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Showing content from http://www.ncbi.nlm.nih.gov/pubmed/28842054 below:

Adenoma detection rate and risk of colorectal cancer

Review

Affiliations

• ¹ Department of Gastroenterological Oncology and Department of Cancer Prevention, The Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland; Department of Gastroenterology, Hepatology and Oncology, Medical Center for Postgraduate Education, Warsaw, Poland. Electronic address: p.wieszczy@gmail.com.
• ² Department of Gastroenterological Oncology and Department of Cancer Prevention, The Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland; Department of Gastroenterology, Hepatology and Oncology, Medical Center for Postgraduate Education, Warsaw, Poland.
• ³ Department of Gastroenterological Oncology and Department of Cancer Prevention, The Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland; Department of Gastroenterology, Hepatology and Oncology, Medical Center for Postgraduate Education, Warsaw, Poland; Institute of Health and Society, University of Oslo, Oslo, Norway.

• PMID: 28842054
• DOI: 10.1016/j.bpg.2017.07.002

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Review

P Wieszczy et al. Best Pract Res Clin Gastroenterol. 2017 Aug.

• ¹ Department of Gastroenterological Oncology and Department of Cancer Prevention, The Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland; Department of Gastroenterology, Hepatology and Oncology, Medical Center for Postgraduate Education, Warsaw, Poland. Electronic address: p.wieszczy@gmail.com.
• ² Department of Gastroenterological Oncology and Department of Cancer Prevention, The Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland; Department of Gastroenterology, Hepatology and Oncology, Medical Center for Postgraduate Education, Warsaw, Poland.
• ³ Department of Gastroenterological Oncology and Department of Cancer Prevention, The Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland; Department of Gastroenterology, Hepatology and Oncology, Medical Center for Postgraduate Education, Warsaw, Poland; Institute of Health and Society, University of Oslo, Oslo, Norway.

• PMID: 28842054
• DOI: 10.1016/j.bpg.2017.07.002

Item in Clipboard

Goals: The aim of this paper was to discuss association between adenoma detection rate (ADR) and interval colorectal cancer risk.

Background: Adenoma detection rate is being used as a benchmark quality measure for colonoscopy. There are three studies showing inverse association between ADR and interval colorectal cancer risk. One recent study reports significant impact of increased ADR on decreasing interval colorectal cancer risk.

Study: We discussed evidence for using ADR as a quality measures in colonoscopy and flexible sigmoidoscopy. We revised three studies (Kaminski et al., N Engl J Med 2010; Corley et al., N Engl J Med 2014 and Rogal et al., Clin Gastroenterol Hepatol, 2013) analyzing association between ADR and interval colorectal cancer. We collated strengths and weaknesses of these studies with the perspective of clinical impact of their results.

Results: Kaminski et al. and Corley et al. reported inverse association between ADR at colonoscopy and interval colorectal cancer. Kaminski et al. showed that patients examined by endoscopists with ADR of less than 20% had over 10 times greater risk of interval colorectal cancer during the follow-up time than those examined by endoscopists with ADR ≥20%. Additionally, Corley et al. showed that ADR ≥28% resulted in a significantly lower risk of colorectal cancer death than ADR of less than 19%. In parallel, Rogal et al. reported similar association for flexible sigmoidoscopy, with 2.4 higher odds of interval colorectal cancer diagnosis during follow-up time in patients examined by endoscopists with distal ADR <7.2% than those with distal ADR ≥7.2%. Apart from inevitable clinical importance of the studies, they are not without disadvantages. In Kaminski et al. study cohort and study endpoint are well defined, but there is lack of statistical power to provide more robust results. In Rogal et al. study cohort is well defined, but approximation of the study endpoint was used. Finally, Corley et al. study has both poorly defined study cohort and study endpoint, but has the highest statistical power of all three to detect the differences for both interval colorectal cancer and colorectal cancer death.

Conclusion: Both, inverse relationship between ADR and ADR improvement and colorectal cancer risk and death reaffirm ADR as a crucial quality control parameter.

Keywords: Colonoscopy; Quality measures; Screening.

Copyright © 2017 Elsevier Ltd. All rights reserved.

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• Increased Rate of Adenoma Detection Associates With Reduced Risk of Colorectal Cancer and Death.

  Kaminski MF, Wieszczy P, Rupinski M, Wojciechowska U, Didkowska J, Kraszewska E, Kobiela J, Franczyk R, Rupinska M, Kocot B, Chaber-Ciopinska A, Pachlewski J, Polkowski M, Regula J. Kaminski MF, et al. Gastroenterology. 2017 Jul;153(1):98-105. doi: 10.1053/j.gastro.2017.04.006. Epub 2017 Apr 17. Gastroenterology. 2017. PMID: 28428142

• Correlation between adenoma detection rate and novel quality indicators for screening colonoscopy. A proposal for quality measures tool kit.

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• Adenoma detection rate influences the risk of metachronous advanced colorectal neoplasia in low-risk patients.

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• Seeing better--Evidence based recommendations on optimizing colonoscopy adenoma detection rate.

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• Difference in Physician- and Patient-Dependent Factors Contributing to Adenoma Detection Rate and Serrated Polyp Detection Rate.

  Cavicchi M, Tharsis G, Burtin P, Cattan P, Venezia F, Tordjman G, Gillet A, Samama J, Nahon-Uzan K, Karsenti D. Cavicchi M, et al. Dig Dis Sci. 2019 Dec;64(12):3579-3588. doi: 10.1007/s10620-019-05808-y. Epub 2019 Aug 30. Dig Dis Sci. 2019. PMID: 31471862

• Is There a Difference in Adenoma Detection Rates According to Indication? An Experience in a Panamanian Colorectal Cancer Screening Program.

  Zuniga Cisneros J, Tunon C, Adames E, Garcia C, Rivera R, Gonzalez E, Cubilla J, Lambrano L. Zuniga Cisneros J, et al. Gastroenterology Res. 2023 Apr;16(2):96-104. doi: 10.14740/gr1599. Epub 2023 Apr 28. Gastroenterology Res. 2023. PMID: 37187549 Free PMC article.

• The contribution of endoscopy quality measures to the development of interval colorectal cancers in the screening population: a systematic review.

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• The proof is in the pudding: improving adenoma detection rates reduces interval colon cancer development.

  Umar SB, Ramirez FC. Umar SB, et al. Transl Gastroenterol Hepatol. 2017 Dec 1;2:99. doi: 10.21037/tgh.2017.11.10. eCollection 2017. Transl Gastroenterol Hepatol. 2017. PMID: 29264437 Free PMC article. No abstract available.

• Shape-specific characterization of colorectal adenoma growth and transition to cancer with stochastic cell-based models.

  Simonetto C, Mansmann U, Kaiser JC. Simonetto C, et al. PLoS Comput Biol. 2023 Jan 23;19(1):e1010831. doi: 10.1371/journal.pcbi.1010831. eCollection 2023 Jan. PLoS Comput Biol. 2023. PMID: 36689547 Free PMC article.

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