QUALITY SCREENING MEASURES
CECAL INTUBATION RATE
Quality evaluation of the colon includes the ability to assess the most proximal aspect, the cecum. The number of times the cecum is intubated during colonoscopy is called the “cecal intubation rate.” Experienced gastroenterologists should be able to intubate the cecum in >90% of all cases and, in particular, >95% of all “screening” colonoscopies.
Dr. Asamoah has her “cecal intubation rate” at 100%.
Perforation is the most serious complication associated with a colonoscopy. The rate of perforation should be less than 1 in a 1000 in patients undergoing “screening” colonoscopies.
Dr. Asamoah is an expert in performing colonoscopies. Their “rate of complication” is well below the national norm.
“Withdrawal time” of 6 minutes or more is the recommended time taken to fully examine the colon. Studies have demonstrated increased detection of significant disease within the colon with this appropriately sufficient withdrawal time.
Dr. Asamoah’s “withdrawal time” is routinely measured and exceed the required 6 minutes.
Gastroenterologists may have variable skill levels for finding and removing pre-cancerous adenomatous polyps. Among healthy patients undergoing screening colonoscopy, adenomas should be detected in >25% of men and >15% of women over 50 years old.
Dr. Asamoahs “adenoma detection rates” are routinely measured and are well above the national standard of care.