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
Adenoma Detection Rate
Adenoma Detection Rate
To Optimally Prevent Colorectal Cancer, We Need to Detect Both Adenomas and Serrated Lesions
More on Expanding ADR Measurement Beyond Screening
Current recommendations suggest measuring the adenoma detection rate (ADR) in first-time screening colonoscopies. Several studies have found that including surveillance and diagnostic colonoscopies in an
Endoscopy Unit-Level Measures That Improve ADR: Report Cards and a Second Observer
In a systematic review and meta-analysis, 15 studies evaluating the impact of report cards on adenoma detection rate (ADR) were among the 34 studies that
Free Online 30-Minute Interactive Training Improves ADR and Lowers Interval Cancer Risk
This study from the Northern California Kaiser Permanente health care system evaluated the impact of a 30-minute online interactive training program collaboratively developed by endoscopists,
Endocuff Vision Enhances Detection in CADe-Assisted Colonoscopy
In a randomized trial, 1316 patients underwent colonoscopy with either computer-aided detection (CADe) assistance alone or CADe plus Endocuff Vision (ECV; Olympus America, Center Valley,
Computer-aided Detection Said To Fail in Randomized Controlled Trial, but It Actually Performed Well
Artificial intelligence programs for highlighting or detecting polyps during colonoscopy are designated computer-aided detection (CADe) programs. In general, randomized controlled trials of CADe have been
Artificial Intelligence for Adenoma Detection Rate: Simply the Best?
This study assessed 94 randomized controlled trials with 61,172 patients to determine how artificial intelligence (AI) impacts the adenoma detection rate (ADR). In short, AI
Colonoscopist Adenoma Detection Rate Predicts Advanced Neoplasia Risk After Polypectomy
Investigators evaluated 30,897 individuals with baseline polypectomy and at least 1 surveillance colonoscopy between 2004 and 2016 across 73 Veterans Administration sites in the U.S.,
More on Withdrawal Time in Colonoscopy
Current recommendations are that minimum withdrawal times in screening colonoscopy that are negative should average at least 6 minutes. In an analysis of a previously
ADR Works in FIT-Positive Populations: Target ADR Must Be Substantially Higher Than Primary Screening ADR
It is well known that the prevalence of adenomas is higher in patients with a positive result from a stool test, including both the fecal
First Randomized Controlled Trial Comparing Colonoscopy With No Screening Finds Less Benefit Than Expected for Colonoscopy
In the first report of incidence and mortality results from a randomized controlled trial (RCT) comparing colonoscopy with no screening, 84,585 previously unscreened persons aged
Second-Generation Endocuff Again Found to Be Effective in New Randomized Controlled Trial
The second-generation Endocuff (Olympus America, Center Valley, Penn, USA) is called Endocuff Vision (ECV). It differs from the original Endocuff by having only a single
Artificial Intelligence Increased Fraction of Colonoscopy Patients Needing 3-Year Surveillance: Relative Increase of 35% and Absolute Increase of 2.9%
This study examined the fraction of patients undergoing colonoscopy with versus without artificial intelligence (AI) in 9 randomized controlled trials (6 parallel and 3 tandem)
Double Right-Sided Colon Examination Effective No Matter How You Do It
This study identified 5 randomized controlled trials that addressed the value of a second right-sided colon examination in the forward view versus no second examination.
Adenoma Detection Rate Says It All in FIT-Positive Patients
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
Again, No Need To Adjust Adenoma Detection Rate After Inclusion of 45- To 49-Year-Olds
This study looked at a large health care system’s first-time screening colonoscopies from the period October 2017 through December 2018, prior to the American Cancer
Computer-Aided Detection Improves Adenoma Detection Rate and Adenomas Per Colonoscopy in Fecal Immunochemical Test-Positive Patients
In parallel-arm randomized trials involving mostly primary screening and surveillance colonoscopy patients, computer-aided detection (CADe) has increased the adenoma detection rate (ADR) by about 10%.
Artificial Intelligence Detection Program Assessment by a High Detector: Improved Adenoma Detection Rate, but Some Misses of Large, Flat Lesions
Artificial intelligence (AI) programs for computer-aided detection (CADe) of colorectal polyps have increased adenoma detection rates (ADR) by about 10% in parallel randomized trials and
Smartphone Apps on Bowel Preparation for Colonoscopy Improve Bowel Prep and Increase Adenoma Detection Rate
This is a meta-analysis of 12 eligible randomized controlled trials with a total of 4165 patients that compared the effect of education using a smartphone
Detection Measures Other Than Adenoma Detection Rate Predict Postcolonoscopy Cancer
The adenoma detection rate (ADR) predicts the incidence of interval cancer after colonoscopy. Although ADR correlates in retrospective studies with other detection measures, it is
Adenoma Detection Rate in 45- to 49-year-olds in the GIQuIC Registry
According to 2014-2020 data from the GI Quality Improvement Consortium (GIQuIC) Registry, 2.81 million screening colonoscopies were performed by 814 endoscopists in patients aged 45
Endocuff Vision Effective in “Real-World” Experience
Endocuff Vision (ECV; Olympus America, Center Valley, Pa) has produced adenoma detection rate (ADR) gains in randomized controlled trials, but it has not received widespread
Do We Keep Measuring and Measuring and Measuring Adenoma Detection Rate?
The adenoma detection rate (ADR), first recommended by the U.S. Multi-Society Task Force on Colorectal Cancer in 2002, is a validated predictor of colorectal cancer
Artificial Intelligence Improves Detection, Regardless of Endoscopist Experience
Five randomized controlled trials (4 from China and 1 from Europe and the U.S.) have demonstrated that artificial intelligence (AI) increases the adenoma detection rate
Adenoma Detection Rate Can Be Measured in Combined Screening, Surveillance, and Diagnostic Examinations
When the adenoma detection rate (ADR) was originally proposed as a quality measure in 2002, the recommendation did not constrain its indication to screening colonoscopies
Polish Study Calls for Using Adenoma Detection Rate to Stratify Screening and Surveillance Recommendations
In this study, the risk of interval cancer was compared between doctors with high (≥20%) versus low (<20%) adenoma detection rates (ADRs) in the Polish