Evaluating Different Approaches for Calculating Adenoma Detection Rate: Is Screening Colonoscopy the Gold Standard?

See editorial on page 534. Dressing Up an Old Friend in New Clothes: A New Approach to Measuring Adenoma Detection RateGastroenterologyVol. 165Issue 3PreviewPost colonoscopy colorectal cancer (PCCRC) is a well-recognized measure of colonoscopy quality.1 Patients with PCCRCs are more likely to present emergently and to die from their cancers compared with those whose cancers are detected at the initial colonoscopy.2 There are challenges in measuring PCCRCs and reporting them in a timely fashion, which limits the usefulness of PCCRC as an endoscopist quality indicator. Endoscopist adenoma detection rate (ADR) is easier to measure and report in a timely fashion and has been found to be inversely associated with PCCRC. Full-Text PDF