Adenoma detection rate and cecal intubation rate: Quality indicators for colonoscopy

Ruiz-Rebollo, María Lourdes; Alcaide-Suárez, Noelia; Burgueño-Gómez, Beatriz; Antolín-Melero, B; Muñoz-Moreno, MF; Alonso-Martín, Carmen; Santos-Fernández, Javier

doi:10.1016/j.gastre.2018.05.022

Cited by 4 publications

(5 citation statements)

References 6 publications

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“…While adenoma detection rate is known as the most ideal quality indicator in colonoscopy, 7,8 there is no good quality indicator in EGD due to low incidence of EGC. Quality control in EGD consists of three categories: structure, procedure, and outcome, among which procedure component assesses endoscopists' performance during EGD and is associated with clinical outcome such as detection of tumor.…”

Section: Discussionmentioning

confidence: 99%

Taking More Gastroscopy Images Increases the Detection Rate of Clinically Significant Gastric Lesions: Validation of a Systematic Screening Protocol for the Stomach

Lee

Kim

et al. 2020

Korean J Helicobacter Up Gastrointest Res

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Background/Aims: For systematic screening protocol for the stomach (SSS), 22 gastroscopy images are considered sufficient to avoid blind spots during gastroscopy. The aim of this study was to investigate the relationship between the number of gastroscopy images taken during the gastroscopy procedure and the detection rate of clinically significant gastric lesions (CSGLs).Materials and Methods: We retrospectively reviewed the data obtained from a cohort of consecutive subjects at a health promotion center. The primary outcome measure was the detection rate of CSGLs per endoscopist, according to the number of gastroscopy images. We also analyzed whether all the CSGLs were detected via SSS.Results: The mean number of gastroscopy images obtained by eight endoscopists was 27.6±10.5 in 2,912 subjects without CSGLs and without biopsies. Among the 5,970 subjects who underwent gastroscopy by the eight endoscopists, 712 CSGLs were detected in 551 subjects. Fifty-six CSGLs (7.9%) in 55 subjects (10.0%) were not detected during the SSS. Photo-endoscopists who took more images achieved a higher detection rate of CSGLs than those who took fewer images (adjusted OR 2.07, 95% CI 1.41~3.05; P<0.0001).Conclusions: The modified SSS, which included 22 SSS images, the fundus, and the saddle area, detected significantly more CSGLs. This modified SSS should be validated with further prospective studies.

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Section: Discussionmentioning

confidence: 99%

Taking More Gastroscopy Images Increases the Detection Rate of Clinically Significant Gastric Lesions: Validation of a Systematic Screening Protocol for the Stomach

Lee

Kim

et al. 2020

Korean J Helicobacter Up Gastrointest Res

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“…CIT is one of the quality markers in colonoscopies. 6,7 A colonoscopy can take as little as 10 minutes or, in more challenging situations, over 60 minutes to complete. While a difficult colonoscopy has no set definition, procedures taking longer than 10 minutes to complete, requiring more than two tries to reach the cecum, or ultimately resulting in a failure insertion are frequently regarded as tough.…”

Section: Introductionmentioning

confidence: 99%

Frequency of prolonged colonoscopy and its associated factors among adults: An experience of A Tertiary Care Hospital in Karachi, Pakistan.

Mashal Bai,

Shahid Karim,

Rajesh Kumar

et al. 2024

TPMJ

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Objective: To determine frequency and factors associated with prolong cecal intubation among adults undergoing colonoscopy in a tertiary care hospital. Study Design: Cross-sectional study. Setting: Department of Gastroenterology, Liaquat National Hospital, Karachi, Pakistan. Period: September 2022 to June 2023. Material & Methods: The study comprised patients undergoing elective colonoscopies, regardless of gender and age, who were at least eighteen years old. Cecal intubation time longer than ten minutes was regarded as a prolonged colonoscopy duration. The Aronchick scale, which is used to evaluate the quality of bowel preparation. The association between the patient's characteristics and the prolonged cecal intubation was investigated using logistic regression. P-values were considered statistically significant if they were less than or equal to 0.05. Results: Total 281 patients were enrolled into the study. Median age of patients was 40 (IQR=30-50) years and majority were males 66.5%. Median cecal intubation length and time was 90 (IQR=80-100) cm and 7 (IQR=5-10) minutes. Prolonged intubation was seen among nearly one-fifth of total patients (19.1%). Odds of prolonged cecal intubation were significantly lower patients of age <50 years, relatively higher body mass index (BMI), out-patients, patients with excellent quality of bowel preparation and among those cases in which colonoscopies were performed by consultant. Conclusion: Proportion of prolonged cecal intubation was high particularly among older age, female gender, patients with lower BMI, past surgeries and poor quality of bowel preparation.

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“…High-quality colonoscopy screening is critical to resolving the issue. Adenoma detection rate (ADR) has been extensively recommended as a key colonoscopy quality indicator (6)(7)(8). Removal of adenomas and precancerous lesions could reduce CRC incidence and mortality (9)(10)(11).…”

Section: Introductionmentioning

confidence: 99%

Anesthesia Assistance in Colonoscopy: Impact on Quality Indicators

Liang

Zhang

et al. 2022

Front. Med.

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BackgroundAdenoma detection rate (ADR) and polyp detection rate (PDR) are both indicators for colonoscopy quality. Improving ADR or PDR is critical for reducing the incidence and mortality of colorectal cancer (CRC). Although several studies have focused on identifying the factors that may influence ADR or PDR, the evidence remains limited and inconclusive. We conducted a retrospective study to evaluate the effect of anesthesia assistance (AA) on ADR or PDR in patients undergoing colonoscopy screening and identify risk factors affecting ADR or PDR.MethodsWe reviewed electronic medical records of patients who underwent colonoscopy screening between May 2019 and August 2020. Patients were divided into two groups according to whether they received AA: patients in Group A underwent colonoscopy screening with AA, whereas patients in Group O underwent colonoscopy screening without AA. Propensity score matching (PSM) was utilized to account for differences in baseline characteristics. After, ADR and PDR were compared between the two groups. Binary logistic regression was employed to identify risk factors that affected ADR or PDR.ResultsOf 9432 patients who underwent colonoscopy examination during the study period, 7170 were included in the final analyses (Group A = 5756 and Group O = 1414). After PSM, 736 patients remained in each group for analyses. There was no significant difference between groups A and O (P > 0.05) in ADR or PDR. Binary logistic regression indicated that the endoscopic device version (Olympus HQ290), equipment image-based technique and number of images were independent risk factors that affected ADR, and the age (50–59 years and 60–69 years), gender (male), high-risk status, endoscopist seniority (senior endoscopist), equipment image-based technique and number of images were all independent risk factors that affected PDR.ConclusionsWe discovered that AA does not affect ADR or PDR. Despite improved patient satisfaction, using AA is unnecessary for improving colonoscopy quality. Endoscopists should consider all these factors as much as possible when performing colonoscopy screening.

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Adenoma detection rate and cecal intubation rate: Quality indicators for colonoscopy

Cited by 4 publications

References 6 publications

Taking More Gastroscopy Images Increases the Detection Rate of Clinically Significant Gastric Lesions: Validation of a Systematic Screening Protocol for the Stomach

Taking More Gastroscopy Images Increases the Detection Rate of Clinically Significant Gastric Lesions: Validation of a Systematic Screening Protocol for the Stomach

Frequency of prolonged colonoscopy and its associated factors among adults: An experience of A Tertiary Care Hospital in Karachi, Pakistan.

Anesthesia Assistance in Colonoscopy: Impact on Quality Indicators

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