The drugmaker AbbVie surprised Wall Street on Friday with a third-quarter performance that turned out much better than expected and a new 2014 forecast that also extends well beyond what analysts predict.

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.