Room for quality improvement in endoscopist-directed sedation: Results from the first nationwide survey in Korea

Chang Kyun Lee, Seok Ho Dong, Eun Sun Kim, Sung Hoon Moon, Hong Jun Park, Dong Hoon Yang, Young Chul Yoo, Tae Hoon Lee, SangKil Lee, Jong Jin Hyun

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background/Aims: This study sought to characterize the current sedation practices of Korean endoscopists in real-world settings. Methods: All active members of the Korean Society of Gastrointestinal Endoscopy were invited to complete an anonymous 35-item questionnaire. Results: The overall response rate was 22.7% (1,332/5,860). Propofol-based sedation was the dominant method used in both elective esophagogastroduodenoscopy (55.6%) and colonoscopy (52.6%). The mean satisfaction score for propofol-based sedation was significantly higher than that for standard sedation in both examinations (all p<0.001). The use of propofol was supervised exclusively by endoscopists (98.6%). Endoscopists practicing in nonacademic settings, gastroenterologists, or endoscopists with <10 years of endoscopic practice were more likely to use propofol than were their counterparts (all p<0.001). In total, 27.3% of all respondents performed sedation practices without having undergone sedation training, and 27.4% did so without any formal sedation protocols. The choice of propofol as the dominant sedation method was the only significant predictor of endoscopist experience with serious sedation-related adverse events (odds ratio, 1.854; 95% confidence interval, 1.414 to 2.432). Conclusions: Endoscopist-directed propofol administration is the predominant sedation method used in Korea. This survey strongly suggests that there is much room for quality improvement regarding sedation training and patient vigilance in endoscopist-directed sedation.

Original languageEnglish
Pages (from-to)83-94
Number of pages12
JournalGut and Liver
Volume10
Issue number1
DOIs
Publication statusPublished - 2016 Jan 1

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Propofol
Korea
Quality Improvement
Digestive System Endoscopy
Colonoscopy
Surveys and Questionnaires
Odds Ratio
Confidence Intervals

All Science Journal Classification (ASJC) codes

  • Hepatology
  • Gastroenterology

Cite this

Lee, C. K., Dong, S. H., Kim, E. S., Moon, S. H., Park, H. J., Yang, D. H., ... Hyun, J. J. (2016). Room for quality improvement in endoscopist-directed sedation: Results from the first nationwide survey in Korea. Gut and Liver, 10(1), 83-94. https://doi.org/10.5009/gnl15343
Lee, Chang Kyun ; Dong, Seok Ho ; Kim, Eun Sun ; Moon, Sung Hoon ; Park, Hong Jun ; Yang, Dong Hoon ; Yoo, Young Chul ; Lee, Tae Hoon ; Lee, SangKil ; Hyun, Jong Jin. / Room for quality improvement in endoscopist-directed sedation : Results from the first nationwide survey in Korea. In: Gut and Liver. 2016 ; Vol. 10, No. 1. pp. 83-94.
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abstract = "Background/Aims: This study sought to characterize the current sedation practices of Korean endoscopists in real-world settings. Methods: All active members of the Korean Society of Gastrointestinal Endoscopy were invited to complete an anonymous 35-item questionnaire. Results: The overall response rate was 22.7{\%} (1,332/5,860). Propofol-based sedation was the dominant method used in both elective esophagogastroduodenoscopy (55.6{\%}) and colonoscopy (52.6{\%}). The mean satisfaction score for propofol-based sedation was significantly higher than that for standard sedation in both examinations (all p<0.001). The use of propofol was supervised exclusively by endoscopists (98.6{\%}). Endoscopists practicing in nonacademic settings, gastroenterologists, or endoscopists with <10 years of endoscopic practice were more likely to use propofol than were their counterparts (all p<0.001). In total, 27.3{\%} of all respondents performed sedation practices without having undergone sedation training, and 27.4{\%} did so without any formal sedation protocols. The choice of propofol as the dominant sedation method was the only significant predictor of endoscopist experience with serious sedation-related adverse events (odds ratio, 1.854; 95{\%} confidence interval, 1.414 to 2.432). Conclusions: Endoscopist-directed propofol administration is the predominant sedation method used in Korea. This survey strongly suggests that there is much room for quality improvement regarding sedation training and patient vigilance in endoscopist-directed sedation.",
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Lee, CK, Dong, SH, Kim, ES, Moon, SH, Park, HJ, Yang, DH, Yoo, YC, Lee, TH, Lee, S & Hyun, JJ 2016, 'Room for quality improvement in endoscopist-directed sedation: Results from the first nationwide survey in Korea', Gut and Liver, vol. 10, no. 1, pp. 83-94. https://doi.org/10.5009/gnl15343

