This is a study of detection indicators in 13,067 fecal immunochemical test (FIT)-positive colonoscopies performed by 80 community gastroenterologists. The cutoff for FIT positivity was 30 \u03bcg Hb\/g feces, but the test was quantitative. There was good correlation between the adenoma detection rate (ADR) and essentially all other detection predictors, including proximal serrated lesion detection. Forty-eight endoscopists had an ADR of \u226555%, and 46 had proximal serrated lesion detection \u22654%. Polyp detection rate (PDR) did not substitute well for ADR, even retrospectively, because the ADR to PDR ratio varied from 0.61 to 0.93.<\/p>\n\n\n\n
The authors suggest that the maximum ADR target should be 70% because there was a loss of specificity for endoscopists with ADR >70%, who removed non-neoplastic lesions in 39.5% of patients versus 21.4% for those with ADR \u226470%. A 10 \u03bcg\/g increase in fecal hemoglobin concentration was associated with higher ADR (odds ratio, 1.02).<\/p>\n","protected":false},"excerpt":{"rendered":"
This is a study of detection indicators in 13,067 fecal immunochemical test (FIT)-positive colonoscopies performed by 80 community gastroenterologists. The cutoff for FIT positivity was 30 \u03bcg Hb\/g feces, but the test was quantitative. There was good correlation between the adenoma detection rate (ADR) and essentially all other detection predictors, including proximal serrated lesion detection. … Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,1769],"tags":[2470,1933,2058,1826,1898],"class_list":["post-12316","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-asge-kolon","tag-adenoma-detection-rate-2","tag-adr-2","tag-colon-2","tag-fecal-immunochemical-test","tag-fit"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/12316","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=12316"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=12316"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=12316"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}