8 4 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • J A N U A R Y 2 0 2 0
T
here are
plenty of
metrics
you can
use to
measure the effective-
ness of the colono-
scopies your GI docs
perform, but none are
more important than
adenoma detection
rate (ADR) — the rate
in patients 50 and
older undergoing first-time colonoscopy screenings who have 1 or
more adenomas detected and removed.
Studies (osmag.net/PpX9Jy) show that ADR is inversely correlated
to the rates of interval colorectal cancer risk (iCRC) — those cancers
that may develop due to missed or incompletely resected polyps. Let's
look at how your endoscopists can get ADR above the recommended
minimum, which the American Society for Gastrointestinal
Endoscopy (ASCE) and the American College of Gastroenterology's
(ACG) Taskforce on Quality in Endoscopy put at 25% for all patients
(30% for men; 20% for women).
1. Technique is tantamount.
As innovations in colonoscopy tech
continue to emerge, it may be tempting to rely too heavily on the stun-
ning HD-quality imagery, nearly 360-degree angle, wall-to-wall views of
Jared Bilski | Senior Associate Editor
Boost Your Adenoma Detection Rate
ADR is the gold standard in colonoscopy quality. Do you measure up?
NO SUBSTITUTE High-definition scopes detect adenomas at a higher rate than
older, standard-def scopes.
Pamela
Bevelhymer,
RN,
BSN,
CNOR
