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The U.S. Multisociety Task Force on Colorectal Cancer and a joint task force of the American College of Gastroenterology and the American Society for Gastrointestinal Endoscopy advise that endoscopists track their adenoma detection rates (ADRs) in patients aged 50 and older. The target ADRs are ≥25% in men and ≥15% in women. However, previous findings have shown that ADRs vary widely among endoscopists and can fall below those targets (JW Gastroenterol Aug 14 2009).
To assess whether ADR is a predictor of postcolonoscopy incidence of colorectal cancer (CRC), investigators studied more than 45,000 patients in a colonoscopy-based CRC screening registry in Poland who were evaluated by 186 endoscopists from October 2000 through December 2004. In…