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Correlation between adenoma detection rate and other quality indicators, and its variability depending on factors such as sedation or indication for colonoscopy

Colorectal cancer (CRC) is an important worldwide public health burden and colonoscopy is the main diagnostic and most importantly, preventive method. For this reason, many countries have implemented national or regional CRC screening programs. High-quality colonoscopy is a prerequisite to effective...

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Autores principales: Groza, Andrei Lucian, Ungureanu, Bogdan Silviu, Tefas, Cristian, Miuțescu, Bogdan, Tanțău, Marcel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9807161/
https://www.ncbi.nlm.nih.gov/pubmed/36601057
http://dx.doi.org/10.3389/fphar.2022.1041915
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author Groza, Andrei Lucian
Ungureanu, Bogdan Silviu
Tefas, Cristian
Miuțescu, Bogdan
Tanțău, Marcel
author_facet Groza, Andrei Lucian
Ungureanu, Bogdan Silviu
Tefas, Cristian
Miuțescu, Bogdan
Tanțău, Marcel
author_sort Groza, Andrei Lucian
collection PubMed
description Colorectal cancer (CRC) is an important worldwide public health burden and colonoscopy is the main diagnostic and most importantly, preventive method. For this reason, many countries have implemented national or regional CRC screening programs. High-quality colonoscopy is a prerequisite to effectively detect premalignant lesions, like adenomas. The quality of colonoscopy is assessed using several quality indicators, the main one being adenoma detection rate (ADR). In Romania, despite CRC having the highest incidence of all cancers, there is no national screening program and quality in colonoscopy is not routinely assessed. We therefore wanted to evaluate the actual level of quality in colonoscopy in a region of Romania. Our study was conducted in two private endoscopy clinics over a period of 7 months. 1,440 consecutive colonoscopies performed by five physicians were included in the study. We found that the quality level is above the minimum one recommended by international societies and that the ADR calculation method does not significantly influence its value. Furthermore, ADR correlated well with other quality indicators such as polyp detection rate (PDR) and adenoma per colonoscopy (APC). An interesting finding was that ADR was higher among colonoscopies performed without sedation. Thus, our data encourage endoscopists to adopt a sedation-free colonoscopy in their practice without an impact on the quality of the procedure.
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spelling pubmed-98071612023-01-03 Correlation between adenoma detection rate and other quality indicators, and its variability depending on factors such as sedation or indication for colonoscopy Groza, Andrei Lucian Ungureanu, Bogdan Silviu Tefas, Cristian Miuțescu, Bogdan Tanțău, Marcel Front Pharmacol Pharmacology Colorectal cancer (CRC) is an important worldwide public health burden and colonoscopy is the main diagnostic and most importantly, preventive method. For this reason, many countries have implemented national or regional CRC screening programs. High-quality colonoscopy is a prerequisite to effectively detect premalignant lesions, like adenomas. The quality of colonoscopy is assessed using several quality indicators, the main one being adenoma detection rate (ADR). In Romania, despite CRC having the highest incidence of all cancers, there is no national screening program and quality in colonoscopy is not routinely assessed. We therefore wanted to evaluate the actual level of quality in colonoscopy in a region of Romania. Our study was conducted in two private endoscopy clinics over a period of 7 months. 1,440 consecutive colonoscopies performed by five physicians were included in the study. We found that the quality level is above the minimum one recommended by international societies and that the ADR calculation method does not significantly influence its value. Furthermore, ADR correlated well with other quality indicators such as polyp detection rate (PDR) and adenoma per colonoscopy (APC). An interesting finding was that ADR was higher among colonoscopies performed without sedation. Thus, our data encourage endoscopists to adopt a sedation-free colonoscopy in their practice without an impact on the quality of the procedure. Frontiers Media S.A. 2022-12-19 /pmc/articles/PMC9807161/ /pubmed/36601057 http://dx.doi.org/10.3389/fphar.2022.1041915 Text en Copyright © 2022 Groza, Ungureanu, Tefas, Miuțescu and Tanțău. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pharmacology
Groza, Andrei Lucian
Ungureanu, Bogdan Silviu
Tefas, Cristian
Miuțescu, Bogdan
Tanțău, Marcel
Correlation between adenoma detection rate and other quality indicators, and its variability depending on factors such as sedation or indication for colonoscopy
title Correlation between adenoma detection rate and other quality indicators, and its variability depending on factors such as sedation or indication for colonoscopy
title_full Correlation between adenoma detection rate and other quality indicators, and its variability depending on factors such as sedation or indication for colonoscopy
title_fullStr Correlation between adenoma detection rate and other quality indicators, and its variability depending on factors such as sedation or indication for colonoscopy
title_full_unstemmed Correlation between adenoma detection rate and other quality indicators, and its variability depending on factors such as sedation or indication for colonoscopy
title_short Correlation between adenoma detection rate and other quality indicators, and its variability depending on factors such as sedation or indication for colonoscopy
title_sort correlation between adenoma detection rate and other quality indicators, and its variability depending on factors such as sedation or indication for colonoscopy
topic Pharmacology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9807161/
https://www.ncbi.nlm.nih.gov/pubmed/36601057
http://dx.doi.org/10.3389/fphar.2022.1041915
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