Expanding Access to XXXX Screening: Benchmarking Quality Indicators in a Primary Care Colonoscopy Program.

@entity1 @entity652 @entity14 @entity548
BACKGROUND: An inadequate supply of physicians who perform colonoscopies contributes to suboptimal screening rates, especially among the underserved. This shortage could be reduced if primary care physicians perform colonoscopies. This purpose of this article is to report quality indicators from colonoscopy procedures performed by family medicine physicians as part of a @entity14 prevention program targeting uninsured, low-income individuals. METHODS: A grant-funded @entity14 screening program was implemented to increase access to affordable colonoscopies for underinsured or uninsured residents of target counties while providing colonoscopy training to family medicine resident physicians. Colonoscopies were performed or supervised by 4 board-certified family physicians. Data were collected between 2011 and 2014. RESULTS: A total of 1155 colonoscopies were performed on 1101 individuals over a 3-year period. Cecal intubation rate was 96.25%. @entity652 detection rates among @entity1 and @entity1 >50 years old were 38.15% and 25.96%, respectively. There was 1 perforation, which was referred to a hospital, and 1 instance of postprocedural @entity548 , which spontaneously resolved. CONCLUSIONS: Primary care physicians performing colonoscopies met the recommended quality indicators set forth by the American Society for Gastrointestinal Endoscopy.
