Studies have reported that up to 25% of esophageal adenocarcinomas (EACs) are detected within 1 year of index endoscopy (missed cancer), emphasizing the need for high-quality endoscopy in patients with Barrett\u2019s esophagus (BE). Recent studies have proposed the use of the neoplasia detection rate ([NDR] the percentage of patients with BE who have high-grade dysplasia [HGD] or EAC on screening endoscopy) as a quality measure akin to the adenoma detection rate used in colonoscopies. The aim of this population-based cohort study was to estimate NDR and its effect on missed dysplasia. <\/p>\n\n\n\n
In this study of 1066 patients, (72% male; mean age, 63 years; mean BE length, 3.6 cm), the authors reported an NDR of 4.9% (3.1% with HGD and 1.8% with EAC). Higher rates of NDR were associated with male gender, older age, BE length, smoking history, and endoscopy conducted by gastroenterologists. Of note, gastroenterologists had a substantially higher rate of neoplasia detection than nongastroenterologists (5.8% vs 1.7%; P<\/em>=.0098). Furthermore, significantly more visible lesions within the BE segment were reported by gastroenterologists compared to nongastroenterologists (odds ratio [OR], 3.7; P<\/em>=.0120). The estimated missed dysplasia (dysplasia detected within 1 year of index endoscopy) in this cohort was 13% (lower than previous reports). There was no significant difference between patients with and without missed dysplasia with regard to length of BE (P<\/em>=.4), adherence to the Seattle protocol (P<\/em>=.8), visible lesion (OR, 0.6; 95% confidence interval, 0.11-3.25), age, smoking history, or endoscopist specialty.<\/p>\n","protected":false},"excerpt":{"rendered":" Studies have reported that up to 25% of esophageal adenocarcinomas (EACs) are detected within 1 year of index endoscopy (missed cancer), emphasizing the need for high-quality endoscopy in patients with Barrett\u2019s esophagus (BE). Recent studies have proposed the use of the neoplasia detection rate ([NDR] the percentage of patients with BE who have high-grade dysplasia … Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,1791],"tags":[2138,2114,2140,2139,25],"class_list":["post-9008","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-esophagus","tag-eac","tag-hgd","tag-ndr","tag-neoplasia-2","tag-oesophagus"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/9008","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=9008"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=9008"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=9008"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}