Skip to main content

Advertisement

SpringerLink
Log in

Impact of Endoscopists’ Personality Traits on Adenoma and Polyp Detection Rates in Colonoscopy: A KASID Multicenter Study

  • Original Article
  • Published:
Digestive Diseases and Sciences Aims and scope Submit manuscript

Abstract

Background

The personality traits of endoscopists have been suggested to affect the adenoma detection rate (ADR). We thus evaluated the relationship between endoscopists’ personality traits and the ADR during colonoscopy using the Minnesota Multiphasic Personality Inventory-2 (MMPI-2).

Methods

In total, 1230 patients (asymptomatic and aged 50–80 years) who underwent screening or surveillance (≥ 5 years) colonoscopy were recruited from 13 university hospitals by 20 endoscopists between September 2015 and December 2017. We retrospectively measured the ADR, polyp detection rate (PDR), and number of adenomas per colonoscopy (APC). All 20 endoscopists completed all 567 true/false MMPI-2 items.

Results

The overall mean colonoscopy withdrawal time, PDR, ADR, and APC were 7.3 ± 2.8 min, 55%, 45.3%, and 0.97 ± 1.58, respectively. No significant difference was observed in the MMPI-2 clinical scales (e.g., hypochondriasis and psychasthenia), content scales (e.g., obsessiveness and type A character), or supplementary scales (e.g., dominance and social responsibility) between the high ADR group (ADR ≥45%, n = 10) and the low ADR group (ADR < 45%, n = 10). In multivariate logistic regression analysis, the ADR was associated significantly with patient age and sex. The ADR was related significantly to endoscopists’ colonoscopy experience and the per-minute increase in the colonoscopy withdrawal time (OR 1.21, 95% CI 1.06–1.38, p = 0.005). In a logistic regression analysis adjusted for patient factors, the ADR was associated significantly with ego strength (OR 1.04, 95% CI 1.00–1.09, p = 0.044), as measured by the MMPI-2.

Conclusions

With the exception of ego strength, the endoscopists’ personality traits were not associated with adenoma or polyp detection.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Niikura R, Hirata Y, Suzuki N, et al. Colonoscopy reduces colorectal cancer mortality: a multicenter, long-term, colonoscopy-based cohort study. PLoS One. 2017;12:e0185294.

    Article  Google Scholar 

  2. Doubeni CA, Corley DA, Quinn VP, et al. Effectiveness of screening colonoscopy in reducing the risk of death from right and left colon cancer: a large community-based study. Gut. 2018;67:291–298.

    Article  Google Scholar 

  3. Zauber AG, Winawer SJ, O’Brien MJ, et al. Colonoscopic polypectomy and long-term prevention of colorectal-cancer deaths. N Engl J Med. 2012;366:687–696.

    Article  CAS  Google Scholar 

  4. Rex DK, Schoenfeld PS, Cohen J, et al. Quality indicators for colonoscopy. Gastrointest Endosc. 2015;81:31–53.

    Article  Google Scholar 

  5. Kaminski MF, Thomas-Gibson S, Bugajski M, et al. Performance measures for lower gastrointestinal endoscopy: a European society of gastrointestinal endoscopy (ESGE) quality improvement initiative. Endoscopy. 2017;49:378–397.

    Article  Google Scholar 

  6. Jover R, Zapater P, Polania E, et al. Modifiable endoscopic factors that influence the adenoma detection rate in colorectal cancer screening colonoscopies. Gastrointest Endosc. 2013;77:381–389 e381.

    Article  Google Scholar 

  7. Anderson JC, Butterly LF. Colonoscopy: quality indicators. Clin Transl Gastroenterol. 2015;6:e77.

    Article  Google Scholar 

  8. Kaminski MF, Regula J, Kraszewska E, et al. Quality indicators for colonoscopy and the risk of interval cancer. N Engl J Med. 2010;362:1795–1803.

    Article  CAS  Google Scholar 

  9. Kaminski MF, Wieszczy P, Rupinski M, et al. Increased rate of adenoma detection associates with reduced risk of colorectal cancer and death. Gastroenterology. 2017;153:98–105.

    Article  Google Scholar 

  10. Chen SC, Rex DK. Endoscopist can be more powerful than age and male gender in predicting adenoma detection at colonoscopy. Am J Gastroenterol. 2007;102:856–861.

    Article  Google Scholar 

  11. Barret M, Chaussade S, Coriat R. Adenoma detection rate and risk of colorectal cancer and death. N Engl J Med. 2014;370:2540–2541.

    CAS  PubMed  Google Scholar 

  12. Rex DK. Colonoscopic withdrawal technique is associated with adenoma miss rates. Gastrointest Endosc. 2000;51:33–36.

    Article  CAS  Google Scholar 

  13. Aronchick CA, Lipshutz WH, Wright SH, Dufrayne F, Bergman G. A novel tableted purgative for colonoscopic preparation: efficacy and safety comparisons with colyte and fleet phospho-soda. Gastrointest Endosc. 2000;52:346–352.

