Division of Gastroenterology and Hepatology, Minneapolis Veterans Affairs Health Care system, Minneapolis, MN, USA.
Division of Gastroenterology and Hepatology, University of Minnesota, MN, USA.
Am J Gastroenterol. 2021 Sep 1;116(9):1946-1949. doi: 10.14309/ajg.0000000000001358.
Adenoma detection rate (ADR) is highly variable across practices, and national or population-based estimates are not available. Our aim was to study the ADR, variability of rates over time, and factors associated with detection rates of ADR in a national sample of patients undergoing colonoscopy.
We used colonoscopies submitted to the GI Quality Improvement Consortium, Ltd. registry from 2014 to 2018 on adults aged 50-89 years. We used hierarchical logistic models to study factors associated with ADR.
A total of 2,646,833 colonoscopies were performed by 1,169 endoscopists during the study period. The average ADR for screening colonoscopies per endoscopist was 36.80% (SD 10.21), 44.08 (SD 10.98) in men and 31.20 (SD 9.65) in women. Adjusted to the US population, the ADR was 39.08%. There was a significant increase in ADR from screening colonoscopies over the study period from 33.93% in 2014 to 38.12% in 2018.
The average ADR from a large national US sample standardized to the US population is 39.05% and has increased over time.
腺瘤检出率（ADR）在各实践中差异很大，且无法获得全国性或基于人群的数据。我们的目的是研究腺瘤检出率（ADR）、随时间变化的率的变异性以及与腺瘤检出率相关的因素，该研究基于全国范围内接受结肠镜检查的患者的样本。
我们使用 2014 年至 2018 年 GI 质量改进联盟有限公司注册系统中提交的结肠镜检查数据，纳入年龄在 50-89 岁的成年人。我们使用分层逻辑回归模型来研究与 ADR 相关的因素。
在研究期间，共有 1169 名内镜医生进行了 2646833 例结肠镜检查。每位内镜医生的筛查结肠镜检查的平均 ADR 为 36.80%（SD 10.21），男性为 44.08%（SD 10.98），女性为 31.20%（SD 9.65）。校正为美国人群后，ADR 为 39.08%。在研究期间，ADR 从筛查结肠镜检查中呈显著增加趋势，从 2014 年的 33.93%增加到 2018 年的 38.12%。
基于美国人群标准化的大型美国全国样本的平均 ADR 为 39.05%，并且呈上升趋势。
