Detection rate and predictive factors of sessile serrated polyps in an organised colorectal cancer screening programme with immunochemical faecal occult blood test: the EQuIPE study (Evaluating Quality Indicators of the Performance of Endoscopy)

Zorzi, Manuel; Senore, Carlo; Re, Filippo Da; Barca, Alessandra; Bonelli, Luigina; Cannizzaro, Renato; Pretis, G. De; Furia, Lucia Di; Giulio, Emilio Di; Mantellini, Paola; Naldoni, Carlo; Sassatelli, Romano; Rex, Douglas K.; Zappa, Marco; Hassan, Cesare

doi:10.1136/gutjnl-2015-310587

Cited by 63 publications

(67 citation statements)

References 50 publications

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“…However, measurement of ADR alone might not reliably assess the quality of a colonoscopy because it does not take into account other important determinants of interval cancer risk such as size, location or pathology of the removed lesions. It is possible that other indicators such as FADR, PADR, APC or advanced adenoma detection rate together with ADR could be a better method to determine the quality of the endoscopist performance in a screening colonoscopy (11,23,24). Our results can be compared with those of previous randomized controlled trials that have compared chromoscopy with a SRWL colonoscope in terms of detection of colorectal adenomas.…”

Section: Discussionsupporting

confidence: 49%

Enhanced flat adenoma detection rate with high definition colonoscopy plus i-scan for average-risk colorectal cancer screening

A¹,

Saperas²

2016

Rev Esp Enferm Dig

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Background and aim:The usefulness of high definition colonoscopy plus i-scan (HD+i-SCAN) for average-risk colorectal cancer screening has not been fully assessed. The detection rate of adenomas and other measurements such as the number of adenomas per colonoscopy and the flat adenoma detection rate have been recognized as markers of colonoscopy quality. The aim of the present study was to compare the diagnostic performance of an HD+i-SCAN with that of standard resolution white-light colonoscope.Methods: This is a retrospective analysis of a prospectively collected screening colonoscopy database. A comparative analysis of the diagnostic yield of an HD+i-SCAN or standard resolution colonoscopy for average-risk colorectal screening was conducted.Results: During the period of study, 155/163 (95.1%) patients met the inclusion criteria. The mean age was 56.9 years. Sixty of 155 (39%) colonoscopies were performed using a HD+i-SCAN. Adenoma-detection-rates during the withdrawal of the standard resolution versus HD+i-SCAN colonoscopies were 29.5% and 30% (p = n.s.). Adenoma/colonoscopy values for standard resolution versus HD+i-SCAN colonoscopies were 0.46 (SD = 0.9) and 0.72 (SD = 1.3) (p = n.s.). A greater number of flat adenomas were detected in the HD+i-SCAN group (6/60 vs. 2/95) (p < .05). Likewise, serrated adenomas/polyps per colonoscopy were also higher in the HD+i-SCAN group.Conclusions: A HD+i-SCAN colonoscopy increases the flat adenoma detection rate and serrated adenomas/polyps per colonoscopy compared to a standard colonoscopy in averagerisk screening population. HD+i-SCAN is a simple, available procedure that can be helpful, even for experienced providers. The performance of HD+i-SCAN and substantial prevalence of flat lesions in our average-risk screening cohort support its usefulness in improving the efficacy of screening colonoscopies.

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Section: Discussionsupporting

confidence: 49%

Enhanced flat adenoma detection rate with high definition colonoscopy plus i-scan for average-risk colorectal cancer screening

A¹,

Saperas²

2016

Rev Esp Enferm Dig

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“…Consequently the GESA recertification committee has determined that the SSP detection rate should be included as a quality indicator and a requirement for recertification. After examining the literature and current available data a 4% detection rate has been determined as the target for SSP …”

Section: Adenoma Detection Ratementioning

confidence: 99%

“…After examining the literature and current available data a 4% detection rate has been determined as the target for SSP. 45…”

Section: Adenoma Detection Ratementioning

confidence: 99%

Quality indicators in colonoscopy: an evolving paradigm

Shine

Bui

Burgess

2020

ANZ Journal of Surgery

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The year 1969 marked a revolution in the diagnosis of colorectal cancer (CRC). It is when Dr Wolff developed the colonoscope and quickly realized its potential in both diagnosis and treatment of colonic neoplasms. Over the past 50 years there has been exponential increase in utilization of colonoscopy with over 1 million colonoscopies performed annually throughout Australasia. Endoscopic removal of pre‐malignant lesions has been proven to reduce the incidence and mortality of colorectal. Although timing and frequency of surveillance colonoscopy plays a crucial role in risk reduction of CRC, this is dependent upon the findings of the index colonoscopy. The goal of screening colonoscopy is to detect CRC and identify and remove pre‐malignant neoplasms that risk progression to CRC. With increasing uptake of bowel screening throughout Australasia, there is increasing pressure to ensure all endoscopists and endoscopy units perform at a universal high‐quality. All too often high demand and constant delays compromise colonoscopy quality. Without clear and concise quality indicators with transparent measurement and audit, these flaws can quickly jeopardize screening goals and patient outcomes. This review aims to explore six key quality indicators and explore the evidence behind the current recommended standards. These key indicators include; rate of adequate bowel preparation, caecal intubation rate, adenoma detection rate, withdrawal time, complication rates and surveillance intervals.

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“…Some reports have described the correlation of ADR and SSADR in Western countries patients [17,18] ; however, to our knowledge, the prevalence of SSAs or SSADR in Asian populations has not yet been fully investigated and appropriate SSADR has not been determined. Therefore, our study holds importance, as it is the first report to demonstrate the correlation between SSADR and ADR in Asian populations.…”

Section: Discussionmentioning

confidence: 99%

1007 Sessile Serrated Adenoma Detection Rate Is Correlated With Adenoma Detection Rate

Ohki

Tsuji

Shinozaki

et al. 2016

Gastrointestinal Endoscopy

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Detection rate and predictive factors of sessile serrated polyps in an organised colorectal cancer screening programme with immunochemical faecal occult blood test: the EQuIPE study (Evaluating Quality Indicators of the Performance of Endoscopy)

Cited by 63 publications

References 50 publications

Enhanced flat adenoma detection rate with high definition colonoscopy plus i-scan for average-risk colorectal cancer screening

Enhanced flat adenoma detection rate with high definition colonoscopy plus i-scan for average-risk colorectal cancer screening

Quality indicators in colonoscopy: an evolving paradigm

1007 Sessile Serrated Adenoma Detection Rate Is Correlated With Adenoma Detection Rate

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