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
Identify all potential conflicts of interest that might be relevant to your comment.
Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.
Err on the side of full disclosure.
If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.
Not all submitted comments are published. Please see our commenting policy for details.
Wells K, Fleshman J. Screening Colonoscopy Should Be Available to All. JAMA Surg. Published online April 17, 2019. doi:10.1001/jamasurg.2019.0565
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: