Erschienen in:
25.02.2021 | Endoscopy (P Siersema, Section Editor)
How to Measure Detection Rate During Colonoscopy: PDR, ADR, SDR, or All Three?
verfasst von:
Einas Abou Ali, MD, Maximilien Barret, MD, PhD
Erschienen in:
Current Treatment Options in Gastroenterology
|
Ausgabe 2/2021
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Abstract
Purpose of review
Our aim was to clarify the respective role and significance of the adenoma detection rate (ADR) among other colonoscopy detection metrics such as the polyp detection rate (PDR) or the serrated polyp detection rate (SDR).
Recent findings
PDR is easy to measure, but affected by the resection of hyperplastic lesions in the distal colon, or non-neoplastic colorectal mucosa, and cannot be considered a reliable detection metric. The use of SDR is limited by the heterogeneity of the serrated lesions. In 2021, the ADR remains sole recommended detection metric, inversely correlated to interval colorectal cancer and death, and correlated to most other colonoscopy detection metrics.