Post written by Madhav Desai, MD, MPH, from the Division of Gastroenterology, Hepatology, and Nutrition, University of Minnesota Medical Center, Minneapolis, Minnesota, USA. Achieving an optimal adenoma detection rate (ADR), a priority quality metric for screening colonoscopy, is necessary for a high-quality colonoscopy. Studies have shown that a higher ADR is linked to a lower risk …
Tag: adenoma detection rate
Pooled rates of adenoma detection by colonoscopy in asymptomatic average-risk individuals with positive fecal immunochemical test: a systematic review and meta-analysis
Post written by Babu P. Mohan, MD, from the Department of Gastroenterology & Hepatology, Department of Medicine, University of Utah Health, Salt Lake City, Utah, USA. The focus of this study was to evaluate the pooled rates of adenoma detection in fecal immunochemical test (FIT)-positive colonoscopy. Current adenoma detection rate (ADR) thresholds in FIT-positive colonoscopy …
Effect of video monitor size on polyp detection
Post written by Manol Jovani, MD, MPH, from the Division of Gastroenterology, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA. The focus of this study was to ascertain whether larger monitors could improve the quality of colonoscopies, and whether this could be quantified objectively by an improvement of adenoma detection rates. Many endoscopists and …
Continue reading Effect of video monitor size on polyp detection
Adenoma detection rate in high-risk patients
Madhusudhan R. Sanaka, MD, FASGE, FACG, from the Digestive Disease Institute, Cleveland Clinic, in Cleveland, Ohio, USA describes this Original Article, "Adenoma detection rate in high-risk patients differs from that in average-risk patients." The focus of this study was to determine and compare adenoma detection rates (ADRs) in high-risk versus average-risk individuals undergoing colonoscopy at …
Continue reading Adenoma detection rate in high-risk patients
Editor’s Choice: Reporting of colonoscopy quality associated with increase in ADR
GIE Associate Editor Amit Rastogi, MD, FASGE highlights this Original Article, "Public reporting of colonoscopy quality is associated with an increase in endoscopist adenoma detection rate." This study showed that public reporting of the adenoma detection rate (ADR) of 11 gastroenterologists resulted in significant improvement- 5% overall and 7.8% for screening colonoscopies. Also, a natural …
Continue reading Editor’s Choice: Reporting of colonoscopy quality associated with increase in ADR
Nonneoplastic polypectomy during screening colonoscopy
Mary A. Atia, MD, from the Department of Medicine, Division of Gastroenterology, Mayo Clinic Arizona in Scottsdale, Arizona, USA discusses this Original Article, "Nonneoplastic polypectomy during screening colonoscopy: the impact on polyp detection rate, adenoma detection rate, and overall cost." The frequency of non-neoplastic polypectomy (NNP) is tissue constituting normal colonic mucosa or lymphoid aggregates. …
Continue reading Nonneoplastic polypectomy during screening colonoscopy
ADR varies during colonoscopy training
Sascha C. van Doorn, MD, from the Department of Gastroenterology and Hepatology at the Academic Medical Centre at the University of Amsterdam in Amsterdam, the Netherlands discusses this Original Article "Adenoma detection rate varies greatly during colonoscopy training." During endoscopy training of gastroenterology fellows (GI-fellows), the most important competency for colonoscopy is safe cecal intubation. …
Editor’s Choice: Longitudinal assessment of colonoscopy quality indicators
Associate Editor Mimi Canto, MD, MHS, FASGE, highlights this Original Article "Longitudinal assessment of colonoscopy quality indicators: a report from the Gastroenterology Practice Management Group" by Lyndon V. Hernandez, MD, MPH, Thomas M. Deas, MD, Marc F. Catalano, MD, Nalini M. Guda, MD, Lin Huang, MD, Scott R. Ketover, MD, Kyle P. Etzkorn, MD, Kumar G. …
Continue reading Editor’s Choice: Longitudinal assessment of colonoscopy quality indicators
ADR and adenoma/colonoscopy quality metric
Charles J. Kahi, MD, MSCR from Indiana University School of Medicine in Indianapolis, Indiana reports on this Original Article "Improving measurement of the adenoma detection rate and adenoma per colonoscopy quality metric: the Indiana University experience." The adenoma detection rate (ADR) is a validated marker of colonoscopy quality. However, there are concerns about its potential …
endoscopedia.com 