ArticleBMC gastroenterology2014
Adenoma detection rates in an opportunistic screening colonoscopy program in Iran, a country with rising colorectal cancer incidence.
Article in BMC gastroenterology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- Cancer Screening Awareness and Practice in a Middle Income Country; A Systematic Review from IranAsian Pacific journal of cancer prevention : APJCP · 2017Pooled it
- Expression Analysis ofArchives of Razi Institute · 2025Article
- Colorectal polyp prevalence and adenoma detection rates in an Iranian cohort: a prospective study.BMC gastroenterology · 2025Article
- Colorectal Cancer Screening Pilot Project in Tehran-Iran, a Feasibility Study.Archives of Iranian medicine · 2023Article
- Opportunistic Colonoscopy Cancer Screening Pays off in Romania-A Single-Centre Study.Diagnostics (Basel, Switzerland) · 2021Article
- Assessment of quality benchmarks in adenoma detection in Mexico.Endoscopy international open · 2021Article
- Determination of withdrawal times in individualized opportunistic screening colonoscopies.Medicine · 2019Observational
- Assessment of Bone Morphogenetic Protein 3 Methylation in Iranian Patients with Colorectal Cancer.Middle East journal of digestive diseases · 2017Article
- Mean Polyp per Patient Is an Accurate and Readily Obtainable Surrogate for Adenoma Detection Rate: Results from an Opportunistic Screening Colonoscopy Program.Middle East journal of digestive diseases · 2015Article
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Authors and funding
13 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundData on the quality of colonoscopies in populations with rising colorectal cancer (CRC) incidence is scarce. We aimed to calculate the adenoma detection rates (ADR), and assess the quality of colonoscopies in an opportunistic screening colonoscopy program in Iran.
methodsAll the colonoscopy and pathology reports of asymptomatic adults over age 50 who underwent screening colonoscopy between June 2007 and March 2013 were reviewed. The colonoscopy quality indicators including ADR were calculated, and patient factors associated with the adenoma detection were determined.
resultsA total of 713 asymptomatic adults aged 50 years and older who underwent their first-time screening colonoscopy were included in this study. ADR and advanced-ADR were 33.00% (95% CI: 29.52-36.54) and 13.18% (95% CI: 10.79-15.90), respectively. We observed a significantly higher rate of cecal intubation in patients with fair or better bowel preparation compared to those with poor prep, 90.00% vs. 70.45%, respectively (P < 0.001). Bowel preparation (adjusted OR: 2.49, 95% CI: 1.75-3.55), older age (≥60) (adjusted OR: 1.70, 95% CI: 1.22-2.36), and male gender (adjusted OR: 1.39, 95% CI: 1.01-1.92) were associated with the adenoma detection.
conclusionsOur ADR in both genders meets and exceeds the recommended colonoscopy quality benchmarks. The polyp and adenoma detection rates in the current study are comparable to those reported from Western countries where the incidence of CRC is traditionally high. These data are in line with the epidemiologic transition of CRC in Iran.
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