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Invited Commentary
April 17, 2019

Screening Colonoscopy Should Be Available to All

Author Affiliations
  • 1Division of Colon and Rectal Surgery, Baylor University Medical Center, Dallas, Texas
  • 2Department of Surgery, Baylor University Medical Center, Dallas, Texas
JAMA Surg. 2019;154(7):636. doi:10.1001/jamasurg.2019.0565

In a retrospective review of 16 000 patients in a systemwide experience of screening colonoscopy, Sarvepalli et al1 determined that the association of endoscopist specialty (surgeon or gastroenterologist) with adenoma detection rate was insignificant. This counters previously reported lower quality for colonoscopies and increased risk of missed adenomas and interval cancers by surgeons2 and confirms that colonoscopic quality indicators are adequately met by both gastroenterologists and nongastroenterologists.3

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