{"id":14428,"date":"2023-08-10T12:42:34","date_gmt":"2023-08-10T10:42:34","guid":{"rendered":"https:\/\/www.endoscopy-campus.com\/?post_type=ec-news&#038;p=14428"},"modified":"2023-08-10T12:42:35","modified_gmt":"2023-08-10T10:42:35","slug":"to-optimally-prevent-colorectal-cancer-we-need-to-detect-both-adenomas-and-serrated-lesions","status":"publish","type":"ec-news","link":"https:\/\/www.endoscopy-campus.com\/en\/ec-news\/to-optimally-prevent-colorectal-cancer-we-need-to-detect-both-adenomas-and-serrated-lesions\/","title":{"rendered":"To Optimally Prevent Colorectal Cancer, We Need to Detect Both Adenomas and Serrated Lesions"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Recent studies have found that significant fractions of colonoscopists possess adequate detection of conventional adenomas, as measured by adenoma detection rate (ADR), but low detection of serrated lesions.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Now a third study supports this concept. This most recent study used data from the New Hampshire Colonoscopy Registry to evaluate 26,901 patients who had at least one colonoscopy 6 or more months after an index examination or had a diagnosis of colorectal cancer (CRC).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Patients who underwent endoscopy performed by endoscopists with higher sessile serrated lesion detection rates (SSLDRs) had a lower risk for postcolonoscopy CRC (PCCRC), with the highest quintile of SSL detection having SSLDRs &gt;6%. There was a 14% reduction in PCCRC for each 1% increase in the SSLDR. Those with an SSLDR of \u22656% had a 71% reduction in PCCRC compared with those in the lowest quintile of SSL detection. About one-third of endoscopists had an ADR \u226525% but SSLDR &lt;6%.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">When doctors were stratified into groups of (1) ADR &lt;25%, (2) ADR \u226525% and SSLDR &lt;3%, and (3) ADR \u226525% and SSLDR \u22653%, the group of doctors with higher ADRs and higher SSLDRs had the lowest PCCRC rates.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Recent studies have found that significant fractions of colonoscopists possess adequate detection of conventional adenomas, as measured by adenoma detection rate (ADR), but low detection of serrated lesions. Now a third study supports this concept. This most recent study used data from the New Hampshire Colonoscopy Registry to evaluate 26,901 patients who had at least &#8230; <a title=\"To Optimally Prevent Colorectal Cancer, We Need to Detect Both Adenomas and Serrated Lesions\" class=\"read-more\" href=\"https:\/\/www.endoscopy-campus.com\/en\/ec-news\/to-optimally-prevent-colorectal-cancer-we-need-to-detect-both-adenomas-and-serrated-lesions\/\" aria-label=\"Read more about To Optimally Prevent Colorectal Cancer, We Need to Detect Both Adenomas and Serrated Lesions\">Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,1769],"tags":[2470,1933,2058,1823,1343,2485,3803,3804,3805],"class_list":["post-14428","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-colorectal-cancer","tag-crc","tag-pccrc","tag-postcolonoscopy-crc","tag-sessile-serrated-lesion-detection-rates","tag-ssldrs"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/14428","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=14428"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=14428"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=14428"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}