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- W4310297009 abstract "To examine whether reasonable detection rate of endoscopically diagnosed lesions as adenoma (endoscopic adenoma detection rate [ADR]) could be calculated with a database generated from colonoscopy reports and whether it could be used as a surrogate colonoscopy quality indicator of pathological ADR.A lesion-by-lesion database of colonoscopies performed between 2010 and 2020 at eight Japanese endoscopy centers and corresponding pathology database were integrated. Differences in numbers of detected polyps, endoscopic and pathological adenomas, and what these differences could be attributed to were examined. Polyp detection rate (PDR), endoscopic and pathological ADRs, and correlation coefficients between pathological ADR and PDR or endoscopic ADR by each endoscopist were calculated.Overall, 129,065 colonoscopy reports were analyzed. Among a total of 146,854 polyps, more endoscopic adenomas (n = 117,359) were observed than pathological adenomas (n = 70,076), primarily because adenomas were not resected on site, rather than because of a misdiagnosis. In all patients analyzed, PDR, endoscopic and pathological ADRs were 56.4% (95% confidence interval [CI] 56.2-56.7), 48.0% (95% CI 47.7-48.3), and 32.7% (95% CI 32.5-33.0), respectively. Endoscopic and pathological ADRs from each endoscopist showed a high correlation in hospitals where adenomas were usually resected at the time of examination.By appropriately describing endoscopically diagnosed lesions as adenomas in endoscopy reports, endoscopic ADR might be used as a surrogate colonoscopy quality indicator of pathological ADR (UMIN000040690)." @default.
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- W4310297009 date "2023-01-16" @default.
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- W4310297009 title "“Endoscopic” adenoma detection rate as a quality indicator of colonoscopy: First report from the <scp>J‐SCOUT</scp> study" @default.
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- W4310297009 doi "https://doi.org/10.1111/den.14483" @default.
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