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Increased ERCP volume improves cholangiogram interpretation: a new performance measure for ERCP training?

Vedantam, S, Amin, S, Maher, B, Ahmad, S, Kadir, S, Niaz, SK, Wright, M and Tehami, N (2022) Increased ERCP volume improves cholangiogram interpretation: a new performance measure for ERCP training? Clinical Endoscopy, 55 (3). pp. 426-433. ISSN 2234-2400

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Background/Aims: Cholangiogram interpretation is not used as a key performance indicator (KPI) of endoscopic retrograde cholangiopancreatography (ERCP) training, and national societies recommend different minimum numbers per annum to maintain competence. This study aimed to determine the relationship between correct ERCP cholangiogram interpretation and experience. Methods: One hundred fifty ERCPists were surveyed to appropriately interpret ERCP cholangiographic findings. There were three groups of 50 participants each: “Trainees,” “Consultants group 1” (performed >75 ERCPs per year), and “Consultants group 2” (performed >100 ERCPs per year). Results: Trainees was inferior to Consultants groups 1 and 2 in identifying all findings except choledocholithiasis outside the intrahepatic duct on the initial or completion/occlusion cholangiogram. Consultants group 1 was inferior to Consultants group 2 in identifying Strasberg type A bile leaks (odds ratio [OR], 0.86; 95% confidence interval [CI], 0.77−0.96), Strasberg type B (OR, 0.84; 95% CI, 0.74−0.95), and Bismuth type 2 hilar strictures (OR, 0.81; 95% CI, 0.69−0.95). Conclusions: This investigation supports the notion that cholangiogram interpretation improves with increased annual ERCP case volumes. Thus, a higher annual volume of procedures performed may improve the ability to correctly interpret particularly difficult findings. Cholangiogram interpretation, in addition to bile duct cannulation, could be considered as another KPI of ERCP training.

Item Type: Article
Subjects: N Fine Arts > NC Drawing Design Illustration
R Medicine > R Medicine (General)
T Technology > T Technology (General)
Divisions: Art & Design
Publisher: The Korean Society of Gastrointestinal Endoscopy
SWORD Depositor: A Symplectic
Date Deposited: 23 Nov 2022 14:44
Last Modified: 23 Nov 2022 14:45
DOI or ID number: 10.5946/ce.2021.239
URI: https://researchonline.ljmu.ac.uk/id/eprint/18209
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