ArticleSurgical endoscopy2017
High-definition colonoscopy increases adenoma detection rate.
Article in Surgical endoscopy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Pooled it
- Standard-definition White-light, High-definition White-light versus Narrow-band Imaging Endoscopy for Detecting Colorectal Adenomas: A Multicenter Randomized Controlled Trial.Current medical science · 2024Trial
- Article
- Article
- Colorectal tumor comorbidity is common in patients with duodenal tumors: Exploratory cross-sectional study.Endoscopy international open · 2024Article
- Factors Associated with Polyp Detection Rate in European Colonoscopy Practice: Findings of The European Colonoscopy Quality Investigation (ECQI) Group.International journal of environmental research and public health · 2022Article
- The impact of face shields on the quality of gastrointestinal endoscopy during the COVID-19 pandemic.BMC gastroenterology · 2022Article
- Latest Generation High-Definition Colonoscopy Increases Adenoma Detection Rate by Trainee Endoscopists.Digestive diseases and sciences · 2021Article
- Retroflexion, a costless endoscopic maneuver, increases adenoma detection rate in the ascending colon.Annals of gastroenterology · 2021Article
- Adenomas per colonoscopy and adenoma per positive participant as quality indicators for screening colonoscopy.Endoscopy international open · 2020Article
- Efficacy and Patient Tolerability Profiles of Probiotic Solution with Bisacodyl Versus Conventional Cleansing Solution for Bowel Preparation: A Prospective, Randomized, Controlled Trial.Journal of clinical medicine · 2020Article
- Optical imaging technology in colonoscopy: Is there a role for photometric stereo?World journal of gastrointestinal endoscopy · 2020Review
- Impact of Inadequate Bowel Cleansing on Colonoscopic Findings in Routine Screening Practice.Clinical and translational gastroenterology · 2020Article
- APC and AXIN2 Are Promising Biomarker Candidates for the Early Detection of Adenomas and Hyperplastic Polyps.Cancer informatics · 2020Article
- Impact of an optimized colonoscopic screening program for patients with Lynch syndrome: 6-year results of a specialized French network.Therapeutic advances in gastroenterology · 2018Article
- Can technology increase adenoma detection rate?Therapeutic advances in gastroenterology · 2018Review
- Polyp Resection and Removal Procedures: Insights From the 2017 Digestive Disease Week.Gastroenterology & hepatology · 2017Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe adenoma detection rate (ADR) is a quality indicator for colonoscopy. High-definition (HD) imaging has been reported to increase polyp detection rates.
objectiveThe primary objective of this study was to compare polyp detection rate (PDR) and adenoma detection rate (ADR) before and after the implementation of HD colonoscopy.
methodsA retrospective chart review was performed on patients aged 48-55 years old, who underwent first-time screening colonoscopy. The first group underwent standard-definition (SD) colonoscopy in the first 6 months of 2011. The second group underwent screening with HD colonoscopy during the first 6 months of 2012. We compared age, gender, PDR, ADR, and average sizes of adenomatous polyps between gastroenterologist and colorectal surgeon and among physicians themselves. Statistical analysis was performed with Fischer's exact test and Pearson Chi-square.
resultsA total of 1268 patients were involved in the study (634 in each group). PDR (35.6 vs. 48.2 %, p < 0.001) and ADR (22.2 vs. 30.4 %, p = 0.02) were higher in the HD group. The average size of an adenomatous polyp was the same in the two groups (0.58 vs. 0.57, p = 0.69). However, this difference was not seen among colorectal surgeons PDR (35.7 vs. 37 %, p = 0.789), ADR (22.9 vs. 24.5 % p = 0.513), but clearly seen among gastroenterologist, PDR (35.6 vs. 53.1 % p < 0.001) and ADR (21.9 vs. 32.9 % p < 0.001). When polyps were categorized into size groups, there was no difference in ADR between the two timeframes (<5 mm in size (41.5 vs. 35.4 %), 5-10 mm (49.3 vs. 60.1 %) and >10 mm (9.2 vs. 4.5 %), p = 0.07). Polyps were most commonly seen in the sigmoid colon (26.1 vs. 24.7 %). There was no difference in the rate of synchronous polyp detection between modalities (25.6 vs. 29 %, p = 0.51). Withdrawal time was the same in both procedure (9.2 vs. 8.5 min, p = 0.10).
conclusionScreening colonoscopy with high-definition technology significantly improved both PDR and ADR. In addition, high-definition colonoscopy may be particularly useful and advantageous among less experienced endoscopists in various community settings. However, there needs to be application to specific patient populations in future studies to assess for any statistical differences between standard- and high-definition modalities to determine clinical utility.
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