ArticleBMC gastroenterology2021
The analysis of multilevel factors affecting adenoma detection rates for colonoscopies: a large-scale retrospective study.
Article in BMC gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 16 citations in OpenAlex.
- Real-world evidence of water exchange colonoscopy improving adenoma detection rates: A propensity score-matched analysis.Therapeutic advances in gastroenterology · 2026Article
- Artificial intelligence-assisted colonoscopy improves adenoma detection rates in routine colonoscopy practice: a single-center, retrospective, propensity score-matched study with concurrent controls.BMC gastroenterology · 2025Article
- A Prospective Randomized Study to Predict Bowel Preparation Quality Prior to Colonoscopy: Comparison of Two Stool Collection Methods for the Objective Assessment of Final Rectal Effluent Clarity.Diagnostics (Basel, Switzerland) · 2025Article
- Assessment of the impact of power business intelligence on adenoma detection rate: a prospective observational trial.BMC gastroenterology · 2025Observational
- Effect of computer aided detection device on the adenoma detection rate and serrated detection rate among trainee fellows.JGH open : an open access journal of gastroenterology and hepatology · 2024Article
- Adenoma Detection Rate and Polyp Detection Rate among Gastroenterology Fellows and Consultants in a Tertiary Hospital in the Philippines: A Cross-sectional Study.Acta medica Philippina · 2024Article
- Cost-effectiveness of Artificial Intelligence-Aided Colonoscopy for Adenoma Detection in Colon Cancer Screening.Journal of the Canadian Association of Gastroenterology · 2023Article
- Sedation Is Associated with Higher Polyp and Adenoma Detection Rates during Colonoscopy: A Retrospective Cohort Study.Gastroenterology research and practice · 2023Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
backgroundAdenoma detection rate (ADR) is a validated primary quality indicator for colonoscopy procedures. However, there is growing concern over the variability associated with ADR indicators. Currently, the factors that influence ADRs are not well understood.
aimsIn this large-scale retrospective study, the impact of multilevel factors on the quality of ADR-based colonoscopy was assessed.
methodsA total of 10,788 patients, who underwent colonoscopies performed by 21 endoscopists between January 2019 and December 2019, were retrospectively enrolled in this study. Multilevel factors, including patient-, procedure-, and endoscopist-level characteristics were analyzed to determine their relationship with ADR.
resultsThe overall ADR was 20.21% and ranged from 11.4 to 32.8%. Multivariate regression analysis revealed that higher ADRs were strongly correlated with the following multilevel factors: patient age per stage (OR 1.645; 95% CI 1.577-1.717), male gender (OR 1.959; 95% CI 1.772-2.166), sedation (OR 1.402; 95% CI 1.246-1.578), single examiner colonoscopy (OR 1.330; 95% CI 1.194-1.482) and senior level endoscopists (OR 1.609; 95% CI 1.449-1.787).
conclusionThe ADR is positively correlated with senior level endoscopists and single examiner colonoscopies in patients under sedation. As such, these procedure- and endoscopist-level characteristics are important considerations to improve the colonoscopy quality.
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