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- Title
Difference in Physician- and Patient-Dependent Factors Contributing to Adenoma Detection Rate and Serrated Polyp Detection Rate.
- Authors
Cavicchi, Maryan; Tharsis, Gaëlle; Burtin, Pascal; Cattan, Philippe; Venezia, Franck; Tordjman, Gilles; Gillet, Agnès; Samama, Joëlle; Nahon-Uzan, Karine; Karsenti, David
- Abstract
<bold>Background: </bold>Adenoma detection rate (ADR) is correlated with the risk of interval colorectal cancer and is considered as a quality benchmark for colonoscopy. Serrated polyp detection rate (SPDR) might be a more stringent indicator of quality in polyp detection.<bold>Aims: </bold>To evaluate in a 2-year monocentric observational study patient-dependent and endoscopist-dependent factors influencing ADR and SPDR in daily practice.<bold>Methods: </bold>We determined ADR and SPDR. We collected patient-dependent factors and endoscopist-dependent factors. Links between these data and detection rates were assessed by uni- and multivariate analysis.<bold>Results: </bold>A total of 11682 colonoscopies were performed (female: 54.3%; male: 45.7%; median age 58) by 30 endoscopists (female: 9; male: 21). ADR and SPDR were 29.2% and 8%, respectively. In multivariate analysis, ADR was associated with patient-dependent factors: age (OR 1.044, CI 95% 1.040-1.048), male gender (OR 1.7, CI 95% 1.56-1.85), personal history of polyp/cancer (OR 1.53, CI 95% 1.3-1.9), and positive fecal immunochemical test (OR 2.47, CI 95% 2.0-3.1). In multivariate analysis, SPDR was associated with withdrawal time (OR 1.25, CI 95% 1.17-1.32), low volume activity (OR 1.3, CI 95% 1.1-1.52), and personal history of polyp/cancer (OR 1.61, CI 95% 1.15-2.25).<bold>Conclusion: </bold>In this large series of routine colonoscopies, we found that ADR was mainly driven by patient-dependent conditions, i.e., age, male gender, colonoscopy indication for positive FIT, and a personal history of polyp or cancer. In contrast, SPDR was mainly related to endoscopist-dependent factor, i.e., withdrawal time and low volume activity.
- Subjects
ADENOMATOUS polyps; MULTIVARIATE analysis; COLON cancer; RATES
- Publication
Digestive Diseases & Sciences, 2019, Vol 64, Issue 12, p3579
- ISSN
0163-2116
- Publication type
journal article
- DOI
10.1007/s10620-019-05808-y