How Can We Improve Adenoma Detection Rate?

Adenoma detection rate (ADR) is a considerable component of colonoscopy quality assurance; it has a clear link to future morbidity and mortality from colorectal cancer. There are a number of potential factors, both modifiable and non-modifiable that can impact upon ADR. Modes of improving ADR includ...

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Bibliographic Details
Published in:Current colorectal cancer reports 2016-02, Vol.12 (1), p.42-50
Main Authors: Bond, Ashley, Sarkar, Sanchoy
Format: Article
Language:English
Subjects:
Colorectal Surgery
Medicine
Medicine & Public Health
Oncology
Prevention and Early Detection (R Benamouzig
Proctology
Section Editor
Topical Collection on Prevention and Early Detection
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Summary:Adenoma detection rate (ADR) is a considerable component of colonoscopy quality assurance; it has a clear link to future morbidity and mortality from colorectal cancer. There are a number of potential factors, both modifiable and non-modifiable that can impact upon ADR. Modes of improving ADR include techniques and behaviours during colonoscopy, image enhancement techniques, technological advancements, advancements in endoscope designs, developments in accessories and continued medical education. However, whilst a number of technologies are emerging to improve ADR, at present, it seems that education, team work and optimising current practice will provide the biggest gains in ADR whilst maintaining financial acceptability. The review aims to present a balanced summary of the evidence currently available and does not propose to serve as a guideline.
ISSN:1556-3790
1556-3804
DOI:10.1007/s11888-016-0308-7