Sex discordance between patients and endoscopists and colonoscopy outcome: a database analysis.
1/5 보강
PICO 자동 추출 (휴리스틱, conf 3/4)
유사 논문P · Population 대상 환자/모집단
환자: male endoscopists 0
I · Intervention 중재 / 시술
male physicians in cardiology and surgery
C · Comparison 대조 / 비교
추출되지 않음
O · Outcome 결과 / 결론
0.98, 0.55, 0.66, 0.03, respectively, in female patients with male endoscopists. [CONCLUSIONS] Although subjective discomfort scores were slightly higher for female endoscopists, both for male and female patients, our results show that endoscopist sex has a negligible impact on CRC-screening colonoscopy outcomes.
[BACKGROUND AND STUDY AIM] Sex disparities in medicine have been shown to have clinical implications for patient outcomes.
APA
Theunissen F, de Jong DM, et al. (2026). Sex discordance between patients and endoscopists and colonoscopy outcome: a database analysis.. Scandinavian journal of gastroenterology, 1-7. https://doi.org/10.1080/00365521.2026.2636743
MLA
Theunissen F, et al.. "Sex discordance between patients and endoscopists and colonoscopy outcome: a database analysis.." Scandinavian journal of gastroenterology, 2026, pp. 1-7.
PMID
41808376
Abstract
[BACKGROUND AND STUDY AIM] Sex disparities in medicine have been shown to have clinical implications for patient outcomes. Previous studies have highlighted worse outcomes for female patients treated by male physicians in cardiology and surgery. This study aims to assess the effect of sex discordance between patients and endoscopists on colonoscopy outcomes.
[METHODS] Data from a gastrointestinal (GI) endoscopy database was used. All colorectal cancer (CRC) screening colonoscopies performed between January 2016 and December 2020 in 17 Dutch hospitals were analyzed. Primary outcomes included cecal intubation rate (CIR), adenoma detection rate (ADR), polyp detection rate (PDR) and patient discomfort measured by the Gloucester Comfort Scale (GCS). Associations between sex discordance (male-male, male-female, female-female and female-male) and outcomes were estimated using logistic mixed-effects models, accounting for various covariates and random effects.
[RESULTS] We included 44,944 CRC-screening colonoscopies performed by 115 endoscopists, 53.4% were sex-concordant procedures. Predicted probabilities for CIR, ADR, PDR and discomfort were in male patients with male endoscopists 0.98, 0.65, 0.75, 0.01 . 0.98, 0.67, 0.77, 0.02, respectively, in male patients with female endoscopists. In female patients with female endoscopists these outcomes were 0.98, 0.54, 0.67, 0.04 . 0.98, 0.55, 0.66, 0.03, respectively, in female patients with male endoscopists.
[CONCLUSIONS] Although subjective discomfort scores were slightly higher for female endoscopists, both for male and female patients, our results show that endoscopist sex has a negligible impact on CRC-screening colonoscopy outcomes.
[METHODS] Data from a gastrointestinal (GI) endoscopy database was used. All colorectal cancer (CRC) screening colonoscopies performed between January 2016 and December 2020 in 17 Dutch hospitals were analyzed. Primary outcomes included cecal intubation rate (CIR), adenoma detection rate (ADR), polyp detection rate (PDR) and patient discomfort measured by the Gloucester Comfort Scale (GCS). Associations between sex discordance (male-male, male-female, female-female and female-male) and outcomes were estimated using logistic mixed-effects models, accounting for various covariates and random effects.
[RESULTS] We included 44,944 CRC-screening colonoscopies performed by 115 endoscopists, 53.4% were sex-concordant procedures. Predicted probabilities for CIR, ADR, PDR and discomfort were in male patients with male endoscopists 0.98, 0.65, 0.75, 0.01 . 0.98, 0.67, 0.77, 0.02, respectively, in male patients with female endoscopists. In female patients with female endoscopists these outcomes were 0.98, 0.54, 0.67, 0.04 . 0.98, 0.55, 0.66, 0.03, respectively, in female patients with male endoscopists.
[CONCLUSIONS] Although subjective discomfort scores were slightly higher for female endoscopists, both for male and female patients, our results show that endoscopist sex has a negligible impact on CRC-screening colonoscopy outcomes.