Effect of successive endoscopic procedures in polyp and adenoma detection rates: Too early is not always too good

Olivera, Pablo; Cernadas, Gustavo; Fanjul, Ignacio; Peralta, Daniel; Zubiaurre, Ignacio; Lasa, Juan S.; Moore, Rafael

doi:10.1007/s12664-020-01060-9

Cited by 2 publications

(3 citation statements)

References 38 publications

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“…14 A median age of 50 years was observed in a study from Argentina. 11 The mean age as 54.36±15.05 years was reported from a Turkish study aiming to analyze characteristics of patients undergoing colonoscopy. 15 Changes in lifestyle and nutritional habits as well as genetic variances may contribute to variations in mean age at the time of screening.…”

Section: Discussionmentioning

confidence: 99%

“…Patients undergoing colonoscopy procedure for any purpose other than diagnostic and with poor intestinal preparation were excluded from this study. Sample size of 199 was calculated by taking 24.7% adenoma detection from a previous study 11 , setting confidence level at 95% and putting a precision of 6%. The approach of nonprobability consecutive sampling was utilized to enlist study participants.…”

Section: Methodsmentioning

confidence: 99%

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Adenoma detection rate as a quality indicator for colonoscopy.

Naik Muhammad,

Mansoor-Ul-Haq,

Tauqeer Shaikh

et al. 2024

TPMJ

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Objective: To determine the quality of colonoscopy in terms of adenoma detection rate in the existing local settings. Study Design: Cross-sectional study. Setting: Department of Gastroenterology, Liaquat National Hospital, Karachi, Pakistan. Period: February 2022 to August 2022. Methods: We analyzed patients having age 18 years or older, of any gender, and who had colonoscopy indications and were required to have a screening colonoscopy for diagnostic purposes. The number of procedures with at least one polyp or adenoma was classified as the polyp detection rate (PDR) and adenoma detection rate (ADR). Result: Total 210 patients were enrolled into the study with median age of 41.5 (29.8-56.3) years and majority were males (n=46, 69.5%). The most frequent indication for colonoscopy was constipation (n=72, 34.3%) followed by bleeding (n=78, 37.1%), chronic diarrhea (n=36, 17.1%), both constipation and diarrhea (n=21, 10%) and altered bowel habits (n=3, 1.4%). PDR and ADR were 16.2% (n=34) and 10% (n=21) respectively. Age was significantly higher among patients who were found to have polyp (p<0.001) and adenomas (p<0.001). Frequency of polyps (p=0.010) and adenomas (p=0.007) were significantly higher in male patients. Conclusion: The current research discovered a low rate of adenoma detection in people receiving colorectal cancer screening, and it did not meet the quality benchmarks that have been associated with higher rates of early diagnosis and cancer prevention.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Adenoma detection rate as a quality indicator for colonoscopy.

Naik Muhammad,

Mansoor-Ul-Haq,

Tauqeer Shaikh

et al. 2024

TPMJ

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show abstract

“…Among these, endoscopist fatigue from all day colonoscopy, diminishing adenoma detection later in the afternoon has been implicated [7]. Olivera and colleagues from Centro de Educación Médica e Investigación Clínica, Argentina report their retrospective experience of the impact of cumulative fatigue on adenoma detection rates (ADR) among 3388 patients over a 2 year period [8]. Four procedures were performed in 2 time slots (morning and afternoon) and 1 in round 3 later in the evening.…”

Section: Self-expanding Metal Stent In Esophageal Perforations and Anmentioning

confidence: 99%

Indian Journal of Gastroenterology September-October 2020

Limdi

2020

Indian J Gastroenterol

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Effect of successive endoscopic procedures in polyp and adenoma detection rates: Too early is not always too good

Cited by 2 publications

References 38 publications

Adenoma detection rate as a quality indicator for colonoscopy.

Adenoma detection rate as a quality indicator for colonoscopy.

Indian Journal of Gastroenterology September-October 2020

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