Assessment of quality benchmarks in adenoma detection in Mexico.

Autor:	Aguilar-Olivos NE; Medica Sur Hospital, Gastroenterology and Endoscopy Unit, Mexico City, Mexico., Balanzá R; Medica Sur Hospital, Gastroenterology and Endoscopy Unit, Mexico City, Mexico., Rojas-Mendoza F; Medica Sur Hospital, Gastroenterology and Endoscopy Unit, Mexico City, Mexico., Soto-Solis R; Angeles Pedregral Hospital, Gastroenterology and Endoscopy Unit, Mexico City, Mexico., Ballesteros-Amozurrutia MA; Angeles Pedregral Hospital, Gastroenterology and Endoscopy Unit, Mexico City, Mexico., González-Uribe N; Angeles Pedregral Hospital, Gastroenterology and Endoscopy Unit, Mexico City, Mexico., Fernández-Rivero JA; Medica Sur Hospital, Gastroenterology and Endoscopy Unit, Mexico City, Mexico.
Jazyk:	angličtina
Zdroj:	Endoscopy international open [Endosc Int Open] 2021 Jun; Vol. 9 (6), pp. E796-E801. Date of Electronic Publication: 2021 May 27.
DOI:	10.1055/a-1396-3718
Abstrakt:	Background and study aims  Several Latin American countries, including Mexico, have reported an increase in colorectal cancer (CRC) mortality. The effectiveness of a colonoscopy in preventing CRC depends on the quality of the procedure, for which the adenoma detection rate (ADR) is one of the most trusted indicators. Awareness of ADR can improve the quality of colonoscopies through proper feedback and training of the specialists. The goal of this study was to estimate the ADR among Mexican endoscopists with experience in CRC screening and to compare it with previously reported data from this country. Methods  We carried out a retrospective study to analyze ADR data in Mexico. The information was obtained from a group of certified endoscopists and compared with the former published data from Mexico. Results  We found a current ADR of 24.6 % (95 %CI, 22.4 %-26.8 %) from 1,478 colonoscopies performed by eight endoscopists in two third-level private hospitals. The average ADR reported in previous publications was 15.2 % (95 %CI, 13.3 %-17.1 %). Statistical analysis showed differences between our results and those from previous studies (24.6 % vs. 15.2 %, P  < 0.001). Conclusions  The actual ADR in Mexico is higher than previously reported. Previous low ADR values could be explained by poorly performed colonoscopies rather than by low adenoma and CRC incidence in our country. Competing Interests: Competing interests The authors declare that they have no conflict of interest. (The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).)
Databáze:	MEDLINE
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