The DOI matches its Crossref record; 29 of the 29 references it cites were found in a registry or an index.
Endoscopist Can Be More Powerful than Age and Male Gender in Predicting Adenoma Detection at Colonoscopy
Abstract
BACKGROUND AND AIMS: Both advancing age and male gender are known predictors of adenomas and large adenomas at colonoscopy. However, the importance of endoscopist compared with both age and gender as predictors of adenomas is not known. In this study, we assessed the adenoma detection rates of nine endoscopists performing colonoscopy and the effects of endoscopist on adenoma detection compared with the established predictors of advancing age and male gender. METHODS: Consecutive colonoscopy reports by nine attending gastroenterologists at Indiana University Hospital between January 1999 and January 2004 were obtained. Patients with indications for inflammatory bowel disease (IBD), inherited colon cancer syndromes, or who were referred for polypectomy were excluded. RESULTS: There were 10,034 included colonoscopies. The overall mean age (yr) +/- SD for the entire cohort was 56.0 +/- 13.5, range 14-93 yr. Multivariate analysis indicated that both advancing age and male gender were powerful predictors of adenomas, both for the overall cohort and in those >or=50 of age (P or=50 yr of age, the range of detection of at least one adenoma per colonoscopy by nine colonoscopists was 15.5-41.1%, at least two adenomas was 4.9-20.0%, at least three adenomas was 0.8-10.8%, and at least one adenoma >or=1.0 cm was 1.7-6.2%, and the range of adenomas detected per colonoscopy was 0.21-0.86. Differences between endoscopists were significant (P < 0.001). CONCLUSION: Who performs the procedure can be more important than age and gender in predicting adenomas at colonoscopy. Our results underscore the need to measure adenoma detection rates in the continuous quality improvement process and to report them to endoscopists. Additional data are needed to determine whether corrective measures can reduce variation in adenoma detection rates.
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Cites
Prevention of Colorectal Cancer by Colonoscopic Polypectomy
Winawer, S. J., Zauber, A. G., Ho, M. N., O'Brien, M. J., Gottlieb, L. S., Sternberg, S. S., Waye, J. D., Schapiro, M., Bond, J. H., Panish, J. F., et al. (1993) · New England Journal of Medicine · doi:10.1056/nejm199312303292701 · Cited by 4,592
WINAWER, S. (2003) · Gastroenterology · doi:10.1053/gast.2003.50044 · Cited by 2,143
Use of Colonoscopy to Screen Asymptomatic Adults for Colorectal Cancer
Lieberman, D. A., Weiss, D. G., Bond, J. H., Ahnen, D. J., Garewal, H., Harford, W. V., Provenzale, D., Sontag, S., Schnell, T., Durbin, T. E., et al. (2000) · New England Journal of Medicine · doi:10.1056/nejm200007203430301 · Cited by 1,815
Colonoscopic miss rates of adenomas determined by back-to-back colonoscopies
Rex, D., Cutler, C., Lemmel, G., Rahmani, E., Clark, D., Helper, D., Lehman, G., & Mark, D. (1997) · Gastroenterology · doi:10.1016/s0016-5085(97)70214-2 · Cited by 1,553
Self-citationA Randomized Trial of Aspirin to Prevent Colorectal Adenomas
Baron, J. A., Cole, B. F., Sandler, R. S., Haile, R. W., Ahnen, D., Bresalier, R., McKeown-Eyssen, G., Summers, R. W., Rothstein, R., Burke, C. A., et al. (2003) · New England Journal of Medicine · doi:10.1056/nejmoa021735 · Cited by 1,416
Sandler, R. S., Halabi, S., Baron, J. A., Budinger, S., Paskett, E., Keresztes, R., Petrelli, N., Pipas, J. M., Karp, D. D., Loprinzi, C. L., et al. (2003) · New England Journal of Medicine · doi:10.1056/nejmoa021633 · Cited by 1,136
Imperiale, T. F., Wagner, D. R., Lin, C. Y., Larkin, G. N., Rogge, J. D., & Ransohoff, D. F. (2000) · New England Journal of Medicine · doi:10.1056/nejm200007203430302 · Cited by 1,060
Froehlich, F., Wietlisbach, V., Gonvers, J.-J., Burnand, B., & Vader, J.-P. (2005) · Gastrointestinal Endoscopy · doi:10.1016/s0016-5107(04)02776-2 · Cited by 931
Lack of Effect of a Low-Fat, High-Fiber Diet on the Recurrence of Colorectal Adenomas
Schatzkin, A., Lanza, E., Corle, D., Lance, P., Iber, F., Caan, B., Shike, M., Weissfeld, J., Burt, R., Cooper, M. R., et al. (2000) · New England Journal of Medicine · doi:10.1056/nejm200004203421601 · Cited by 931
Lack of Effect of a High-Fiber Cereal Supplement on the Recurrence of Colorectal Adenomas
Alberts, D. S., Martínez, M. E., Roe, D. J., Guillén-Rodríguez, J. M., Marshall, J. R., van Leeuwen, J. B., Reid, M. E., Ritenbaugh, C., Vargas, P. A., Bhattacharyya, A. B., et al. (2000) · New England Journal of Medicine · doi:10.1056/nejm200004203421602 · Cited by 826
Cited by
Adenoma detection rate and risk of colorectal cancer and death
Corley, D. A., Jensen, C. D., Marks, A. R., Zhao, W. K., Lee, J. K., Doubeni, C. A., Zauber, A. G., de Boer, J., Fireman, B. H., Schottinger, J. E., et al. (2014) · New England Journal of Medicine · doi:10.1056/nejmoa1309086 · Cited by 2,270
Quality indicators for colonoscopy
Rex, D. K., Schoenfeld, P. S., Cohen, J., Pike, I. M., Adler, D. G., Fennerty, M. B., Lieb, J. G., Park, W. G., Rizk, M. K., Sawhney, M. S., et al. (2015) · Gastrointestinal Endoscopy · doi:10.1016/j.gie.2014.07.058 · Cited by 1,764
Self-citationSerrated Lesions of the Colorectum: Review and Recommendations From an Expert Panel
Rex, D. K., Ahnen, D. J., Baron, J. A., Batts, K. P., Burke, C. A., Burt, R. W., Goldblum, J. R., Guillem, J. G., Kahi, C. J., Kalady, M. F., et al. (2012) · American Journal of Gastroenterology · doi:10.1038/ajg.2012.161 · Cited by 1,117
Self-citationACG Clinical Guidelines: Colorectal Cancer Screening 2021
Shaukat, A., Kahi, C. J., Burke, C. A., Rabeneck, L., Sauer, B. G., & Rex, D. K. (2021) · American Journal of Gastroenterology · doi:10.14309/ajg.0000000000001122 · Cited by 853
Self-citationByrne, M. F., Chapados, N., Soudan, F., Oertel, C., Linares Pérez, M., Kelly, R., Iqbal, N., Chandelier, F., & Rex, D. K. (2019) · Gut · doi:10.1136/gutjnl-2017-314547 · Cited by 635
Self-citation
Metadata
- Authors
- Chen, S. C., & Rex, D. K.
- Venue
- The American Journal of Gastroenterology
- Published
- 2007-04
- Volume
- 102
- Issue
- 4
- Pages
- 856-861
- ISSN
- 0002-9270 (ISSN-L)
- 1572-0241
- OpenAlex
- W1996779859
- Cited by
- 403
- References
- 29
- FWCI
- 13.28
- Type
- journal article
- Language
- en
- Open access
- closed
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