Surveying ADR Knowledge and Practices Among US Gastroenterologists.

Journal of Clinical Gastroenterology
Michael Peng, Douglas K Rex

Abstract

The adenoma detection rate (ADR) is of primary importance to the quality of screening colonoscopy. An online survey was conducted to assess knowledge and practices on ADR. Paid questionnaire distributed by email. Eligible respondents were board certified gastroenterologists who perform >80 colonoscopies per month with 3 to 35 years practice after fellowship. There were 250 respondents. In total, 39% were unaware that ADR applies only to screening colonoscopies and 76% incorrectly answered that ADR includes sessile-serrated polyps/adenomas. A total of 51% of respondents incorrectly believe the threshold is set at 25% because 25% is a national ADR average. Many also believe the threshold depends on the patient population (current evidence suggests adjusting ADR for factors other than age and sex is unnecessary). 75% ranked ADR as highly important. 80% reported tracking ADR. A busy practice was the most common reason for not tracking ADR. Caps, chromoendoscopy, and good bowel preparation were viewed as valuable for improving ADR (this is true except for caps). High-definition colonoscopes and education were considered less valuable, despite evidence indicating that both are associated with improved ADR. In total, 57% reported not ...Continue Reading

References

Jul 4, 2002·The American Journal of Gastroenterology·Douglas K RexUNKNOWN U.S. Multi-Society Task Force on Colorectal Cancer
Apr 26, 2006·The American Journal of Gastroenterology·Douglas O FaigelUNKNOWN ASGE/ACG Taskforce on Quality in Endoscopy
Dec 15, 2006·The New England Journal of Medicine·Robert L BarclayRoger L Greenlaw
Jan 16, 2007·The American Journal of Gastroenterology·Shawn C Chen, Douglas K Rex
Jul 22, 2008·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Robert L BarclayRoger L Greenlaw
Dec 17, 2008·Annals of Internal Medicine·Nancy N BaxterLinda Rabeneck
Mar 10, 2009·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Charles J KahiDouglas K Rex
Dec 3, 2009·European Journal of Gastroenterology & Hepatology·Sanna A MulderErnst J Kuipers
Feb 25, 2010·The American Journal of Gastroenterology·Charles J KahiDouglas K Rex
May 14, 2010·The New England Journal of Medicine·Michal F KaminskiEugeniusz Butruk
Jul 6, 2010·Gastroenterology·Harminder SinghCharles N Bernstein
Jan 5, 2011·Annals of Internal Medicine·Hermann BrennerMichael Hoffmeister
Jun 13, 2012·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Nancy N BaxterV Paul Doria-Rose
Sep 21, 2013·The New England Journal of Medicine·Reiko NishiharaAndrew T Chan
Apr 4, 2014·The New England Journal of Medicine·Douglas A CorleyCharles P Quesenberry
Dec 7, 2014·Gastrointestinal Endoscopy·Douglas K RexDavid S Weinberg
Dec 7, 2016·World Journal of Gastroenterology : WJG·Matthew ChinDouglas L Nguyen
Apr 22, 2017·Gastroenterology·Michal F KaminskiJaroslaw Regula
May 31, 2017·The American Journal of Gastroenterology·Douglas K RexDouglas J Robertson
Jan 31, 2018·The American Journal of Gastroenterology·Rebecca A GourevitchAteev Mehrotra

❮ Previous
Next ❯

Citations

May 21, 2021·JGH Open : an Open Access Journal of Gastroenterology and Hepatology·Nihita ManemMicheal Tadros
Oct 24, 2021·Gastrointestinal Endoscopy·Ahmed El RahyelDouglas K Rex

❮ Previous
Next ❯

Software Mentioned

GIQuic
Excel
MS Excel
MS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.