{"id":2229,"date":"2021-09-13T00:00:00","date_gmt":"2021-09-13T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/a-pragmatic-randomized-controlled-trial-of-an-endoscopist-audit-and-feedback-report-for-colonoscopy\/"},"modified":"2023-06-14T19:44:45","modified_gmt":"2023-06-14T23:44:45","slug":"a-pragmatic-randomized-controlled-trial-of-an-endoscopist-audit-and-feedback-report-for-colonoscopy","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/a-pragmatic-randomized-controlled-trial-of-an-endoscopist-audit-and-feedback-report-for-colonoscopy\/","title":{"rendered":"A pragmatic randomized controlled trial of an endoscopist audit and feedback report for colonoscopy"},"content":{"rendered":"<p><strong>Introduction <\/strong>&#x2014; Variation in endoscopist performance contributes to poor-quality colonoscopy. Audit and feedback (A\/F) can be used to improve physician performance, particularly among lower performing physicians. In this large pragmatic randomized controlled trial, we compared A\/F to improve endoscopists&apos; colonoscopy performance to usual practice.<\/p>\n<p><strong>Methods <\/strong>&#x2014; Endoscopists practicing in Ontario, Canada, in 2014 were randomly assigned in October 2015 (index date) to receive (intervention group, n = 417) or not receive (control group, n = 416) an A\/F report generated centrally using health administrative data. Colonoscopy performance was measured in both groups over two 12-month periods: prereport and postreport (relative to the index date). The primary outcome was polypectomy rate (PR). Secondary outcomes were cecal intubation rate, bowel preparation, and premature repeat after normal colonoscopy. A post hoc analysis used adenoma detection rate as the outcome. Outcomes were compared between groups for all endoscopists and for lower performing endoscopists using Poisson regression analyses under a difference-in-difference framework.<\/p>\n<p><strong>Results<\/strong> &#x2014; Among all endoscopists, PR did not significantly improve from prereport to postreport periods for those receiving the intervention (relative rate [RR], intervention vs control: 1.07 vs 1.05, <em>P<\/em> = 0.09). Among lower performing endoscopists, PR improved significantly (RR, intervention vs control 1.34 vs 1.11, <em>P<\/em> = 0.02) in the intervention group compared with controls. In this subgroup, adenoma detection rate also improved but not significantly (RR, intervention vs control 1.12 vs 1.04, <em>P<\/em> = 0.12). There was no significant improvement in secondary outcomes between the intervention and control groups.<\/p>\n<p><strong>Discussion <\/strong>&#x2014; A\/F reports for colonoscopy improve performance in lower performing endoscopists.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Introduction &#x2014; Variation in endoscopist performance contributes to poor-quality colonoscopy. Audit and feedback (A\/F) can be used to improve physician performance, particularly among lower performing physicians. In this large pragmatic randomized controlled trial, we compared A\/F to improve endoscopists&apos; colonoscopy performance to usual practice. Methods &#x2014; Endoscopists practicing in Ontario, Canada, in 2014 were randomly [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[],"migration-helper-qa-sample-set":[],"class_list":["post-2229","journal_article","type-journal_article","status-publish","hentry"],"acf":{"citation":"Tinmouth J, Sutradhar R, Li Q, Patel J, Baxter NN, Llovet D, Paszat LF, Rabeneck L. <em>Am J Gastroenterol<\/em>. 2021; 116(10):2042-51. Epub 2021 Sep 13.","source_url":"https:\/\/doi.org\/10.14309\/ajg.0000000000001498","ices_scientist":[1099,1109,1370,1177,1342],"site":[6733],"research_program":[6741],"news_release":[],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"10CC7B10-78F0-47B5-AA64-7A3DB3EF051A","sitecore_item_name":"A-pragmatic-randomized-controlled-trial-of-an-endoscopist-audit-and-feedback-report-for-colonoscopy","sitecore_field_values":"{\n  \"Title\": \"A pragmatic randomized controlled trial of an endoscopist audit and feedback report for colonoscopy\",\n  \"Short title\": \"A pragmatic randomized controlled trial\",\n  \"Summary\": \"In this large pragmatic randomized controlled trial, this study compared audit and feedback to improve endoscopists' colonoscopy performance to usual practice.\",\n  \"Citation\": \"<p>Tinmouth J, Sutradhar R, Li Q, Patel J, Baxter NN, Llovet D, Paszat LF, Rabeneck L. <em>Am J Gastroenterol<\/em>. 2021; 116(10):2042-51. Epub 2021 Sep 13. DOI: <a href=\"https:\/\/doi.org\/10.14309\/ajg.0000000000001498\" title=\"opens external link\">https:\/\/doi.org\/10.14309\/ajg.0000000000001498<\/a><\/p>\",\n  \"Abstract\": \"<p><strong>Introduction <\/strong>&mdash; Variation in endoscopist performance contributes to poor-quality colonoscopy. Audit and feedback (A\/F) can be used to improve physician performance, particularly among lower performing physicians. In this large pragmatic randomized controlled trial, we compared A\/F to improve endoscopists' colonoscopy performance to usual practice.<\/p>n<p><strong>Methods <\/strong>&mdash; Endoscopists practicing in Ontario, Canada, in 2014 were randomly assigned in October 2015 (index date) to receive (intervention group, n = 417) or not receive (control group, n = 416) an A\/F report generated centrally using health administrative data. Colonoscopy performance was measured in both groups over two 12-month periods: prereport and postreport (relative to the index date). The primary outcome was polypectomy rate (PR). Secondary outcomes were cecal intubation rate, bowel preparation, and premature repeat after normal colonoscopy. A post hoc analysis used adenoma detection rate as the outcome. Outcomes were compared between groups for all endoscopists and for lower performing endoscopists using Poisson regression analyses under a difference-in-difference framework.