Room for quality improvement in endoscopist-directed sedation : Results from the first nationwide survey in Korea. / Lee, Chang Kyun; Dong, Seok Ho; Kim, Eun Sun; Moon, Sung Hoon; Park, Hong Jun; Yang, Dong Hoon; Yoo, Young Chul; Lee, Tae Hoon; Lee, SangKil; Hyun, Jong Jin.

In: Gut and Liver, Vol. 10, No. 1, 01.01.2016, p. 83-94.

Research output: Contribution to journalArticle

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T1 - Room for quality improvement in endoscopist-directed sedation

T2 - Results from the first nationwide survey in Korea

AU - Lee, Chang Kyun

AU - Dong, Seok Ho

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AU - Moon, Sung Hoon

AU - Park, Hong Jun

AU - Yang, Dong Hoon

AU - Yoo, Young Chul

AU - Lee, Tae Hoon

AU - Lee, SangKil

AU - Hyun, Jong Jin

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N2 - Background/Aims: This study sought to characterize the current sedation practices of Korean endoscopists in real-world settings. Methods: All active members of the Korean Society of Gastrointestinal Endoscopy were invited to complete an anonymous 35-item questionnaire. Results: The overall response rate was 22.7% (1,332/5,860). Propofol-based sedation was the dominant method used in both elective esophagogastroduodenoscopy (55.6%) and colonoscopy (52.6%). The mean satisfaction score for propofol-based sedation was significantly higher than that for standard sedation in both examinations (all p<0.001). The use of propofol was supervised exclusively by endoscopists (98.6%). Endoscopists practicing in nonacademic settings, gastroenterologists, or endoscopists with <10 years of endoscopic practice were more likely to use propofol than were their counterparts (all p<0.001). In total, 27.3% of all respondents performed sedation practices without having undergone sedation training, and 27.4% did so without any formal sedation protocols. The choice of propofol as the dominant sedation method was the only significant predictor of endoscopist experience with serious sedation-related adverse events (odds ratio, 1.854; 95% confidence interval, 1.414 to 2.432). Conclusions: Endoscopist-directed propofol administration is the predominant sedation method used in Korea. This survey strongly suggests that there is much room for quality improvement regarding sedation training and patient vigilance in endoscopist-directed sedation.

AB - Background/Aims: This study sought to characterize the current sedation practices of Korean endoscopists in real-world settings. Methods: All active members of the Korean Society of Gastrointestinal Endoscopy were invited to complete an anonymous 35-item questionnaire. Results: The overall response rate was 22.7% (1,332/5,860). Propofol-based sedation was the dominant method used in both elective esophagogastroduodenoscopy (55.6%) and colonoscopy (52.6%). The mean satisfaction score for propofol-based sedation was significantly higher than that for standard sedation in both examinations (all p<0.001). The use of propofol was supervised exclusively by endoscopists (98.6%). Endoscopists practicing in nonacademic settings, gastroenterologists, or endoscopists with <10 years of endoscopic practice were more likely to use propofol than were their counterparts (all p<0.001). In total, 27.3% of all respondents performed sedation practices without having undergone sedation training, and 27.4% did so without any formal sedation protocols. The choice of propofol as the dominant sedation method was the only significant predictor of endoscopist experience with serious sedation-related adverse events (odds ratio, 1.854; 95% confidence interval, 1.414 to 2.432). Conclusions: Endoscopist-directed propofol administration is the predominant sedation method used in Korea. This survey strongly suggests that there is much room for quality improvement regarding sedation training and patient vigilance in endoscopist-directed sedation.

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