Higher Endoscopist Sessile Serrated Lesion Detection Rates and Postcolonoscopy Cancer Incidence
Menée aux Etats-Unis à partir de données portant sur 328 416 coloscopies réalisées sur 226 695 patients (âge moyen : 58,6 ans ; durée de suivi : 2 038 816 personnes-années), cette étude évalue l'association entre le taux de lésions dentelées sessiles détectées à la coloscopie et le risque de cancer colorectal ou de décès
In this study, Huang et al reported that higher endoscopist detection rates of sessile serrated lesions (SSL) were associated with a lower risk for postcolonoscopy colorectal cancer (PCCRC). Compared with patients who had colonoscopies performed by endoscopists in the lowest quartile of SSL detection rate (SSLDR), those with examinations performed by endoscopists in the highest quartile had a lower risk PCCRC (hazard ratio, 0.69; 95% CI, 0.50-0.94). Since PCCRC incidence is an important outcome for endoscopists, these data validate SSLDR as a quality measure for endoscopists. These data are consistent with previously published New Hampshire Colonoscopy Registry (NHCR) data that showed an inverse association between SSLDR and PCCRC.
JAMA Network Open , commentaire, 2026