Proximal Serrated Polyp Detection Rate Correlates with Adenoma Detection Rate and is Impacted by Mean Withdrawal Time: A Retrospective Study

Author(s):  
Jennifer Behzadi Veeral M. Oza ◽  
Kyle Porter Seth A. Moore ◽  
Peter P. Stanich Darwin L. Conwell
2020 ◽  
Vol 7 (1) ◽  
pp. e000425
Author(s):  
Alan Gordon Fraser ◽  
Toby Rose ◽  
Philip Wong ◽  
Mark Lane ◽  
Paul Frankish

BackgroundThe audit process may help improve performance indicators for colonoscopy quality but it is unclear whether this is sustained over several years.Methods44138 procedures for 28 endoscopists from 2004 to 2019 were analysed for polyp detection rate and withdrawal time. From 2012, 14 endoscopists were analysed with additional data on polyp histology and number of polyps removed.ResultsPolyp detection increased from 40.7% in 2004 to 62.2% in 2019; removal of polyps>1 cm remained constant (11%). Adenoma detection rate was 25.8% in 2012 and 28.3% in 2019. Sessile serrated polyp (SSP) detection rate increased from 4.5% to 14.7%; most of the increase was in the first 2 years of the histology part of the audit. There was a significant correlation of adenoma detection rate with mean number of adenomas (r=0.72, p=0.004) and a significant correlation of SSP detection with mean number of SSPs (r=0.85, p=0.0001).ConclusionThe audit process appears to encourage a higher rate of polyp detection. This was due to increased detection of smaller polyps and increased detection of SSPs.


2019 ◽  
Vol 64 (12) ◽  
pp. 3579-3588 ◽  
Author(s):  
Maryan Cavicchi ◽  
Gaëlle Tharsis ◽  
Pascal Burtin ◽  
Philippe Cattan ◽  
Franck Venezia ◽  
...  

2020 ◽  
Vol 57 (4) ◽  
pp. 466-470
Author(s):  
Fernando Antônio Vieira LEITE ◽  
Luiz Cláudio Miranda ROCHA ◽  
Rodrigo Roda Rodrigues SILVA ◽  
Eduardo Garcia VILELA ◽  
Luiz Ronaldo ALBERTI ◽  
...  

ABSTRACT BACKGROUND: The effectiveness of colonoscopy for colorectal cancer (CRC) screening depends on quality indicators, which adenoma detection rate (ADR) being the most important. Proximal serrated polyp detection rate (pSPDR) has been studied as a potential quality indicator for colonoscopy. OBJECTIVE: The aim is to analyze and compare the difference in ADR and pSPDR between patients undergoing screening colonoscopy and an unselected population with other indications for colonoscopy, including surveillance and diagnosis. METHODS: This is a historical cohort of patients who underwent colonoscopy in the digestive endoscopy service of a tertiary hospital. Out of 1554 colonoscopies performed, 573 patients were excluded. The remaining 981 patients were divided into two groups: patients undergoing screening colonoscopy (n=428; 43.6%); patients with other indications including surveillance and diagnosis (n=553; 56.4%). RESULTS: Adenoma detection rate of the group with other indications (50.6%) was higher than that of the screening group (44.6%; P=0.03). In regarding pSPDR, there was no difference between pSPDR in both groups (screening 13.6%; other indications 13.7%; P=0.931). There was no significant difference in the mean age (P=0.259) or in the proportion of men and women (P=0.211) between both groups. CONCLUSION: Proximal serrated polyp detection rate showed an insignificant difference between groups with different indications and could be used as a complementary indicator to adenoma detection rate. This could benefit colonoscopists with low colonoscopy volume or low volume of screening colonoscopies.


2019 ◽  
Vol 156 (6) ◽  
pp. S-54-S-55
Author(s):  
Jagpal S. Klair ◽  
Munish Ashat ◽  
Sumant Arora ◽  
Nirmal Onteddu ◽  
Jose G. Machain Palacio ◽  
...  

2016 ◽  
Vol 111 ◽  
pp. S133
Author(s):  
Rajesh Keswani ◽  
Joanne Prinz ◽  
Rena Yadlapati ◽  
Michael Manka ◽  
David Grande ◽  
...  

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