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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 | 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 |
| 3 | 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 |
| 4 | 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 |
| 5 | Emergency department perspective on methicillin - resistant Staphylo- coccus aureus 显示文摘 | Singer J Dowler M Bosscher B | 2006 | Pediatr Emerg Care2006，22，4： | 1 |
| 6 | 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 |
| 7 | Are dopamine- related genotypes risk factors for excessive gestational weight gain?显示文摘 | Goldfield GS Dowler LM Walker M | 2013 | Int J Womens Health2013，5，： | 1 |
| 8 | A Comparison of Isozymes of Phakopsora pachyrhizifrom the Eastern Hemisphere and the New World显示文摘 | BONDE M R PETERSON G L DOWLER W M | 1988 | Phytopathology1988，78，： | 1 |
| 9 | Crystal structure of the phosphatidylinositol 3,4-bisphosphate-binding pleckstrin homology (PH) domain of tandem PH-domain-containing protein 1(TAPP1) molecular basis of lipid specificity显示文摘 | DOWLER S DEAK M | 2001 | Biochem J2001，358，2： | 1 |
| 10 | Determination of pasture dry matter intake rates in different seasons显示文摘 | Lauren E Dowler M S Paul D | 2012 | Journal of Equine Veterinary Science and Their Application in Grazing Management2012，32，： | 1 |
| 11 | Effects of Duration, Frequency and Temperature of leaf Wetness Periods on Soybean Rust 显示文摘 | Melching J S Dowler W M Kogle D L | 1989 | Plant Disease1989，73，2： | 1 |
| 12 | Phacoemulsifiation Versus extracapsular Cataracl extraction in patients with Diabetes显示文摘 | Hykin PG Hamilton A M | 2000 | Ophthatmology2000，107，： | 1 |
| 13 | Isozyme analysis to differentiate species of Peronosclerospora causing downy mildews of maize显示文摘 | Bonde M R Peterson G L Dowler W M | 1984 | Phytopathology1984，74，： | 1 |
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