Cecal Insertion Time and the ADR: Patience Is Good for Patients

Excerpt

The decline in incidence in colorectal cancer (CRC) over the past decades can be attributed in part to the success of colonoscopic screening and surveillance, since colonoscopy facilitates the identification and removal of precancerous lesions. The adenoma detection rate (ADR), which is defined as the proportion of patients with at least one identified adenoma, has emerged as one of the most important quality measures for colonoscopy. Colorectal cancers occurring after colonoscopy, i.e., interval cancers (ICs), are linked to a low ADR. A recent study showed that each 1% increase in ADR was associated with a 3% decrease in the risk of ICs [1]. …