Adenoma Detection Rate and Risk of Colorectal Cancer and Death

The proportion of a physician's screening colonoscopies that detect at least one adenoma (the adenoma detection rate) is a quality measure. In this study involving 136 gastroenterologists, the adenoma detection rate was inversely associated with patients' risk of interval colorectal cancer...

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Veröffentlicht in:The New England journal of medicine Jg. 370; H. 14; S. 1298 - 1306
Hauptverfasser: Corley, Douglas A, Jensen, Christopher D, Marks, Amy R, Zhao, Wei K, Lee, Jeffrey K, Doubeni, Chyke A, Zauber, Ann G, de Boer, Jolanda, Fireman, Bruce H, Schottinger, Joanne E, Quinn, Virginia P, Ghai, Nirupa R, Levin, Theodore R, Quesenberry, Charles P
Format: Journal Article
Sprache:Englisch
Veröffentlicht: Waltham, MA Massachusetts Medical Society 03.04.2014
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ISSN:0028-4793, 1533-4406, 1533-4406
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Zusammenfassung:The proportion of a physician's screening colonoscopies that detect at least one adenoma (the adenoma detection rate) is a quality measure. In this study involving 136 gastroenterologists, the adenoma detection rate was inversely associated with patients' risk of interval colorectal cancer. Colonoscopy is a commonly used primary or follow-up screening test to detect colorectal cancer, 1 – 3 the second leading cause of death from cancer in the United States. 4 , 5 Colonoscopy can reduce the risk of death from colorectal cancer through detection of tumors at an earlier, more treatable stage and through removal of precancerous adenomas. 3 , 6 Conversely, failure to detect adenomas during colonoscopy may increase the subsequent risk of cancer. The adenoma detection rate, the proportion of screening colonoscopies performed by a physician that detect at least one histologically confirmed colorectal adenoma or adenocarcinoma, has been recommended as a quality benchmark . . .
Bibliographie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:0028-4793
1533-4406
1533-4406
DOI:10.1056/NEJMoa1309086