Risultati per: Ipertrofia prostatica benigna (IPB) (Adenoma Prostatico)

To the Editor A recent study of adenoma detection rate, which is the most important quality measure in colonoscopy, found that a higher adenoma detection rate was associated with lower postcolonoscopy colorectal cancer. We have several concerns about this study.

To the Editor In a recent study about colon cancer rates after colonoscopy screening, the authors presented data from 3 Kaiser Permanente medical centers and reported detection rates by site. The article’s Table showed that rates of patients who received a colonoscopy after a positive fecal immunochemical test result increased for Kaiser Permanente Northern California while the inverse was found for Kaiser Permanente Southern California. Moreover, the rates for Kaiser Permanente Washington were dramatically lower and did not change over time. Can the authors comment on these findings? Do they reflect a difference in patient population, physician practice, or some other factor? Also, it would be helpful to report a sensitivity analysis with these health care systems analyzed individually.

Annals of Internal Medicine, Volume 175, Issue 10, Page 1366-1373, October 2022.

Annals of Internal Medicine, Volume 175, Issue 10, Page 1479-1480, October 2022.

Schottinger JE, Jensen CD, Ghai NR, et al. Association of physician adenoma detection rates with postcolonoscopy colorectal cancer. JAMA 2022;327:2114–2122.