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. 2023 May 8:13:1090464.
doi: 10.3389/fonc.2023.1090464. eCollection 2023.

Image acquisition as novel colonoscopic quality indicator: a single-center retrospective study

Ke Zhang  1   2 , Abdiwahid Mohamed Bile  1   3 , Xinyi Feng  1   3 , Yemin Xu  1   3 , Yaoyao Li  1 , Qiang She  1 , Guiqing Li  1 , Jian Wu  1 , Weiming Xiao  1 , Yanbing Ding  1 , Bin Deng  1
Affiliations

Image acquisition as novel colonoscopic quality indicator: a single-center retrospective study

Ke Zhang et al. Front Oncol. .

Abstract

Purpose: In order to reduce the incidence and mortality of colorectal cancer, improving the quality of colonoscopy is the top priority. At present, the adenoma detection rate is the most used index to evaluate the quality of colonoscopy. So, we further verified the relevant factors influencing the quality of colonoscopy and found out the novel quality indicators by studying the relationship between the influencing factors and the adenoma detection rate.

Materials/methods: The study included 3824 cases of colonoscopy from January to December 2020. We retrospectively recorded the age and sex of the subjects; the number, size, and histological features of lesions; withdrawal time and the number of images acquired during colonoscopy. We analyzed the associated factors affecting adenoma and polyp detection, and verified their effectiveness with both univariate and multivariate logistic regression analyses.

Results: Logistic regression analyses showed that gender, age, withdrawal time and the number of images acquired during colonoscopy could serve as independent predictors of adenoma/polyp detection rate. In addition, adenoma detection rate (25.36% vs. 14.29%) and polyp detection rate (53.99% vs. 34.42%) showed a marked increase when the number of images taken during colonoscopy was ≥29 (P<0.001).

Conclusions: Gender, age, withdrawal time and the number of images acquired during colonoscopy are influencing factors for the detection of colorectal adenomas and polyps. And we can gain higher adenoma/polyp detection rate when endoscopists capture more colonoscopic images.

Keywords: adenoma detection rate; colonoscopy; photodocumentation; polyp detection rate; quality.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Study flow diagram and patients demographics.
See this image and copyright information in PMC

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