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. 2021 Sep 1;116(9):1946-1949.
doi: 10.14309/ajg.0000000000001358.

Benchmarking Adenoma Detection Rates for Colonoscopy: Results From a US-Based Registry

Aasma Shaukat  1   2 , Jennifer Holub  3 , Irving M Pike  4 , Mark Pochapin  5 , David Greenwald  6 , Colleen Schmitt  7 , Glenn Eisen  8
Affiliations

Benchmarking Adenoma Detection Rates for Colonoscopy: Results From a US-Based Registry

Aasma Shaukat et al. Am J Gastroenterol. .

Abstract

Introduction: Adenoma detection rate (ADR) is highly variable across practices, and national or population-based estimates are not available. Our aim was to study the ADR, variability of rates over time, and factors associated with detection rates of ADR in a national sample of patients undergoing colonoscopy.

Methods: We used colonoscopies submitted to the GI Quality Improvement Consortium, Ltd. registry from 2014 to 2018 on adults aged 50-89 years. We used hierarchical logistic models to study factors associated with ADR.

Results: A total of 2,646,833 colonoscopies were performed by 1,169 endoscopists during the study period. The average ADR for screening colonoscopies per endoscopist was 36.80% (SD 10.21), 44.08 (SD 10.98) in men and 31.20 (SD 9.65) in women. Adjusted to the US population, the ADR was 39.08%. There was a significant increase in ADR from screening colonoscopies over the study period from 33.93% in 2014 to 38.12% in 2018.

Discussion: The average ADR from a large national US sample standardized to the US population is 39.05% and has increased over time.

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References

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