Currently recommended minimum thresholds for adenoma detection rates (ADRs), defined as the fraction of patients undergoing first-time screening colonoscopy who have one or more conventional adenomas detected and identified by pathology, are 30% for men and 20% for women, or 25% overall for a mixed-gender patient population. Some evidence suggests that increasing the ADR threshold up to 50% provides continued protection against postcolonoscopy cancer.<\/p>\n\n\n\n
These researchers reviewed colonoscopy data obtained from the quality benchmarking registry GI Quality Improvement Consortium (GIQuIC), a collaboration between the American College of Gastroenterology and the American Society for Gastrointestinal Endoscopy. The mean ADR for more than 2.6 million colonoscopies performed by 1169 endoscopists increased from 33.9% in 2014 to 38.1% in 2018. When the numbers were adjusted to the U.S. population aged 50 years and older using 2010 census data, the adjusted screening ADR overall was 39.08% and increased from 36.4% in 2014 to 40.0% in 2018. Adjusted ADR was higher for surveillance examinations (47.3%) and lower for diagnostic colonoscopies (34.1%). <\/p>\n\n\n\n
Higher ADRs were associated with older age, male gender, surveillance indication versus screening, and longer withdrawal times.<\/p>\n","protected":false},"excerpt":{"rendered":"
Currently recommended minimum thresholds for adenoma detection rates (ADRs), defined as the fraction of patients undergoing first-time screening colonoscopy who have one or more conventional adenomas detected and identified by pathology, are 30% for men and 20% for women, or 25% overall for a mixed-gender patient population. Some evidence suggests that increasing the ADR threshold … Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,1769],"tags":[2486,2471,2058,2839,2840],"class_list":["post-10635","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-asge-kolon","tag-adenoma-detection-rates","tag-adrs","tag-colon-2","tag-gi-quality-improvement-consortium","tag-giquic"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/10635","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/ec-news"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=10635"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=10635"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=10635"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}