Authors: Young S Oh Chelsea L Collins Shamsuddin Virani MinSu Kim Julie A Slicker Jeffrey L Jackson
Publish Date: 2013/05/22
Volume: 58, Issue: 12, Pages: 3413-3421
Abstract
Following Preferred Reporting Items for Systematic Reviews and MetaAnalyses guidelines pertinent articles that reported ADR and/or PDR between attending physicians alone compared to gastroenterology fellows with attending physicians were obtained through database searches Data was abstracted and pooled using a random effects model The quality of each included study was ascertained using a modified version of the Quality Assessment of Diagnostic Accuracy Studies tool and potential publication bias was assessedA total of 14 articles that included 21504 colonoscopies met the inclusion criteria The overall PDR and ADR were 444 and 308 respectively No significant differences were found between participant characteristics and colonoscopies performed with or without fellow participation No significant differences were found in the relative rate of ADR 104 95 CI 094–115 or PDR 103 95 CI 093–114 with or without a fellow An important limitation is that none of the included studies randomized fellow involvement
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