Published in:
01-08-2020 | Colonoscopy | Editorial
Is Tissue Really the Issue? How the Polyp Detection Rate May Be a Good Enough Quality Measure Among Trainees
Authors:
Anthony J. Choi, SriHari Mahadev
Published in:
Digestive Diseases and Sciences
|
Issue 8/2020
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Excerpt
Although colonoscopy is unquestionably a powerful tool used for the prevention and early detection of colon cancer, there is growing awareness of the variability in the quality of screening colonoscopy, as a result of patient and endoscopist factors [
1]. While several factors can be measured, the most important provider-specific indicator of colonoscopy quality is the adenoma detection rate (ADR), defined as the proportion of screening colonoscopies in which at least one adenoma is detected, which correlates inversely with the risk of interval colorectal cancer after colonoscopy [
2]. Current benchmarks require an ADR of ≥ 20% and ≥ 30% in female and male patients, respectively. …