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| 1 | Patient comfort and quality in colonoscopy显示文摘AIM: To explore the relationship of patient comfort and experience to commonly used performance indicators for colonoscopy. METHODS: All colonoscopies performed in our four endoscopy centres are recorded in two reporting systems that log key performance indicators. From 2008 to 2011, all procedures performed by qualified endoscopists were evaluated; procedures performed by trainees were excluded. The following variables were measured: Caecal intubation rate (CIR), nurse-reported comfort levels (NRCL) on a scale from 1 to 5, polyp detection rate (PDR), patient experience of the procedure (worse than expected, as expected, better than expected), and use of sedation and analgesia. Pearson' s correlation coefficient was used to identify relationships between performance indicators.RESULTS: A total of 17027 colonoscopies were performed by 23 independent endoscopists between 2008 and 2011. Caecal intubation rate varied from 79.0% to 97.8%, with 18 out of 23 endoscopists achieving a CIR of > 90%. The percentage of patients experiencing significant discomfort during their procedure (defined as NRCL of 4 or 5) ranged from 3.9% to 19.2% with an average of 7.7%. CIR was negatively correlated with NRCL-45 (r=-0.61, P < 0.005), and with poor patient experience (r=-0.54, P < 0.01). The average dose of midazolam (mean 1.9 mg, with a range of 1.1 to 3.5 mg) given by the endoscopist was negatively correlated with CIR (r=-0.59, P < 0.01). CIR was positively correlated with PDR (r=0.44, P < 0.05), and with the numbers of procedures performed by the endoscopists (r=0.64, P < 0.01). CONCLUSION: The best colonoscopists have a higher CIR, use less sedation, cause less discomfort and find more polyps. Measuring patient comfort is valuable in monitoring performance. | Vivian E Ekkelenkamp Kevin Dowler Roland M Valori Paul Dunckley | 2013 | World Journal of Gastroenterology2013，19，15： | 5 |
| 2 | Optical coherence tomography of intraocular lens implants and their relationship to the posterior capsule: a pilot study comparing a hydrophobic acrylic to a plate-haptic silicone type 显示文摘 | Elgohary MA Chauhan DS Dowler JG | 2006 | Ophthalmic Res2006，38，3： | 1 |
| 3 | Phosphoinositide 3-kinase-dependent phosphorylation of the dual adaptor for phosphotyrosine and 3-phosphoinositides by the Src family of tyrosine kinase显示文摘 | Dowler S Montalvo L Cantrell D | 2000 | Biochem J2000，349，： | 1 |
| 4 | , 1996, Caregiving for parents and parentsin-law:Is gender important显示文摘 | Ingersoll-Dayton B Starrels ME Dowler D | 1996 | Gerontologist1996，36，4： | 1 |
| 5 | Chromosomal localization of the human gene encoding c-myc promoter-binding protein(MPB1) to chromosome 1P53-pter显示文摘 | White R A Adkison L R Dowler L L | 1997 | Genomics1997，39，3： | 1 |
| 6 | Polymeric microcapsules of cyanazine: preparation and evaluation of efficacy显示文摘 | Oliver D Dailey Clyde C Dowler | 1998 | J AgriFoodChem1998，46，： | 1 |
| 7 | Patient comfort and quality in colonoscopy 显示文摘 | Ekkelenkamp VE Dowler K Valo- ri RM | 2013 | World J Gastroentero12013，19，15： | 1 |
| 8 | Chromosomal localization of the human gene encoding c-myc promoter binding protein(MPB1)to chromosome 1p35-pter显示文摘 | White RA Adkison LR Dowler LL | 1997 | Genomics1997，39，3： | 1 |
| 9 | Incidence and risk factors of Nd:YAG capsulotomy after phacoemulsification in non-diabetic and diabetic patients显示文摘 | Elgohary MA Dowler JG | 2006 | Clin Exp Ophthalmol2006，34，6： | 1 |
| 10 | The natural history of macular edema after cataract surgery in diabetes显示文摘 | Dowler JG Schmi KS Hykin PG | 1999 | Ophthalmology1999，106，4： | 1 |
| 11 | Weed survey-southern states 显示文摘 | Dowler C C | 1992 | Weed Science1992，45，： | 1 |
| 12 | Performance characteristics of brush seals for limited-life engines显示文摘 | CHUPP R E DOWLER C A | 1993 | ASME Journal of Engineering for Gas Turbines and Power1993，115，2： | 1 |
| 13 | The role of community involvement and number/type of visitors on tourism impacts : A controlled comparison of Annapurna, Nepal and Northwest Yunnan, China 显示文摘 | Gyan P N Morais D B Dowler L | 2006 | Tourism Management2006，27，6： | 1 |
| 14 | Possible food economies:a methodological framework for exploring food production-consumption relationships显示文摘 | Holloway L Kneafsey M Venn L Cox R Dowler E.and Tuomainen H | | 0，，： | 1 |
| 15 | Terminal oxidation in cell-free extracts of fungi显示文摘 | Dowler W M Shaw P D David G | 1963 | J Bacteriol1963，86，： | 1 |
| 16 | Sensitivity of selected field corn inbreds (Zea mays) to nicosulfuron显示文摘 | Widstrom N W Dowler C C | 1995 | Weed Technology1995，9，： | 1 |
| 17 | Emergency department perspective on methicillin-resistant Staphylococcus aureus显示文摘 | Singer J Dowler M Bosscher B | 2006 | Pediatr Emerg Care2006，22，4： | 1 |
| 18 | Performance Characteristics of Brush Seals for Limited-Life Engines 显示文摘 | CHUPP R E DOWLER C A | 1993 | ASME Journal of Engineering for Gas Turbines and Power1993，115，2： | 1 |
| 19 | The role of community involvement and number/ type of visitors on tourism impacts:A controlled comparison of Annapurna,Nepal and Northwest Yunnan,China显示文摘 | Nyaupane G P Morais D B Dowler L(2006) | 2006 | Tourism Management2006，，： | 1 |
| 20 | Performanee characteristics of brush seals for limited life engines显示文摘 | Chupp R E Dowler C A | 1993 | Journal of Engineering for Gas Turbine Sand Power1993，115，4： | 1 |
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