Detection rates of colorectal neoplasia during colonoscopies and their associated factors in the SCREESCO study

Sekiguchi, Masau; Westerberg, Marcus; Ekbom, Anders; Hultcrantz, Rolf; Forsberg, Anna

doi:10.1111/jgh.15990

Cited by 6 publications

(8 citation statements)

References 34 publications

(106 reference statements)

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“…In a prospective Swedish clinical study, Sekiguchi et al . reported that colonoscopists with an average insertion time of 20 min or longer had a significantly lower ADR 17 . In the present study, the ADR was higher for endoscopists with a shorter average insertion time.…”

Section: Discussionsupporting

confidence: 44%

“…16,24 However, few studies have examined whether the insertion time of individual endoscopists affects ADR, and this association was not noted until recently. 16,17 In a prospective Swedish clinical study, Sekiguchi et al reported that colonoscopists with an average insertion time of 20 min or longer had a significantly lower ADR. 17 In the present study, the ADR was higher for endoscopists with a shorter average insertion time.…”

Section: Discussionmentioning

confidence: 99%

“…Several reports have shown that longer insertion times, meaning more difficult cases, are associated with lower ADR 16,24 . However, few studies have examined whether the insertion time of individual endoscopists affects ADR, and this association was not noted until recently 16,17 . In a prospective Swedish clinical study, Sekiguchi et al .…”

Section: Discussionmentioning

confidence: 99%

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Endoscopist‐related factors affecting adenoma detection during colonoscopy: Data from the J‐SCOUT study

Kawamura,

Sekiguchi,

Takamaru

et al. 2023

Digestive Endoscopy

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ObjectivesColonoscopy withdrawal times are associated with the adenoma detection rate (ADR). However, the relationship between ADR and cecal insertion time has been inadequately characterized. We aimed to evaluate endoscopist‐related factors involved in the ADR, including the average individual colonoscopy insertion and withdrawal times.MethodsThis observational study used a colonoscopy database with pathology data from routine clinical practice in Japanese institutions. The odds ratios of endoscopist‐related factors related to ADRs were examined using a generalized linear mixed model.ResultsOf the 186,293 colonoscopies performed during the study period, 47,705 colonoscopies by 189 endoscopists in four hospitals were analyzed for ADR. The overall ADR was 38.3% (95% confidence interval [CI]: 37.8 to 38.7). Compared to endoscopists with mean cecal insertion times of <5 min, the odds ratios of ADR for those with mean cecal insertion times of 5‐9, 10‐14, and ≥15 min were 0.84 (95% CI: 0.71, 0.99), 0.68 (95% CI: 0.52, 0.90), and 0.45 (95% CI: 0.25, 0.78), respectively. Compared to endoscopists with mean withdrawal times of <6 min, the odds ratios of ADR for those with mean withdrawal times of 6‐9, 10‐14, and ≥15 min were 1.38 (95% CI: 1.03, 1.85), 1.48 (95% CI: 1.09, 2.02), and 1.68 (95% CI: 1.04, 2.61), respectively. There were no significant differences in ADRs by endoscopist specialty, gender, and the total number of examinations performed.ConclusionsIndividual mean colonoscopy insertion time was associated with ADR and might be considered as a colonoscopy quality indicator as well as withdrawal time (UMIN000040690).

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Section: Discussionsupporting

confidence: 44%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Endoscopist‐related factors affecting adenoma detection during colonoscopy: Data from the J‐SCOUT study

Kawamura,

Sekiguchi,

Takamaru

et al. 2023

Digestive Endoscopy

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“…The SCREESCO study assessing ADR in first‐time colonoscopy versus colonoscopy following positive fecal immunochemical testing (FIT) confirmed 6 min withdrawal time as associated with higher ADR. It also showed antispasmodic use and lower insertion times to be associated with higher ADR 26 …”

Section: Screening Testsmentioning

confidence: 96%

“…It also showed antispasmodic use and lower insertion times to be associated with higher ADR. 26 More recently, technical innovations have been developed to further help with improved ADR including wide-angle view endoscopes, mucosal exposure tips for the colonoscope, full spectrum endoscopy, image enhancement chromoendoscopy, as well as artificial intelligence (AI)-assisted colonoscopically enhanced visualization programs (Table 2). AI algorithms are now being utilized in commercially available endoscopy modules during colonoscopy.…”

Section: Adr As Quality Measure Of Colonoscopymentioning

confidence: 99%

Colorectal cancer screening: A review of current screening options, timing, and guidelines

Williams

Ayscue

2023

Journal of Surgical Oncology

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Screening for colon and rectal cancer has been associated with reduced incidence over the past few decades. However, shown a paradoxical increase in colon and rectal cancer in those younger than 50 years has also been recently shown. This information, along with the introduction of new screening modalities, has lead to updates in the current recommendations. We present some of the data supporting the use of current screening modalities, as well as summarize current guidelines.

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Yield and cost of government-organized colorectal cancer screening in young high-risk population in Northeast China

Zhong

et al. 2023

Preventive Medicine

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Detection rates of colorectal neoplasia during colonoscopies and their associated factors in the SCREESCO study

Abstract: contributed equally. This paper is dedicated to the memory of the late Prof. Rolf Hultcrantz, who has passed away during the preparation of this manuscript. He has made an extensive contribution to this paper as described in author contributions.

Cited by 6 publications

References 34 publications

Endoscopist‐related factors affecting adenoma detection during colonoscopy: Data from the J‐SCOUT study

Endoscopist‐related factors affecting adenoma detection during colonoscopy: Data from the J‐SCOUT study

Colorectal cancer screening: A review of current screening options, timing, and guidelines

Yield and cost of government-organized colorectal cancer screening in young high-risk population in Northeast China

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