Endoscopy 2008; 40(6): 523-528
DOI: 10.1055/s-2007-995786
Editorial

© Georg Thieme Verlag KG Stuttgart · New York

Do we need to embrace adenoma detection rate as the main quality control parameter during colonoscopy?

J.-F.  Bretagne1 , T.  Ponchon2
  • 1Service des Maladies de l’Appareil Digestif, Rennes, France
  • 2Fédération d’Hépato-Gastroentérologie, Lyon, France
Further Information

Publication History

Publication Date:
08 May 2008 (online)

Recent US guidelines state that, at screening colonoscopy in individuals above 50 years of age, adenoma detection rates must be higher than 25 % in men and 15 % in women [1]. Should European gastroenterologists embrace the adenoma detection rates of the US gastroenterologists as the main quality control parameter during colonoscopy?

References

  • 1 Rex D K, Petrin J L, Baron T H. et al . Quality indicators for colonoscopy.  Am J Gastroenterol. 2006;  101 873-885
  • 2 Benson V S, Patnick J, Davies A K. et al . Colorectal cancer screening: a comparison of 35 initiatives in 17 countries.  Int J Cancer. 2008;  122 1357-1367
  • 3 Lieberman D A, Holub J, Eisen G. et al . Utilization of colonoscopy in the United States: results from a national consortium.  Gastrointest Endosc. 2005;  62 875-883
  • 4 Harris J K, Vader J P, Wietlisbach V. et al . Variations in colonoscopy practice in Europe: a multicentre descriptive study (EPAGE).  Scand J Gastroenterol. 2007;  42 126-134
  • 5 Bressler B, Paszat L F, Chen Z. et al . Rates of new or missed colorectal cancers after colonoscopy and their risk factors: a population-based analysis.  Gastroenterology. 2007;  132 96-102
  • 6 Bressler B, Paszat L F, Vinden C. et al . Colonoscopic miss rates for right-sided colon cancer: a population-based analysis.  Gastroenterology. 2004;  127 452-456
  • 7 Farrar W D, Sawhney M S, Nelson D B. et al . Colorectal cancers found after a complete colonoscopy.  Clin Gastroenterol Hepatol. 2006;  4 1259-1264
  • 8 Alberts D S, Martínez M, Roe D J. et al . Lack of effect of a high-fiber cereal supplement on the recurrence of colorectal adenomas. Phoenix Colon Cancer Prevention Physicians’ Network.  N Engl J Med. 2000;  342 1156-1162
  • 9 Pabby A, Schoen R E, Weissfeld J L. et al . Analysis of colorectal cancer occurrence during surveillance colonoscopy in the dietary Polyp Prevention Trial.  Gastrointest Endosc. 2005;  61 385-391
  • 10 Robertson D J, Greenberg E R, Beach M. et al . Colorectal cancer in patients under close colonoscopic surveillance.  Gastroenterology. 2005;  129 34-41
  • 11 Winawer S, Zauber A G, Ho M N. et al . Prevention of colorectal cancer by colonoscopic polypectomy. The National Polyp Study Workgroup.  N Engl J Med. 1993;  329 1977-1981
  • 12 Singh H, Turner D, Xue L. et al . Risk of developing colorectal cancer following a negative colonoscopy examination: evidence for a 10-year interval between colonoscopies.  JAMA. 2006;  295 2366-2373
  • 13 Lieberman D A, Weiss D G, Harford W V. et al . Five-year colon surveillance after screening colonoscopy.  Gastroenterology. 2007;  133 1077-1085
  • 14 Sawhney M S, Farrar W D, Gudiseva S. et al . Microsatellite instability in interval colon cancers.  Gastroenterology. 2006;  131 1700-1705
  • 15 Van Rijn J C, Reitsma J B, Stoker J. et al . Polyp miss rate determined by tandem colonoscopy: a systematic review.  Am J Gastroenterol. 2006;  101 343-350
  • 16 Weissfeld J L, Schoen R E, Pinsky P F. et al . Flexible sigmoidoscopy in the PLCO cancer screening trial: results from the baseline screening examination of a randomized trial.  J Natl Cancer Inst. 2005;  97 989-997
  • 17 Pickhardt P J, Nugent P A, Mysliwiec P A. et al . Location of adenomas missed by optical colonoscopy.  Ann Intern Med. 2004;  141 352-359
  • 18 Van Gelder R E, Nio C Y, Florie J. et al . Computed tomographic colonography compared with colonoscopy in patients at increased risk for colorectal cancer.  Gastroenterology. 2004;  127 41-48
  • 19 Atkin W, Rogers P, Cardwell C. et al . Wide variation in adenoma detection rates at screening flexible sigmoidoscopy.  Gastroenterology. 2004;  126 1247-1256
  • 20 Bretthauer M, Skovlund E, Grotmol T. et al . Inter-endoscopist variation in polyp and neoplasia pick-up rates in flexible sigmoidoscopy screening for colorectal cancer.  Scand J Gastroenterol. 2003;  38 1268-1274
