Adenoma detection rate and risk of colorectal cancer and death.

ABSTRACT:

Background

The proportion of screening colonoscopic examinations performed by a physician that detect one or more adenomas (the adenoma detection rate) is a recommended quality measure. However, little is known about the association between this rate and patients' risks of a subsequent colorectal cancer (interval cancer) and death.

Methods

Using data from an integrated health care delivery organization, we evaluated the associations between the adenoma detection rate and the risks of colorectal cancer diagnosed 6 months to 10 years after colonoscopy and of cancer-related death. With the use of Cox regression, our estimates of attributable risk were adjusted for the demographic characteristics of the patients, indications for colonoscopy, and coexisting conditions.

Results

SUBMITTER: Corley DA 

PROVIDER: S-EPMC4036494 | biostudies-literature | 2014 Apr

REPOSITORIES: biostudies-literature