{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T19:52:35Z","timestamp":1792785155347,"version":"4.5.0"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","license":[{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Regional Agreement on Medical Training and Clinical Research"},{"name":"Stockholm County Council and Karolinska Institutet","award":["FoUI-972885"],"award-info":[{"award-number":["FoUI-972885"]}],"id":[{"id":"https:\/\/ror.org\/056d84691","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endoscopy"],"abstract":"<jats:p>Background\u2002In Sweden, a nationwide colorectal cancer (CRC) screening program for individuals aged 60\u201374 started in 2021; to meet the increasing demand for colonoscopy, nurse endoscopists may play a key role \u2013 provided they maintain high technical quality. This observational study aimed to evaluate the nurse endoscopists\u2019 performance in the screening program, focusing on core quality indicators.<\/jats:p>\n                  <jats:p>Methods\u2002Data were extracted from the Swedish Quality Register for Colonoscopies and Colorectal Cancer Screening (SveReKKS), including all screening colonoscopies performed between 1 April 2019 and 31 August 2025. Key quality indicators \u2013 adenoma detection rate (ADR), cecal and ileal intubation rates, bowel preparation, sedation use, and complications \u2013 were compared between nurse and physician endoscopists using generalized linear mixed-effects models with a logit link.<\/jats:p>\n                  <jats:p>Results\u2002Of 27 978 colonoscopies, 42\u200a% were performed by nurses. Nurses had a higher ADR (57\u200a% vs. 46\u200a%; odds ratio [OR] 1.55, 95\u200a%CI 1.47\u20131.62), and 3.6\u200a% of the nurses had an ADR\u200a&lt;\u200a25\u200a%, compared with 11.2\u200a% of the physicians. Nurses also had higher odds of ileal intubation (OR 1.2, 95\u200a%CI 1.1\u20131.2) and longer withdrawal times.<\/jats:p>\n                  <jats:p>Conclusions\u2002Nurse endoscopists demonstrated high quality colonoscopy performance in CRC screening and represent a valuable resource to meet increasing service demands without compromising clinical standards.<\/jats:p>","DOI":"10.1055\/a-2949-7463","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T09:11:57Z","timestamp":1791364317000},"source":"Crossref","is-referenced-by-count":0,"title":["Colonoscopy quality indicators among nurse endoscopists and physicians in population-based colorectal cancer screening in Sweden"],"prefix":"10.1055","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7048-3357","authenticated-orcid":false,"given":"Anna M.","family":"Forsberg","sequence":"additional","affiliation":[{"name":"Division of Clinical Epidemiology, Department of Medicine K2, Solna, Karolinska Institute, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00f3hann P.","family":"Hreinsson","sequence":"additional","affiliation":[{"name":"Department of Molecular and Clinical Medicine, University of Gothenburg Sahlgrenska Academy, Gothenburg, Sweden"},{"name":"Department of Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8338-5468","authenticated-orcid":false,"given":"Peter T.","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Department of Medical Sciences, Uppsala University Faculty of Medicine, Uppsala, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes","family":"Blom","sequence":"additional","affiliation":[{"name":"Department of Clinical Science and Education, Karolinska Institute, Stockholm, Sweden"},{"name":"Department of Surgery, S\u00f6dersjukhuset, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Colonoscopy Research Sweden (CRS)","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,10,7]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"1637","DOI":"10.1007\/s10620-024-08664-7","article-title":"Fecal immunochemical test positivity thresholds: an international survey of population-based screening programs","volume":"70","author":"G P Young","year":"2025","journal-title":"Dig Dis Sci"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"1754","DOI":"10.14309\/ajg.0000000000002972","article-title":"Quality indicators for colonoscopy","volume":"119","author":"D K Rex","year":"2024","journal-title":"Am J Gastroenterol"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"5056","DOI":"10.3748\/wjg.v21.i16.5056","article-title":"Non-physician endoscopists: A systematic review","volume":"21","author":"M Stephens","year":"2015","journal-title":"World J Gastroenterol"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1177\/0969141314545555","article-title":"Five-year experience of organized colorectal cancer screening in a Swedish population - increased compliance with age, female gender, and subsequent screening round","volume":"21","author":"J Blom","year":"2014","journal-title":"J Med Screen"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1177\/0969141318804843","article-title":"Gender-specific cut-offs in colorectal cancer screening with FIT: Increased compliance and equal positivity rate","volume":"26","author":"J Blom","year":"2019","journal-title":"J Med Screen"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1055\/s-0043-103411","article-title":"Performance measures for lower gastrointestinal endoscopy: a European Society of Gastrointestinal Endoscopy (ESGE) Quality 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Hui","year":"2015","journal-title":"Gut"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1016\/S2468-1253(21)00473-8","article-title":"Once-only colonoscopy or two rounds of faecal immunochemical testing 2 years apart for colorectal cancer screening (SCREESCO): preliminary report of a randomised controlled trial","volume":"7","author":"A Forsberg","year":"2022","journal-title":"Lancet Gastroenterol Hepatol"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1053\/j.gastro.2022.10.003","article-title":"Endoscopist characteristics and polyp detection in colonoscopy: cross-sectional analyses of screening of Swedish colons","volume":"164","author":"M Sekiguchi","year":"2023","journal-title":"Gastroenterology"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"E701","DOI":"10.1055\/a-1135-8681","article-title":"Impact of propofol sedation versus opioid\/benzodiazepine sedation on colonoscopy outcomes: a systematic review with meta-analysis","volume":"8","author":"M Aziz","year":"2020","journal-title":"Endosc Int Open"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"1489","DOI":"10.1053\/j.gastro.2025.06.009","article-title":"Association between adenoma detection rate and prevalent colorectal cancer detection rate in a national colonoscopy registry","volume":"69","author":"J A Dominitz","year":"2025","journal-title":"Gastroenterology"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1055\/a-2205-2613","article-title":"Training in basic gastrointestinal endoscopic procedures: a European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) Position Statement","volume":"56","author":"G Antonelli","year":"2024","journal-title":"Endoscopy"}],"container-title":["Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2949-7463.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T23:25:14Z","timestamp":1791415514000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2949-7463"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,7]]},"references-count":17,"URL":"https:\/\/doi.org\/10.1055\/a-2949-7463","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0013-726X","1438-8812"],"issn-type":[{"value":"0013-726X","type":"print"},{"value":"1438-8812","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,7]]}}}