<\/p>n<p><strong>Results<\/strong> &mdash; Among all endoscopists, PR did not significantly improve from prereport to postreport periods for those receiving the intervention (relative rate [RR], intervention vs control: 1.07 vs 1.05, <em>P<\/em> = 0.09). Among lower performing endoscopists, PR improved significantly (RR, intervention vs control 1.34 vs 1.11, <em>P<\/em> = 0.02) in the intervention group compared with controls. In this subgroup, adenoma detection rate also improved but not significantly (RR, intervention vs control 1.12 vs 1.04, <em>P<\/em> = 0.12). There was no significant improvement in secondary outcomes between the intervention and control groups.<\/p>n<p><strong>Discussion <\/strong>&mdash; A\/F reports for colonoscopy improve performance in lower performing endoscopists.<\/p>\",\n  \"Research Programs\": \"{85DE96A6-4C96-40C7-8E6D-7597A0EB5F80}\",\n  \"ICES Locations\": \"{4FCAABBA-14A5-42E6-8F33-BC6C2F1D9908}\",\n  \"ICES Scientists\": \"{F137150D-7BD5-4368-8FCC-FAF6D82891C4}|{FB8F59D3-754C-4C51-87D6-3393A5D84432}|{56BF24FA-D81E-4114-BF1F-4715A424E26C}|{73B9FD95-5453-4FBA-B02E-CD2911B86ACD}|{D58A8993-4C34-4C55-8F94-717F6C1FDD31}\",\n  \"Posted Date\": \"20210913T000000\",\n  \"Show on Publications Landing Page\": \"1\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2021\/September\/A-pragmatic-randomized-controlled-trial-of-an-endoscopist-audit-and-feedback-report-for-colonoscopy"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | A pragmatic randomized controlled trial of an endoscopist audit and feedback report for colonoscopy<\/title>\n<meta name=\"description\" content=\"Introduction &#x2014; Variation in endoscopist performance contributes to poor-quality colonoscopy. Audit and feedback (A\/F) can be used to improve\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/a-pragmatic-randomized-controlled-trial-of-an-endoscopist-audit-and-feedback-report-for-colonoscopy\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ICES | A pragmatic randomized controlled trial of an endoscopist audit and feedback report for colonoscopy\" \/>\n<meta property=\"og:description\" content=\"Introduction &#x2014; Variation in endoscopist performance contributes to poor-quality colonoscopy. Audit and feedback (A\/F) can be used to improve\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/a-pragmatic-randomized-controlled-trial-of-an-endoscopist-audit-and-feedback-report-for-colonoscopy\/\" \/>\n<meta property=\"og:site_name\" content=\"ICES\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/ICESOntario\/\" \/>\n<meta property=\"article:modified_time\" content=\"2023-06-14T23:44:45+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2024\/11\/ic-es-data-discovery-better-health-logo.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"675\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/a-pragmatic-randomized-controlled-trial-of-an-endoscopist-audit-and-feedback-report-for-colonoscopy\\\/\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/a-pragmatic-randomized-controlled-trial-of-an-endoscopist-audit-and-feedback-report-for-colonoscopy\\\/\",\"name\":\"ICES | A pragmatic randomized controlled trial of an endoscopist audit and feedback report for colonoscopy\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#website\"},\"datePublished\":\"2021-09-13T04:00:00+00:00\",\"dateModified\":\"2023-06-14T23:44:45+00:00\",\"description\":\"Introduction &#x2014; Variation in endoscopist performance contributes to poor-quality colonoscopy. Audit and feedback (A\\\/F) can be used to improve\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/a-pragmatic-randomized-controlled-trial-of-an-endoscopist-audit-and-feedback-report-for-colonoscopy\\\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/a-pragmatic-randomized-controlled-trial-of-an-endoscopist-audit-and-feedback-report-for-colonoscopy\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/a-pragmatic-randomized-controlled-trial-of-an-endoscopist-audit-and-feedback-report-for-colonoscopy\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Journal Articles\",\"item\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"A pragmatic randomized controlled trial of an endoscopist audit and feedback report for colonoscopy\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#website\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/\",\"name\":\"ICES\",\"description\":\"POPULATION-BASED HEALTH RESEARCH THAT MAKES A DIFFERENCE\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#organization\"},\"alternateName\":\"Institute for Clinical Evaluative Sciences\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#organization\",\"name\":\"ICES\",\"alternateName\":\"Institute for Clinical Evaluative Sciences\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/wp-content\\\/uploads\\\/2023\\\/04\\\/ices-logo.png\",\"contentUrl\":\"https:\\\/\\\/www.ices.on.ca\\\/wp-content\\\/uploads\\\/2023\\\/04\\\/ices-logo.png\",\"width\":\"676\",\"height\":\"618\",\"caption\":\"ICES\"},\"image\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/ICESOntario\\\/\",\"https:\\\/\\\/www.linkedin.com\\\/company\\\/ices-research-institute\\\/\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"ICES | A pragmatic randomized controlled trial of an endoscopist audit and feedback report for colonoscopy","description":"Introduction &#x2014; Variation in endoscopist performance contributes to poor-quality colonoscopy. Audit and feedback (A\/F) can be used to improve","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/a-pragmatic-randomized-controlled-trial-of-an-endoscopist-audit-and-feedback-report-for-colonoscopy\/","og_locale":"fr_FR","og_type":"article","og_title":"ICES | A pragmatic randomized controlled trial of an endoscopist audit and feedback report for colonoscopy","og_description":"Introduction &#x2014; Variation in endoscopist performance contributes to poor-quality colonoscopy. Audit and feedback (A\/F) can be used to improve","og_url":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/a-pragmatic-randomized-controlled-trial-of-an-endoscopist-audit-and-feedback-report-for-colonoscopy\/","og_site_name":"ICES","article_publisher":"https:\/\/www.facebook.com\/ICESOntario\/","article_modified_time":"2023-06-14T23:44:45+00:00","og_image":[{"width":1200,"height":675,"url":"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2024\/11\/ic-es-data-discovery-better-health-logo.jpg","type":"image\/jpeg"}],"twitter_card":"summary_large_image","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/a-pragmatic-randomized-controlled-trial-of-an-endoscopist-audit-and-feedback-report-for-colonoscopy\/","url":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/a-pragmatic-randomized-controlled-trial-of-an-endoscopist-audit-and-feedback-report-for-colonoscopy\/","name":"ICES | A pragmatic randomized controlled trial of an endoscopist audit and feedback report for colonoscopy","isPartOf":{"@id":"https:\/\/www.ices.on.ca\/fr\/#website"},"datePublished":"2021-09-13T04:00:00+00:00","dateModified":"2023-06-14T23:44:45+00:00","description":"Introduction &#x2014; Variation in endoscopist performance contributes to poor-quality colonoscopy. Audit and feedback (A\/F) can be used to improve","breadcrumb":{"@id":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/a-pragmatic-randomized-controlled-trial-of-an-endoscopist-audit-and-feedback-report-for-colonoscopy\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/a-pragmatic-randomized-controlled-trial-of-an-endoscopist-audit-and-feedback-report-for-colonoscopy\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/a-pragmatic-randomized-controlled-trial-of-an-endoscopist-audit-and-feedback-report-for-colonoscopy\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.ices.on.ca\/fr\/"},{"@type":"ListItem","position":2,"name":"Journal Articles","item":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/"},{"@type":"ListItem","position":3,"name":"A pragmatic randomized controlled trial of an endoscopist audit and feedback report for colonoscopy"}]},{"@type":"WebSite","@id":"https:\/\/www.ices.on.ca\/fr\/#website","url":"https:\/\/www.ices.on.ca\/fr\/","name":"ICES","description":"POPULATION-BASED HEALTH RESEARCH THAT MAKES A DIFFERENCE","publisher":{"@id":"https:\/\/www.ices.on.ca\/fr\/#organization"},"alternateName":"Institute for Clinical Evaluative Sciences","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.ices.on.ca\/fr\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Organization","@id":"https:\/\/www.ices.on.ca\/fr\/#organization","name":"ICES","alternateName":"Institute for Clinical Evaluative Sciences","url":"https:\/\/www.ices.on.ca\/fr\/","logo":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/www.ices.on.ca\/fr\/#\/schema\/logo\/image\/","url":"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2023\/04\/ices-logo.png","contentUrl":"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2023\/04\/ices-logo.png","width":"676","height":"618","caption":"ICES"},"image":{"@id":"https:\/\/www.ices.on.ca\/fr\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/ICESOntario\/","https:\/\/www.linkedin.com\/company\/ices-research-institute\/"]}]}},"_links":{"self":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/journal_article\/2229","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/journal_article"}],"about":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/types\/journal_article"}],"acf:post":[{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/research_program\/6741"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/site\/6733"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/ices_scientist\/1342"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/ices_scientist\/1177"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/ices_scientist\/1370"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/ices_scientist\/1109"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/ices_scientist\/1099"}],"wp:attachment":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/media?parent=2229"}],"wp:term":[{"taxonomy":"migration-helper-automated","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/migration-helper-automated?post=2229"},{"taxonomy":"migration-manual","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/migration-manual?post=2229"},{"taxonomy":"topic","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/topic?post=2229"},{"taxonomy":"migration-helper-qa-sample-set","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/migration-helper-qa-sample-set?post=2229"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}