“…2 It is influenced by patient age and gender, bowel prep quality, caecal intubation rates, withdrawal time, endoscopic technique, time of day and varies by endoscopist. [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] Both the American Society for Gastrointestinal Endoscopy and the American College of Gastroenterology have recommended an adenoma detection rate of 15% in women and 25% in men as a measure of quality colonoscopy. 1 There has been increasing pressure by professional medical societies for all gastroenterologists to be cognizant of their individual ADRs and to alter their endoscopic technique to meet these quality guidelines.…”