title: The Polyp Manager: a new tool for optimal polyp documentation during colonoscopy. A pilot study.
abstract: OBJECTIVE
  Conventional reporting of polyps is often incomplete. We tested the Polyp Manager (PM), a new software application permitting the endoscopist to document polyps in real time during colonoscopy. We studied completeness of polyp descriptions, user-friendliness and the potential time benefit.
  
  
  METHODS
  In two Dutch hospitals colonoscopies were performed with PM (as a touchscreen endoscopist-operated device or nurse-operated desktop application). Completeness of polyp descriptions was compared to a historical group with conventional reporting (CRH). Prospectively, we compared user-friendliness (VAS-scores) and time benefit of the endoscopist-operated PM to conventional reporting (CR) in one hospital. Duration of colonoscopy and time needed to report polyps and provide a pathology request were measured. Provided that using PM does not prolong colonoscopy, the sum of the latter two was considered as a potential time-benefit if the PM were fully integrated into a digital reporting system.
  
  
  RESULTS
  A total of 144 regular colonoscopies were included in the study. Both groups were comparable with regard to patient characteristics, duration of colonoscopy and number of polyps. Using the PM did reduce incomplete documentation of the following items in CRH-reports: location (96 % vs 82 %, P = 0.01), size (95 % vs 89 %, P = 0.03), aspect (71 % vs 36 %, P < 0.001) and completeness of removal (61 % vs 37 %, P < 0.001). In the prospective study 23 PM-colonoscopies where compared to 28 CR-colonoscopies. VAS-scores were significantly higher in the endoscopist-operated PM group. Time to report was 01:27 ± 01:43 minutes (median + interquartile range) in the entire group (PM as CR), reflecting potential time benefit per colonoscopy.
  
  
  CONCLUSIONS
  The PM is a user-friendly tool that seems to improve completeness of polyp reporting. Once integrated with digital reporting systems, it is probably time saving as well.
authors.affiliation: Department of Gastroenterology and Hepatology, Slingeland Hospital, Doetinchem, The Netherlands.
authors.forename: Maartje M
authors.initials: MM
authors.lastname: van de Meeberg
authors.affiliation: Departement of Gastroenterology and Hepatology, Ikazia Hospital, Rotterdam, The Netherlands.
authors.forename: Rob J Th
authors.initials: RJ
authors.lastname: Ouwendijk
authors.affiliation: Departement of Gastroenterology and Hepatology, Ikazia Hospital, Rotterdam, The Netherlands.
authors.forename: Pieter C J
authors.initials: PC
authors.lastname: Ter Borg
authors.affiliation: Department of Gastroenterology and Hepatology, Slingeland Hospital, Doetinchem, The Netherlands.
authors.forename: Sven J
authors.initials: SJ
authors.lastname: van den Hazel
authors.affiliation: Department of Gastroenterology and Hepatology, Slingeland Hospital, Doetinchem, The Netherlands.
authors.forename: Paul C
authors.initials: PC
authors.lastname: van de Meeberg