  • 21 Chen S C, Rex D K. Endoscopist can be more powerful than age and male gender in predicting adenoma detection at colonoscopy.  Am J Gastroenterol. 2007;  107 856-861
  • 22 Lieberman D A, Holub J, Eisen G. et al . Prevalence of polyps greater than 9 mm in a consortium of diverse clinical practice settings in the United States.  Clin Gastroenterol Hepatol. 2005;  3 798-805
  • 23 Irby K, Anderson W F, Henson D E. et al . Emerging and widening colorectal carcinoma disparities between Blaks and Whites in the United States (1975 - 2002).  Cancer Epidemiol Biomarkers Prev. 2006;  15 792-797
  • 24 Thornton J G, Morris A M, Thornton J D. et al . Racial variation in colorectal polyp and tumor location.  J Natl Med Assoc. 2007;  99 723-728
  • 25 Reid M E, Marshall J R, Roe D. et al . Smoking exposure as a risk factor for prevalent and recurrent colorectal adenomas.  Cancer Epidemiol Biomarkers Prev. 2003;  12 1006-1011
  • 26 Jacobs E T, Martinez M E, Alberts D S. et al . Association between body size and colorectal adenoma recurrence.  Clin Gastroenterol Hepatol. 2007;  5 982-990
  • 27 Sedjo R L, Byers T, Levin T R. et al . Change in body size and the risk of colorectal adenomas.  Cancer Epidemiol Biomarkers Prev. 2007;  16 526-531
  • 28 Kim J H, Lim Y J, Kim Y H. et al . Is metabolic syndrome a risk factor for colorectal adenoma?.  Cancer Epidemiol Biomarkers Prev. 2007;  16 1543-1546
  • 29 Aitken J F, Bain C J, Ward M. et al . Risk of colorectal adenomas in patients with a family history of colorectal cancer: some implications for screening programmes.  Gut. 1996;  39 105-108
  • 30 Pariente A, Milan C, Lafon J. et al . Colonoscopic screening in first-degree relatives of patients with ’sporadic’ colorectal cancer: a case-control study.  Gastroenterology. 1998;  115 7-15
  • 31 Cottet V, Pariente A, Nalet B. et al . Colonoscopic screening of first-degree relatives of patients with large adenomas: increased risk of colorectal tumors.  Gastroenterology. 2007;  133 1086-1092
  • 32 Saini S D, Kim H M, Schoenfeld P. Incidence of advanced adenomas at surveillance colonoscopy in patients with a personal history of colon adenomas: a meta-analysis and systematic review.  Gastrointest Endosc. 2006;  64 614-626
  • 33 Denis B, Ruetsch M, Strentz P. et al . Short term outcomes of the first round of a pilot colorectal cancer screening programme with guaiac based faecal occult blood test.  Gut. 2007;  56 1579-1584
  • 34 Manfredi S, Piette C, Durand G. et al . Colonoscopy results of a French regional FOBT-based colorectal cancer screening program with high compliance.  Endoscopy. 2008;  DOI 10.1055/s-2007 - 995 430
  • 35 Froehlich F, Wietlisbach V, Gonvers J J. et al . Impact of colonic cleansing on quality and diagnostic yield of colonoscopy: the European Panel of Appropriateness of Gastrointestinal Endoscopy European multicenter study.  Gastrointest Endosc. 2005;  61 378-384
  • 36 Harewood G C, Sharma V K, de Garmo P. Impact of colonoscopy preparation quality on detection of suspected colonic neoplasia.  Gastrointest Endosc. 2003;  58 76-79
  • 37 Aslinia F, Uradomo L, Steele A. et al . Quality assessment of colonoscopic cecal intubation: an analysis of 6 years of continuous practice at a university hospital.  Am J Gastroenterol. 2006;  101 721-731
  • 38 Harewood G C. Relationship of colonoscopy completion rates and endoscopist features.  Dig Dis Sci. 2005;  50 47-51
  • 39 Sanchez W, Harewood G C, Petersen B T. Evaluation of polyp detection in relation to procedure time of screening or surveillance colonoscopy.  Am J Gastroenterol. 2004;  99 1941-1945
  • 40 Barclay R L, Vicari J J, Doughty A S. et al . Colonoscopic withdrawal times and adenoma detection during screening colonoscopy.  N Engl J Med. 2006;  355 2533-2541
  • 41 Simmons D T, Harewood G C, Baron T H. et al . Impact of endoscopist withdrawal speed on polyp yield: implications for optimal colonoscopy withdrawal time.  Aliment Pharmacol Ther. 2006;  24 965-971
  • 42 Rex D. Quality in colonoscopy: cecal intubation first, then what?.  Am J Gastroenterol. 2006;  101 732-734
