[Skip to Navigation]
[Skip to Navigation Landing]
Views 158
Citations 0
Comment & Response
September 4, 2019

Patient Characteristics and Adenoma Detection Rates

Author Affiliations
  • 1Department of Hygiene and Public Health, Nippon Medical School, Tokyo, Japan
JAMA Surg. 2019;154(12):1169-1170. doi:10.1001/jamasurg.2019.3369

To the Editor I read with great interest the article by Sarvepalli et al1 to assess the association between endoscopist characteristics and detection of positive clinical findings by colonoscopy with appropriate adjustments. The authors adopted a multilevel mixed-effects logistic regression model for the analysis, and 7 endoscopist characteristic variables were used as independent variables to determine the association with adenoma detection rates and proximal sessile serrated polyp detection rates (pSSPDRs). Adenoma detection rates were not significantly associated with endoscopist characteristics. In contrast, adjusted odds ratios of years in practice per increment of 10 years and the number of annual colonoscopies performed per 50 colonoscopies per year for pSSPDR were 0.86 (95% CI, 0.83-0.89) and 1.05 (95% CI, 1.01-1.09), respectively. The authors concluded that there was a need for additional training for increasing pSSPDRs. I have some queries regarding their study.

Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

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.

Limit 140 characters
Limit 3600 characters or approximately 600 words