Correlation between ADR of screening and all colonoscopies

Background and Aims. Colonoscopy with polypectomy are associated with a reduction in the incidence of colorectal cancer (CRC), as well as mortality, secondary to CRC. Because of the variation in physicians' performance and the risk of interval CRC after a colonoscopy, several quality indicators...

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Autores principales:	Ivana Mikoviny Kajzrlikova, Petr Vitek, Josef Chalupa, Jan Kuchar, Jiri Platos, Pavel Reha, Pavel Klvana
Formato:	article
Lenguaje:	EN
Publicado:	Palacký University Olomouc, Faculty of Medicine and Dentistry 2021
Materias:	adenoma colorectal neoplasms colonoscopy quality improvement standards screening Medicine R
Acceso en línea:	https://doaj.org/article/382cfa9d3bb1463f918e6f79cf999e44
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spelling	oai:doaj.org-article:382cfa9d3bb1463f918e6f79cf999e442021-11-29T09:17:21ZCorrelation between ADR of screening and all colonoscopies1213-81181804-7521https://doaj.org/article/382cfa9d3bb1463f918e6f79cf999e442021-11-01T00:00:00Zhttps://biomed.papers.upol.cz/artkey/bio-202104-0006_correlation-between-adr-of-screening-and-all-colonoscopies.phphttps://doaj.org/toc/1213-8118https://doaj.org/toc/1804-7521Background and Aims. Colonoscopy with polypectomy are associated with a reduction in the incidence of colorectal cancer (CRC), as well as mortality, secondary to CRC. Because of the variation in physicians' performance and the risk of interval CRC after a colonoscopy, several quality indicators have been established. ADR (adenoma detection rate) is a generally accepted quality indicator. But it is also a target of possible gaming and achieving an adequate number of colonoscopies only from screening may be a problem for some practices. The aim of this study was to compare ADR for colonoscopies done for various indications and to look for correlations between the ADR of screening and all examinations. Methods. We retrospectively assessed the quality indicators of all colonoscopies performed in a nonuniversity hospital, Frydek-Mistek, from January 2013 to December 2017. We calculated the ADR for all colonoscopies in patients over 50 years of age (subdivided into screening, surveillance, diagnostic) and separately only for screening colonoscopies. Correlations were made using the Pearson's correlation coeficient. Results. The sample was composed of 6925 patients over 50 years of age (3620 men, 3305 women, mean age 66.2 years). The ADRs for screening and surveillance were higher than for diagnostic colonoscopies for all of the endoscopists, and the ADRs for all colonoscopies were lower than for screening, but sufficiently over 25%. There was a positive correlation between the ADR of screening and all colonoscopies (r=0.906, P<0.005). Conclusions. The calculation of ADR for all colonoscopies was possible in our endoscopic department, and there was a positive correlation with ADR for screening colonoscopies. ADR for all colonoscopies is a good tool for calculating real ADR from large sample sizes without gaming. Trial Registration: ClinicalTrials.gov (NCT03730441).Ivana Mikoviny KajzrlikovaPetr VitekJosef ChalupaJan KucharJiri PlatosPavel RehaPavel KlvanaPalacký University Olomouc, Faculty of Medicine and Dentistryarticleadenomacolorectal neoplasmscolonoscopyquality improvementstandardsscreeningMedicineRENBiomedical Papers, Vol 165, Iss 4, Pp 386-389 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	adenoma colorectal neoplasms colonoscopy quality improvement standards screening Medicine R
spellingShingle	adenoma colorectal neoplasms colonoscopy quality improvement standards screening Medicine R Ivana Mikoviny Kajzrlikova Petr Vitek Josef Chalupa Jan Kuchar Jiri Platos Pavel Reha Pavel Klvana Correlation between ADR of screening and all colonoscopies
description	Background and Aims. Colonoscopy with polypectomy are associated with a reduction in the incidence of colorectal cancer (CRC), as well as mortality, secondary to CRC. Because of the variation in physicians' performance and the risk of interval CRC after a colonoscopy, several quality indicators have been established. ADR (adenoma detection rate) is a generally accepted quality indicator. But it is also a target of possible gaming and achieving an adequate number of colonoscopies only from screening may be a problem for some practices. The aim of this study was to compare ADR for colonoscopies done for various indications and to look for correlations between the ADR of screening and all examinations. Methods. We retrospectively assessed the quality indicators of all colonoscopies performed in a nonuniversity hospital, Frydek-Mistek, from January 2013 to December 2017. We calculated the ADR for all colonoscopies in patients over 50 years of age (subdivided into screening, surveillance, diagnostic) and separately only for screening colonoscopies. Correlations were made using the Pearson's correlation coeficient. Results. The sample was composed of 6925 patients over 50 years of age (3620 men, 3305 women, mean age 66.2 years). The ADRs for screening and surveillance were higher than for diagnostic colonoscopies for all of the endoscopists, and the ADRs for all colonoscopies were lower than for screening, but sufficiently over 25%. There was a positive correlation between the ADR of screening and all colonoscopies (r=0.906, P<0.005). Conclusions. The calculation of ADR for all colonoscopies was possible in our endoscopic department, and there was a positive correlation with ADR for screening colonoscopies. ADR for all colonoscopies is a good tool for calculating real ADR from large sample sizes without gaming. Trial Registration: ClinicalTrials.gov (NCT03730441).
format	article
author	Ivana Mikoviny Kajzrlikova Petr Vitek Josef Chalupa Jan Kuchar Jiri Platos Pavel Reha Pavel Klvana
author_facet	Ivana Mikoviny Kajzrlikova Petr Vitek Josef Chalupa Jan Kuchar Jiri Platos Pavel Reha Pavel Klvana
author_sort	Ivana Mikoviny Kajzrlikova
title	Correlation between ADR of screening and all colonoscopies
title_short	Correlation between ADR of screening and all colonoscopies
title_full	Correlation between ADR of screening and all colonoscopies
title_fullStr	Correlation between ADR of screening and all colonoscopies
title_full_unstemmed	Correlation between ADR of screening and all colonoscopies
title_sort	correlation between adr of screening and all colonoscopies
publisher	Palacký University Olomouc, Faculty of Medicine and Dentistry
publishDate	2021
url	https://doaj.org/article/382cfa9d3bb1463f918e6f79cf999e44
work_keys_str_mv	AT ivanamikovinykajzrlikova correlationbetweenadrofscreeningandallcolonoscopies AT petrvitek correlationbetweenadrofscreeningandallcolonoscopies AT josefchalupa correlationbetweenadrofscreeningandallcolonoscopies AT jankuchar correlationbetweenadrofscreeningandallcolonoscopies AT jiriplatos correlationbetweenadrofscreeningandallcolonoscopies AT pavelreha correlationbetweenadrofscreeningandallcolonoscopies AT pavelklvana correlationbetweenadrofscreeningandallcolonoscopies
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Correlation between ADR of screening and all colonoscopies

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