Pediatric endoscopy across multiple clinical settings: Efficiency and adverse events

Table 1 Demographics, procedures, and fellow participation by location

Characteristic	Value
	Tertiary care OR	Community OR	Endoscopy center	Overall
Age, yr (median)1	11	12	12	12
Male, n (%)1	494 (52.4)	268 (48.0)	63 (51.2)	825 (50.8)
EGD, n (%)	537 (57)	283 (50.7)	56 (45.5)	876 (54)
EGD/colonoscopy, n (%)	405 (43)	275 (49.3)	67 (54.4)	747 (46)
Total procedures, n (%)	942 (100)	558 (100)	123 (100)	1623 (100)
Fellow participation, n (%)	499 (53)	89 (16)	25 (20)	613 (38)

¹There were no significant differences in the distribution of age and sex across the clinical settings. EGD: Esophagogastroduodenoscopy; OR: Operating room.

Table 2 Endoscopist time and patient time in minutes by location

	Tertiary care OR	Community OR	Endoscopy center	P value1
ET (mean ± SD)	63.3 ± 21.5	51.4 ± 18.9	56.6 ± 19.3	< 0.001
PT (mean ± SD)	133.2 ± 39.9	122.0 ± 39.5	124.9 ± 37.9	< 0.001

¹ANOVA controlling for physician, patient age, fellow participation, and type of procedures. ET: Endoscopist time; OR: Operating room; PT: Patient time; SD: Standard deviation.

Table 3 Endoscopist time and patient time in minutes by location and procedure

	Procedure	Tertiary care OR	Community OR	Endoscopy center	P value
ET (mean ± SD)	EGD	63.2 ± 20.2	39.6 ± 13.6	45.0 ± 13.3	< 0.001
	EGD/colonoscopy	75.6 ± 17.3	63.4 ± 16.0	66.3 ± 18.0	< 0.001
PT (mean ± SD)	EGD	121.4 ± 39.0	107.7 ± 34.2	112.9 ± 31.8	< 0.001
	EGD/colonoscopy	148.4 ± 36.1	137.4 ± 38.9	135.0 ± 39.5	< 0.001

ET: Endoscopist time; OR: Operating room; PT: Patient time; SD: Standard deviation.

Table 4 Endoscopist time and patient time in min by physician

Physician	Endoscopist time			Patient time
	Tertiary care OR	Community OR	Endoscopy center	Tertiary care OR	Community OR	Endoscopy center
1	61.9 ± 23.1	53.2 ± 20.2		131.1 ± 38.3	126.7 ± 44.9
2	63.9 ± 17.4	45.5 ± 14.5		142.9 ± 38.9	120.8 ± 34.9
3	63.4 ± 22.4	45.5 ± 14.5		128.3 ± 42.4	110.2 ± 31.1
4	64.4 ± 19.1		47.8 ± 13.5	126.0 ± 36.7		113.6 ± 38.4
5	63.4 ± 16.9		59.3 ± 19.5	160.8 ± 28.8		128.0 ± 33.7
6	68.6 ± 22.5		65.4 ± 20.7	135.9 ± 41.8		136.5 ± 35.7

Data are presented as mean ± SD. OR: Operating room.