    Article  CAS  Google Scholar 

  14. Han K, Lim J, Min B, Lee J, Moon K, Kim Z. Korean MMPI2 standardization study. Korean J Clin Psychol. 2006;25:533–564.

    Google Scholar 

  15. Choi JY, Choi YM, Gim MS, Park JH, Park SH. The effects of childhood abuse on symptom complexity in a clinical sample: mediating effects of emotion regulation difficulties. Child Abus Negl. 2014;38:1313–1319.

    Article  Google Scholar 

  16. Ketterer HL, Han K, Hur J, Moon K. Development and validation of culture-specific variable response inconsistency and true response inconsistency scales for use with the Korean MMPI-2. Psychol Assess. 2010;22:504–519.

    Article  Google Scholar 

  17. Sadock BJ, Sadock VA, Ruiz P, Kaplan HI. Kaplan and Sadock’s Comprehensive Textbook of Psychiatry. 9th ed. 2009; 1:956.

  18. Bretagne JF, Hamonic S, Piette C, et al. Variations between endoscopists in rates of detection of colorectal neoplasia and their impact on a regional screening program based on colonoscopy after fecal occult blood testing. Gastrointest Endosc. 2010;71:335–341.

    Article  Google Scholar 

  19. Lee RH, Tang RS, Muthusamy VR, et al. Quality of colonoscopy withdrawal technique and variability in adenoma detection rates (with videos). Gastrointest Endosc. 2011;74:128–134.

    Article  Google Scholar 

  20. Corley DA, Levin TR, Doubeni CA. Adenoma detection rate and risk of colorectal cancer and death. N Engl J Med. 2014;370:2541.

    Article  CAS  Google Scholar 

  21. Adler A, Wegscheider K, Lieberman D, et al. Factors determining the quality of screening colonoscopy: a prospective study on adenoma detection rates, from 12,134 examinations (Berlin colonoscopy project 3, BECOP-3). Gut. 2013;62:236–241.

    Article  Google Scholar 

  22. Gurudu SR, Ramirez FC, Harrison ME, Leighton JA, Crowell MD. Increased adenoma detection rate with system-wide implementation of a split-dose preparation for colonoscopy. Gastrointest Endosc. 2012;76:603–608 e601.

    Article  Google Scholar 

  23. Adler A, Aminalai A, Aschenbeck J, et al. Latest generation, wide-angle, high-definition colonoscopes increase adenoma detection rate. Clin Gastroenterol Hepatol. 2012;10:155–159.

    Article  Google Scholar 

  24. Facciorusso A, Del Prete V, Buccino RV, et al. Comparative efficacy of colonoscope distal attachment devices in increasing rates of adenoma detection: a network meta-analysis. Clin Gastroenterol Hepatol. 2018;16:1209–1219 e1209.

    Google Scholar 

  25. Rex DK, Petrini JL, Baron TH, et al. Quality indicators for colonoscopy. Gastrointest Endosc. 2006;63:S16–S28.

    Article  Google Scholar 

  26. Jung Y, Joo YE, Kim HG, et al. Relationship between the endoscopic withdrawal time and adenoma/polyp detection rate in individual colonic segments: a KASID multicenter study. Gastrointest Endosc. 2019;89:523–530.

    Article  Google Scholar 

  27. Guo CG, Zhang F, Ji R, et al. Efficacy of segmental re-examination of proximal colon for adenoma detection during colonoscopy: a randomized controlled trial. Endoscopy. 2017;49:243–250.

    Article  CAS  Google Scholar 

  28. Dominic OG, McGarrity T, Dignan M, Lengerich EJ. American college of gastroenterology guidelines for colorectal cancer screening 2008. Am J Gastroenterol. 2009;104:2626–2627. (author reply 2628–2629).

    Article  Google Scholar 

  29. Ezaz G, Leffler DA, Beach S, et al. Association between endoscopist personality and rate of adenoma detection. Clin Gastroenterol Hepatol. 2018;17:1571–1579.

    Article  Google Scholar 

  30. Butcher JN, Dahlstrom WG, Graham JR, Tellegen A, Kaemmer B. Manual for the Restandardized Minnesota Multiphasic Personality Inventory: MMPI-2. Minneapolis: University of Minnesota Press; 1989.

    Google Scholar 

  31. Munoz I, Dominguez E, Hernandez MS, et al. Personality traits in patients with chronic migraine: a categorial and dimensional study in a series of 30 patients. Rev Neurol. 2015;61:49–56.

    PubMed  Google Scholar 

  32. Balducci C, Alfano V, Fraccaroli F. Relationships between mobbing at work and MMPI-2 personality profile, posttraumatic stress symptoms, and suicidal ideation and behavior. Violence Vict. 2009;24:52–67.

