@article {635806,
	title = {Physician characteristics associated with higher adenoma detection rate},
	journal = {Gastrointest Endosc},
	volume = {87},
	number = {3},
	year = {2018},
	pages = {778-786},
	abstract = {BACKGROUND AND AIMS:Patients who receive a colonoscopy from a\&nbsp;physician\&nbsp;with a low\&nbsp;adenoma\&nbsp;detection\&nbsp;rate\&nbsp;(ADR) are at\&nbsp;higher\&nbsp;risk of subsequent colorectal cancer. It is unclear what drives the variation across\&nbsp;physicians\&nbsp;in ADR. We describe\&nbsp;physician\&nbsp;characteristicsassociated\&nbsp;with\&nbsp;higher\&nbsp;ADR.METHODS:In this retrospective cohort study a natural language processing system was used to analyze all outpatient colonoscopy examinations and their\&nbsp;associated\&nbsp;pathology reports from October 2013 to September 2015 for adults age 40 years and older across\&nbsp;physicians\&nbsp;from 4 diverse health systems.\&nbsp;Physician\&nbsp;performance on ADR was risk adjusted for differences in patient population and procedure indication. Our sample included 201\&nbsp;physicians\&nbsp;performing at least 30 colonoscopy examinations during the study period, totaling 104,618 colonoscopy examinations.RESULTS:The mean ADR was 33.2\% (range, 6.3\%-58.7\%).\&nbsp;Higher\&nbsp;ADR was seen among female\&nbsp;physicians\&nbsp;(4.2 percentage points\&nbsp;higherthan men, P\&nbsp;= .020), gastroenterologists (9.4 percentage points\&nbsp;higher\&nbsp;than nongastroenterologists, P\&nbsp;\&lt; .001), and\&nbsp;physicians\&nbsp;with\&nbsp;<=9 years since their residency completion (6.0 percentage points\&nbsp;higher\&nbsp;than\&nbsp;physicians\&nbsp;who have had 27-51 years of practice, P\&nbsp;= .004).CONCLUSIONS:Gastroenterologists, female\&nbsp;physicians, and more recently trained\&nbsp;physicians\&nbsp;had\&nbsp;higher\&nbsp;performance in\&nbsp;adenomadetection.},
	author = {Mehrotra A and Morris M and Gourevitch RA and Carrell DS and Leffler DA and Rose S and Greer JB and Crockett SD and Baer A and Schoen RE}
}
