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The adenoma detection rate (ADR) is defined as the percentage of patients undergoing colonoscopy in whom at least one biopsy-proven adenoma is identified. The statistic was suggested as a quality indicator for colonoscopy in 2002 by the Multi-Society Task Force on Colorectal Cancer, and since then, there has been an exponential increase in the number of studies published on this point. In PubMed from 2003 to 2022, there have been 2370 articles listed. Prior to the ADR, some colonoscopists measured adenoma miss rate, but this required tandem colonoscopies, not an easy thing to ask patients to do.

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What Is Your Adenoma Detection Rate? If You Are Not Yet a Colonoscopist, What Would You Like Your Adenoma Detection Rate (ADR) to Be? Is ADR a Good Indicator of “Quality” in Colonoscopy? If So, How Could You Improve Your Adenoma Detection Rate?

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  • 发表日期：

    2025年

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  • James M. Church

摘要

The adenoma detection rate (ADR) is defined as the percentage of patients undergoing colonoscopy in whom at least one biopsy-proven adenoma is identified. The statistic was suggested as a quality indicator for colonoscopy in 2002 by the Multi-Society Task Force on Colorectal Cancer, and since then, there has been an exponential increase in the number of studies published on this point. In PubMed from 2003 to 2022, there have been 2370 articles listed. Prior to the ADR, some colonoscopists measured adenoma miss rate, but this required tandem colonoscopies, not an easy thing to ask patients to do.