    Article  Google Scholar 

  33. Gerra G, Bertacca S, Zaimovic A, Pirani M, Branchi B, Ferri M. Relationship of personality traits and drug of choice by cocaine addicts and heroin addicts. Subst Use Misuse. 2008;43:317–330.

    Article  CAS  Google Scholar 

  34. Markstrom CA, Marshall SK. The psychosocial inventory of ego strengths: examination of theory and psychometric properties. J Adolesc. 2007;30:63–79.

    Article  Google Scholar 

  35. Kahi CJ, Ballard D, Shah AS, Mears R, Johnson CS. Impact of a quarterly report card on colonoscopy quality measures. Gastrointest Endosc. 2013;77:925–931.

    Article  Google Scholar 

  36. Rex DK, Hewett DG, Raghavendra M, Chalasani N. The impact of videorecording on the quality of colonoscopy performance: a pilot study. Am J Gastroenterol. 2010;105:2312–2317.

    Article  Google Scholar 

  37. Dunckley P, Elta G. Quality assurance of training. Best Pract Res Clin Gastroenterol. 2011;25:397–407.

    Article  Google Scholar 

  38. Eckardt AJ. Optimizing adenoma detection rates: equipment, experience or education? Ann Gastroenterol. 2013;26:272–274.

    PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgment

This work was supported by a Soonchunhyang University Research Fund.

Author information

Authors and Affiliations

  1. Department of Internal Medicine, Soonchunhyang University College of Medicine, Cheonan, Republic of Korea

    Yunho Jung

  2. Department of Internal Medicine, Kyung Hee University School of Medicine, Seoul, Republic of Korea

    Jae Myung Cha

  3. Department of Psychiatry, Konyang University College of Medicine, Daejeon, Republic of Korea

    Na-Hyun Lee

  4. Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Republic of Korea

    Young-Eun Joo

  5. Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Republic of Korea

    Yoo Jin Lee

  6. Department of Internal Medicine, Soonchunhyang University College of Medicine, Seoul, Republic of Korea

    Hyun Gun Kim & Seong Ran Jeon

  7. Department of Internal Medicine, Dankook University College of Medicine, Cheonan, Republic of Korea

    Jeong Eun Shin

  8. Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea

    Hyo-Joon Yang

  9. Department of Internal Medicine, Chosun University, Gwangju, Republic of Korea

    Jun Lee

  10. Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Republic of Korea

    Kyeong Ok Kim

  11. Department of Internal Medicine, Inje University Ilsan Paik Hospital, Goyang, Republic of Korea

    Jong Wook Kim

  12. Department of Internal Medicine, Jeju National University School of Medicine, Jeju, Republic of Korea

    Soo-Young Na & Sun-Jin Boo

  13. Department of Internal Medicine, Kosin University College of Medicine, Busan, Republic of Korea

    Jae Hyun Kim

  14. Department of Clinical Psychology, Soonchunhyang University Cheonan Hospital, Cheonan, Republic of Korea

    Mee Jung Han

  15. Department of Preventive Medicine, Soonchunhyang University College of Medicine, Cheonan, Republic of Korea

    Young Hwangbo

  16. Division of Gastroenterology, Department of Internal Medicine, Konyang University College of Medicine, Konyang University Hospital, 685 Gasuwon-dong, Daejeon, Choongnam, 302-718, Republic of Korea

    Kyu Chan Huh

Authors
  1. Yunho Jung
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Jae Myung Cha
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Na-Hyun Lee
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Young-Eun Joo
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Yoo Jin Lee
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Hyun Gun Kim
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Seong Ran Jeon
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Jeong Eun Shin
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Hyo-Joon Yang
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. Jun Lee
    View author publications

    You can also search for this author in PubMed Google Scholar

  11. Kyeong Ok Kim
    View author publications

    You can also search for this author in PubMed Google Scholar

  12. Jong Wook Kim
    View author publications

    You can also search for this author in PubMed Google Scholar

  13. Soo-Young Na
    View author publications

    You can also search for this author in PubMed Google Scholar

  14. Sun-Jin Boo
    View author publications

    You can also search for this author in PubMed Google Scholar

  15. Jae Hyun Kim
    View author publications

    You can also search for this author in PubMed Google Scholar

  16. Mee Jung Han
    View author publications

    You can also search for this author in PubMed Google Scholar

  17. Young Hwangbo
    View author publications

    You can also search for this author in PubMed Google Scholar

  18. Kyu Chan Huh
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Kyu Chan Huh.

Ethics declarations

Conflict of interest

The authors declare they have no competing interests.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Jung, Y., Cha, J.M., Lee, NH. et al. Impact of Endoscopists’ Personality Traits on Adenoma and Polyp Detection Rates in Colonoscopy: A KASID Multicenter Study. Dig Dis Sci 65, 2302–2310 (2020). https://doi.org/10.1007/s10620-020-06158-w

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10620-020-06158-w

Keywords

Search

Navigation