Implications of stable or increasing adenoma detection rate on the need for continuous measurement

dc.contributor.authorEl Rahyel, Ahmed
dc.contributor.authorVemulapalli, Krishna C.
dc.contributor.authorLahr, Rachel E.
dc.contributor.authorRex, Douglas K.
dc.contributor.departmentMedicine, School of Medicineen_US
dc.date.accessioned2022-02-02T16:37:52Z
dc.date.available2022-02-02T16:37:52Z
dc.date.issued2021
dc.description.abstractBackground and Aims Measurement of adenoma detection rate (ADR) is resource intensive and the benefit of continuous measurement for colonoscopists with high ADR is unclear. We examined the ADR trends at our center to determine whether continuous measurement for consistently high ADR is warranted. Methods Among colonoscopies performed between January 1999 and November 2019 at a tertiary center, we analyzed data from colonoscopists performing at least 50 screening colonoscopies annually for 5 consecutive years. ADR trends for individual colonoscopists were examined using Joinpoint regression models. Results Eleven colonoscopists performed screening colonoscopies on 14,047 patients, and 5,912 among them had at least 1 conventional adenoma removed (42.0%). Of 25,829 polyps, 13,585 (52.6%) were conventional adenomas or adenocarcinomas and contributed to ADR calculation. All but 1 colonoscopist included met the recommended minimum threshold ADR of 25% continuously over the study period. Of the 11 colonoscopists, 5 had an increase in their ADR and the remaining 6 had stable ADRs over the study period. Conclusion For colonoscopists consistently performing above the minimum threshold, diversion of resources toward improvement of quality measures other than ADR is justified.en_US
dc.eprint.versionAuthor's manuscripten_US
dc.identifier.citationEl Rahyel, A., Vemulapalli, K. C., Lahr, R. E., & Rex, D. K. (2021). Implications of stable or increasing adenoma detection rate on the need for continuous measurement. Gastrointestinal Endoscopy, S0016510721017296. https://doi.org/10.1016/j.gie.2021.10.017en_US
dc.identifier.issn0016-5107en_US
dc.identifier.urihttps://hdl.handle.net/1805/27660
dc.language.isoen_USen_US
dc.publisherElsevieren_US
dc.relation.isversionof10.1016/j.gie.2021.10.017en_US
dc.relation.journalGastrointestinal Endoscopyen_US
dc.rightsPublisher Policyen_US
dc.sourceAuthoren_US
dc.subjectadenoma detection rateen_US
dc.subjectADRen_US
dc.subjectcolonoscopistsen_US
dc.titleImplications of stable or increasing adenoma detection rate on the need for continuous measurementen_US
dc.typeArticleen_US
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