Prevalence of ‘one and done’ in adenoma detection rates: results from the New Hampshire Colonoscopy Registry
| Autor: | Stacey A. Fedewa, Joseph C. Anderson, Christina M. Robinson, Julie E. Weiss, Robert A. Smith, Rebecca L. Siegel, Ahmedin Jemal, Lynn F. Butterly |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: | |
| Zdroj: | Endoscopy International Open, Vol 07, Iss 11, Pp E1344-E1354 (2019) |
| Druh dokumentu: | article |
| ISSN: | 2364-3722 2196-9736 |
| DOI: | 10.1055/a-0895-5410 |
| Popis: | Background and study aims Adenoma detection rate (ADR), the proportion of an endoscopist’s screening colonoscopies in which at least one adenoma is found, is an established quality metric. Several publications have suggested that a technique referred to as “one and done,” where less attention is paid to additional polyp detection following discovery of one likely adenoma, may be occurring 1 2 3. To investigate whether this practice occurs and provide additional context to the significance of ADR, we examined ADR by single and multiple adenomas in the statewide New Hampshire Colonoscopy Registry (NHCR). Patients and methods A total of 25,324 NHCR patients receiving screening colonoscopies between 2009 and 2014 by 69 endoscopists were analyzed. ADR was dichotomized into high (≥ 20 %) and low ( 1 adenoma) was dichotomized at mean values into high (≥ 1.5) and low ( |
| Databáze: | Directory of Open Access Journals |
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