How to improve the adenoma detection rate in colorectal cancer screening? Clinical factors and technological advancements

Introduction Colonoscopy has been widely regarded as the gold standard in colorectal cancer (CRC) screening. Within recent years different endoscopic imaging techniques have been introduced to improve the quality of colonoscopy. The adenoma detection rate (ADR) is the single most important quality i...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Maciej Matyja, Artur Pasternak, Mirosław Szura, Michał Wysocki, Michał Pędziwiatr, Kazimierz Rembiasz
Formato:	article
Lenguaje:	EN
Publicado:	Termedia Publishing House 2019
Materias:	cancer adenoma screening technology quality colorectal endoscopy detection rate adr adenoma detection rate Medicine R
Acceso en línea:	https://doaj.org/article/4e07865c8ec14c58961b32be9ad2bb66
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:4e07865c8ec14c58961b32be9ad2bb66
record_format	dspace
spelling	oai:doaj.org-article:4e07865c8ec14c58961b32be9ad2bb662021-12-02T16:59:26ZHow to improve the adenoma detection rate in colorectal cancer screening? Clinical factors and technological advancements1734-19221896-915110.5114/aoms.2018.74863https://doaj.org/article/4e07865c8ec14c58961b32be9ad2bb662019-03-01T00:00:00Zhttps://www.archivesofmedicalscience.com/How-to-improve-the-adenoma-detection-rate-in-colorectal-cancer-screening-Clinical,85354,0,2.htmlhttps://doaj.org/toc/1734-1922https://doaj.org/toc/1896-9151Introduction Colonoscopy has been widely regarded as the gold standard in colorectal cancer (CRC) screening. Within recent years different endoscopic imaging techniques have been introduced to improve the quality of colonoscopy. The adenoma detection rate (ADR) is the single most important quality indicator for colonoscopy. The aim of this study was to evaluate the quality of CRC screening expressed by ADR in two different eras of endoscopic technology advancement. Material and methods We conducted a dual-center study that enrolled 24 055 patients, who underwent colonoscopy as part of a national screening program. Patients were sorted into two groups according to the advancement of endoscopic equipment used for colonoscopic examination: group I – 10 405 patients examined between 2004 and 2008 (standard electronic endoscopes); group II – 13 650 patients examined between 2009 and 2014 (modern endoscopes). The ADR in two different eras and the impact of endoscopic novelties were determined. Results The ADR in group I was 29.14%, in group II 31.73% (p < 0.001). The overall ADR was 30.88% – 38.80% and 25.95% (p < 0.001) for the male and female patients, respectively. The mean adenoma number per colonoscopy was 0.366 (95% CI: 0.357–0.375; p < 0.001), 0.337 (0.321–0.352) and 0.380 (0.369–0.392) for patients in group I and group II, respectively. Conclusions Our study shows that technological innovation, novel endoscopy devices and diagnostic techniques improve the quality in CRC screening by increasing the ADR. However, we need to determine which of the technologies are supreme to achieve excellence in colorectal cancer screening.Maciej MatyjaArtur PasternakMirosław SzuraMichał WysockiMichał PędziwiatrKazimierz RembiaszTermedia Publishing Housearticlecanceradenomascreeningtechnologyqualitycolorectalendoscopydetectionrateadrcolorectalendoscopyadenoma detection rateMedicineRENArchives of Medical Science, Vol 15, Iss 2, Pp 424-433 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	cancer adenoma screening technology quality colorectal endoscopy detection rate adr colorectal endoscopy adenoma detection rate Medicine R
spellingShingle	cancer adenoma screening technology quality colorectal endoscopy detection rate adr colorectal endoscopy adenoma detection rate Medicine R Maciej Matyja Artur Pasternak Mirosław Szura Michał Wysocki Michał Pędziwiatr Kazimierz Rembiasz How to improve the adenoma detection rate in colorectal cancer screening? Clinical factors and technological advancements
description	Introduction Colonoscopy has been widely regarded as the gold standard in colorectal cancer (CRC) screening. Within recent years different endoscopic imaging techniques have been introduced to improve the quality of colonoscopy. The adenoma detection rate (ADR) is the single most important quality indicator for colonoscopy. The aim of this study was to evaluate the quality of CRC screening expressed by ADR in two different eras of endoscopic technology advancement. Material and methods We conducted a dual-center study that enrolled 24 055 patients, who underwent colonoscopy as part of a national screening program. Patients were sorted into two groups according to the advancement of endoscopic equipment used for colonoscopic examination: group I – 10 405 patients examined between 2004 and 2008 (standard electronic endoscopes); group II – 13 650 patients examined between 2009 and 2014 (modern endoscopes). The ADR in two different eras and the impact of endoscopic novelties were determined. Results The ADR in group I was 29.14%, in group II 31.73% (p < 0.001). The overall ADR was 30.88% – 38.80% and 25.95% (p < 0.001) for the male and female patients, respectively. The mean adenoma number per colonoscopy was 0.366 (95% CI: 0.357–0.375; p < 0.001), 0.337 (0.321–0.352) and 0.380 (0.369–0.392) for patients in group I and group II, respectively. Conclusions Our study shows that technological innovation, novel endoscopy devices and diagnostic techniques improve the quality in CRC screening by increasing the ADR. However, we need to determine which of the technologies are supreme to achieve excellence in colorectal cancer screening.
format	article
author	Maciej Matyja Artur Pasternak Mirosław Szura Michał Wysocki Michał Pędziwiatr Kazimierz Rembiasz
author_facet	Maciej Matyja Artur Pasternak Mirosław Szura Michał Wysocki Michał Pędziwiatr Kazimierz Rembiasz
author_sort	Maciej Matyja
title	How to improve the adenoma detection rate in colorectal cancer screening? Clinical factors and technological advancements
title_short	How to improve the adenoma detection rate in colorectal cancer screening? Clinical factors and technological advancements
title_full	How to improve the adenoma detection rate in colorectal cancer screening? Clinical factors and technological advancements
title_fullStr	How to improve the adenoma detection rate in colorectal cancer screening? Clinical factors and technological advancements
title_full_unstemmed	How to improve the adenoma detection rate in colorectal cancer screening? Clinical factors and technological advancements
title_sort	how to improve the adenoma detection rate in colorectal cancer screening? clinical factors and technological advancements
publisher	Termedia Publishing House
publishDate	2019
url	https://doaj.org/article/4e07865c8ec14c58961b32be9ad2bb66
work_keys_str_mv	AT maciejmatyja howtoimprovetheadenomadetectionrateincolorectalcancerscreeningclinicalfactorsandtechnologicaladvancements AT arturpasternak howtoimprovetheadenomadetectionrateincolorectalcancerscreeningclinicalfactorsandtechnologicaladvancements AT mirosławszura howtoimprovetheadenomadetectionrateincolorectalcancerscreeningclinicalfactorsandtechnologicaladvancements AT michałwysocki howtoimprovetheadenomadetectionrateincolorectalcancerscreeningclinicalfactorsandtechnologicaladvancements AT michałpedziwiatr howtoimprovetheadenomadetectionrateincolorectalcancerscreeningclinicalfactorsandtechnologicaladvancements AT kazimierzrembiasz howtoimprovetheadenomadetectionrateincolorectalcancerscreeningclinicalfactorsandtechnologicaladvancements
_version_	1718382264717410304

How to improve the adenoma detection rate in colorectal cancer screening? Clinical factors and technological advancements

Ejemplares similares