To the Editor Sarvepalli et al1 found that during colorectal cancer screening, most of the differences in adenoma detection rate between endoscopists disappeared when adjusting for patient and colonoscopy characteristics. Adenoma detection rate should have been the quality metric for programs of colorectal cancer screening long ago.2 This is not yet the case, despite colonoscopy having been endorsed in the United States as the preferred strategy for colorectal cancer screening as early as 2000. One team even published arbitrary and very different distributions of values from one report to another one.3 The steering committee of the World Endoscopy Organization just issued a consensus statement regarding quality of colonoscopy but failed to reach a consensus for adenoma detection rate.4
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.
Braillon A. Patient Characteristics and Adenoma Detection Rates. JAMA Surg. Published online September 04, 2019. doi:10.1001/jamasurg.2019.3375
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: