Who performs the procedure can be more important than age and gender in predicting adenomas at colonoscopy. Our results underscore the need to measure adenoma detection rates in the continuous quality improvement process and to report them to endoscopists. Additional data are needed to determine whether corrective measures can reduce variation in adenoma detection rates.

If computed tomographic colonography (CTC) rather than colonoscopy were used in this population, assuming 100% sensitivity of CTC for polyps > or =6 mm and ACR interpretation recommendations, then 29% of all patients and 33% of screening patients age > or =50 years with high-risk adenoma findings would be interpreted as normal, and an additional 18-23% of these groups with high-risk adenoma findings, respectively, could have polypectomy delayed at least 3 years.

No abstract

BIS did not lead to reductions in mean propofol dose or recovery time when used as an adjunct to NAPS for colonoscopy, or when used as the primary target for sedation. No clinically important role for BIS monitoring as an adjunct to NAPS has yet been established.