Proposal of high-risk adenoma detection rate as an impactful, complementary quality indicator of colonoscopy.

08:00 EDT 29th March 2019 | BioPortfolio

Summary of "Proposal of high-risk adenoma detection rate as an impactful, complementary quality indicator of colonoscopy."

Adenoma detection rate (ADR), a validated quality indicator (QI) of colonoscopy, does not take into account risk stratification of adenomas. Low-risk adenomas are not associated with a significantly increased risk of future colorectal cancer (CRC). On the other hand, high-risk adenomas (HRA) are associated with up to six fold higher risk of future CRC. Therefore, HRA detection rate (HR-ADR) as a QI in addition to ADR may further enhance the efficacy of screening colonoscopy. Our aim was to calculate ADR and HR-ADR in a large cohort of average risk screening colonoscopy patients and propose HR-ADR which correlates with current threshold ADR.


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This article was published in the following journal.

Name: Surgical endoscopy
ISSN: 1432-2218


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