Dr. Wallapak Tavanapong and Dr. Johnny Wong received a 3 year grant of
$238,105 from the National Institute of Diabetes and Digestive and Kidney Diseases of the National Institutes of Health (NIH/NIDDK). This grant is in collaboration with colleagues at Mayo Clinic Rochester, Indiana University, and the University of North Texas. The grant provides additional funding to their ongoing project "Improving Colonoscopy Quality Through Automated Monitoring" funded by the Agency for Healthcare Research and Quality (AHRQ) of $899,354 for 3 years.
Colonoscopy is currently the preferred screening modality for colorectal
cancer that claims about 50,000 lives in the US annually. However,
recent data suggest that there is a significant (4-12 percent) miss-rate
associated with colonoscopy for the detection of even large polyps and
cancers. Several patient-, equipment- and endoscopist-related factors
may be responsible for this. The research team believes that the
endoscopist-related factors are most important as the endoscopist can
mitigate unfavorable conditions related to patient- or equipment-related
conditions. The team have developed software tools to derive metrics
about endoscopist-related factors from video files obtained during
colonoscopy. Using their software tools, the team will study the
following. 1) Whether computer-derived metrics reflect quality of
colonoscopy as defined by, but not limited to, the American College of
Gastroenterology (ACG) and American Society for Gastrointestinal
Endoscopy (ASGE) guidelines. 2) Whether computer-derived metrics
reflecting quality differ among beginning and experienced endoscopists.
3) Whether awareness of automated quality monitoring alters endoscopic
behavior towards best possible adherence to recommended ACG and ASGE
guidelines. Successful implementation and evaluation of the automated
quality monitoring system has the potential to improve the quality of
care of over 14 million US citizens - the approximate number of people
undergoing colonoscopy - on an annual basis.