Nurses able to perform colonoscopies equally well

This article originally appeared here.
Colorectal cancer rates increasing for U.S. adults under 50
Colorectal cancer rates increasing for U.S. adults under 50

(HealthDay News) -- 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 colonoscopies performed by seven nurse and eight physician (gastroenterology fellows) endoscopy trainees. Participants were trained in gastrointestinal endoscopy, 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.

Abstract
Full Text (subscription or payment may be required)

Loading links....
You must be a registered member of ONA to post a comment.

Sign Up for Free e-newsletters

Regimen and Drug Listings

GET FULL LISTINGS OF TREATMENT Regimens and Drug INFORMATION

Bone Cancer Regimens Drugs
Brain Cancer Regimens Drugs
Breast Cancer Regimens Drugs
Endocrine Cancer Regimens Drugs
Gastrointestinal Cancer Regimens Drugs
Genitourinary Cancer Regimens Drugs
Gynecologic Cancer Regimens Drugs
Head and Neck Cancer Regimens Drugs
Hematologic Cancer Regimens Drugs
Lung Cancer Regimens Drugs
Other Cancers Regimens
Rare Cancers Regimens
Skin Cancer Regimens Drugs