  • 43 Thomas-Gibson S, Rogers P, Cooper S. et al . Judgement of the quality of bowel preparation at screening flexible sigmoidoscopy is associated with variability in adenoma detection rates.  Endoscopy. 2006;  38 456-460
  • 44 Rex D. Colonoscopic withdrawal technique is associated with adenoma miss rates.  Gastrointest Endosc. 2000;  51 33-36
  • 45 Rex D. Who is the best colonoscopist?.  Gastrointest Endosc. 2007;  65 145-150
  • 46 Rex D. Maximizing detection of adenomas and cancers during colonoscopy.  Am J Gastroenterol. 2006;  101 2866-2877
  • 47 Brown S R, Baraza W, Hurlstone P. Chromoscopy versus conventional endoscopy for the detection of polyps in the colon and rectum.  Cochrane Database Syst Rev. 2007;  4 CD006439
  • 48 Ratiu N, Gelbmann C, Rath H R. et al . Chromoendoscopy with indigo carmine in flexible sigmoidoscopy screening: does it improve the detection of adenomas in the distal colon and rectum?.  J Gastrointestin Liver Dis. 2007;  16 153-156
  • 49 Adler A, Pohl H, Papanikolaou I S. et al . A prospective randomized study on narrow-band imaging versus conventional colonoscopy for adenoma detection: does NBI induce a learning effect?.  Gut. 2008;  57 59-64
  • 50 East J E, Saunders B P, Burling D. et al . Surface visualization at CT colonography simulated colonoscopy: effect of varying field of view and retrograde view.  Am J Gastroenterol. 2007;  102 2529-2535
  • 51 Deenadayalu V P, Chadalawada V, Rex D K. 170 degrees wide-angle colonoscope: effect on efficiency and miss rates.  Am J Gastroenterol. 2004;  99 2138-2142
  • 52 Harrison M, Singh N, Rex D K. Impact of proximal colon retroflexion on adenoma miss rates.  Am J Gastroenterol. 2004;  99 519-522
  • 53 Triadafilopoulos G, Watts D, Higgins J. et al . A novel retrograde-viewing auxilliary imaging device (third eye retroscope) improves the detection of simulated polyps in anatomic models of the colon.  Gastrointest Endosc. 2007;  65 139-144
  • 54 Lieberman D. A call to action - measuring the quality of colonoscopy.  N Engl J Med. 2006;  355 2588-2589
  • 55 Johnson D A. and the Quality Measures Task Force of the American College of Gastroenterology . Pay for performance: ACG guide for physicians.  Am J Gastroenterol. 2007;  102 2119-2122
  • 56 Harewood G C, Petersen B T, Ott B J. Prospective assessment of the impact of feedback on colonoscopy performance.  Aliment Pharmacol Ther. 2006;  24 313-318
  • 57 Imperiali G, Minoli G, Meucci G M. et al . Effectiveness of a continuous quality improvement program on colonoscopy practice.  Endoscopy. 2007;  39 314-318
  • 58 Brenner H, Hoffmeister M, Stegmaier C. et al . Risk of progression of advanced adenomas to colorectal cancer by age and sex: estimates based on 840 149 screening colonoscopies.  Gut. 2007;  56 1585-1589
  • 59 Lieberman D A, Weiss D G, Bond J H. et al . Use of colonoscopy to screen asymptomatic adults for colorectal cancer.  N Engl J Med. 2000;  343 162-168
  • 60 Regula J, Rupinski M, Kraszewska E. et al . Colonoscopy in colorectal cancer screening for detection advanced neoplasia.  N Engl J Med. 2006;  355 1863-1872
  • 61 Schoenfeld P, Cash B, Flood A. et al . Colonoscopic screening of average-risk women for colorectal neoplasia.  N Engl J Med. 2005;  352 2061-2068
  • 62 Strul H, Kariv R, Leshno M. et al . The prevalence rate and anatomic location of colorectal adenoma and cancer detected by colonoscopy in average-risk individuals aged 40 - 80 years.  Am J Gastroenterol. 2006;  101 255-262
  • 63 Terry M B, Neugut A I, Bostick R M. et al . Reliability in the classification of advanced adenomas.  Cancer Epidemiol Biomarkers Prev. 2002;  11 660-663
  • 64 Schoen R E, Gerber L D, Margulies C. The pathologic measurement of polyp size is preferable to the endoscopic estimate.  Gastrointest Endosc. 1997;  46 492-496
  • 65 Betes M, Munoz-Navas M A, Duque J M. et al . Use of colonoscopy as a primary screening test for colorectal cancer in average risk people.  Am J Gastroenterol. 2003;  98 2648-2654
  • 66 Waye J. Follow-up colonoscopy: screen more, survey less, and save.  Gastrointest Endosc. 2006;  64 955-957

J.-F. Bretagne, MD 

Service des Maladies de l'Appareil Digestif

Hôpital Pontchaillou

35033 Rennes

France

Email: jean-francois.bretagne@chu-rennes.fr