The effect of nurse assisted colonoscopy on adenoma detection rates: A meta-analysis of randomized controlled trials

Background Adenoma’s detection rates have been reported to vary with the participation status of endoscopic nurses during colonoscopy. This meta-analysis was conducted to determine whether the participation of endoscopy nurses during colonoscopy contributed to the improved detection rate of polyps a...

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Published inInternational journal of colorectal disease Vol. 39; no. 1; p. 19
Main Authors Lei, Xiaoju, Dai, Jing, Qiu, Danying, Peng, Liping, Weng, Xiuping, Xia, Meidan, Luo, Xiaoting
Format Journal Article
LanguageEnglish
Published Berlin/Heidelberg Springer Berlin Heidelberg 16.01.2024
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Summary:Background Adenoma’s detection rates have been reported to vary with the participation status of endoscopic nurses during colonoscopy. This meta-analysis was conducted to determine whether the participation of endoscopy nurses during colonoscopy contributed to the improved detection rate of polyps and adenomas. Methods We retrieved English original research from PubMed, Embase, Web of Science, and Cochrane library databases and Chinese original research from the CNKI Data database. We searched for randomized controlled trials (RCTs) comparing the effect of participation of endoscopy nurses during colonoscopy of colorectal polyps and adenomas on polyp detection rates to that of nonparticipation. RevMan5.4 software was used to perform the meta-analysis. Results This meta-analysis included 11 randomized controlled trials involving 8278 patients. The results showed no significant difference between colonoscopies performed by nurses and endoscopists, but colonoscopies performed by two nurses significantly improved the detection rate of polyps and adenomas. In the random effects model, there was a significant difference in PDR between the single-observation and dual-observation groups (RR, 1.27; 95%CI, 1.05, 1.54; Z  = 2.51; P  = 0.01). The ADR difference between the single observation group and the double observation group was statistically significant (RR, 1.15; 95%CI, 1.05, 1.26; Z  = 2.91; P  = 0.004). Conclusion Endoscopy nurses’ participation in colonoscopy can improve the detection rate of polyps and adenomas, However, more research is needed to confirm the results.
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ISSN:1432-1262
1432-1262
DOI:10.1007/s00384-023-04585-5