Department of Internal Medicine, University of Toledo Medical Center, Toledo, Ohio.
Department of Medicine, Hackensack University, Palisades Medical Center, North Bergen, New Jersey.
Clin Gastroenterol Hepatol. 2020 May;18(5):1240-1242.e3. doi: 10.1016/j.cgh.2019.07.033. Epub 2019 Oct 4.
Current efforts are directed toward improving quality metrics such as adenoma/polyp detection rates during colonoscopy to decrease the incidence of colorectal cancer. Previous studies have reported variable detection rates for adenomas/polyps during colonoscopy for active participation/observation by nurses, trainees, and/or technician (dual observer [DO] group) with an endoscopist. We performed a systematic review and meta-analysis to evaluate the detection rate of adenomas/polyps during colonoscopy via DO versus single observers (ie, endoscopist alone).
目前的努力方向是提高质量指标，如结肠镜检查中的腺瘤/息肉检出率，以降低结直肠癌的发病率。先前的研究报告了在结肠镜检查中，护士、受训者和/或技术员（双观察员[DO]组）主动参与/观察时，以及内镜医师单独观察时，腺瘤/息肉的检出率有所不同。我们进行了系统评价和荟萃分析，以评估 DO 与单观察员（即内镜医师单独观察）在结肠镜检查中检测腺瘤/息肉的检出率。
