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Quality of colonoscopies performed by primary care physicians Open Access


Other title
primary care
quality assurance
Type of item
Degree grantor
University of Alberta
Author or creator
Kolber, Michael Robert
Supervisor and department
Rowe, Brian H (Emergency Medicine)
Examining committee member and department
Fedorak, Richard (Medicine)
Cave, Andrew (Family Medicine)
Wong, Clarence (Medicine)
School of Public Health Sciences

Date accepted
Graduation date
Master of Science
Degree level
This thesis examines the quality of colonoscopies performed by primary care physicians. Methods: A systematic review examined existing evidence pertaining to the quality of colonoscopies performed by primary care physicians. Subsequently, a prospective, multi-centre observational study (the Alberta Primary Care Endoscopy study) examined cecal intubation rates, adenoma detection rates, serious adverse event rates and patient satisfaction with colonoscopies performed by Albertan primary care physicians. Results: The systematic review demonstrated that primary care physicians perform safe and likely perform quality colonoscopic exams. In the APC-Endo study, the overall adjusted cecal intubation rate was 96.5% (95% CI: 94.6, 97.8). Age and sex-specific adenoma detection rates reached recommended targets. One perforation and three post polypectomy bleeds occurred, and patient satisfaction was exceptionally high. Conclusion: Primary care physicians are able to perform high quality colonoscopic exams. Training primary care physicians in gastrointestinal medicine and endoscopy may help with the colonoscopic shortage in Canada.
License granted by Michael Kolber ( on 2011-09-25T14:38:24Z (GMT): Permission is hereby granted to the University of Alberta Libraries to reproduce single copies of this thesis and to lend or sell such copies for private, scholarly or scientific research purposes only. Where the thesis is converted to, or otherwise made available in digital form, the University of Alberta will advise potential users of the thesis of the above terms. The author reserves all other publication and other rights in association with the copyright in the thesis, and except as herein provided, neither the thesis nor any substantial portion thereof may be printed or otherwise reproduced in any material form whatsoever without the author's prior written permission.
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