What makes a “good” colonoscopy quality indicator?

Lee, Jeffrey K.; Corley, Douglas A.

doi:10.1016/j.gie.2015.06.052

Cited by 1 publication

(1 citation statement)

References 18 publications

(23 reference statements)

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“…10,11 Therefore, the endoscopist's ability to detect neoplastic lesion during the colonoscopy, the so-called adenoma detection rate (ADR), had become the most important quality indicator to measure the quality of the examination itself and the performer. [12][13][14] The association of ADR and incident CRC or PCCRC have been explored and are well-established in the body of evidence. Kaminski et al 15 reported that subjects receiving colonoscopy performed by endoscopists with higher average ADR (≥20.0%) would result in a significantly lower incidence of PCCRC.…”

Section: Introduction: Why Adr Is So Important?mentioning

confidence: 99%

Can image‐enhanced endoscopy improve adenoma detection rate?

Chang

Chiu

2021

Digestive Endoscopy

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An accumulating body of evidence has shown that detection and resection of pre-cancerous adenoma by colonoscopy could effectively prevent colorectal cancer (CRC) and its related mortality. Among various colonoscopy quality indicators, such as cecal intubation rate, withdrawal time, and adenoma detection rate (ADR); ADR is the most important and most closely associated with the subsequent risk of CRC. Image-enhanced endoscopy (IEE), including digital and dyebased IEE, was originally developed to discriminate neoplastic from non-neoplastic lesions but later studies have demonstrated that it can also enhance lesion detection by enhancing the contrast between the lesion and background colonic mucosa. Nevertheless, using IEE in colonoscopy for lesion detection is still not the standard way of practice in the real world. For a better understanding of current IEE modalities, this review introduces and compares the currently available IEE modalities and their efficacy in detecting adenoma from the results of randomized controlled trials or meta-analyses.

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