A comparison of 9-min colonoscopy withdrawal time and 6-min colonoscopy withdrawal time: A systematic review and meta-analysis.
ADR
colonoscopy withdrawal time
meta-analysis
systematic review
Journal
Journal of gastroenterology and hepatology
ISSN: 1440-1746
Titre abrégé: J Gastroenterol Hepatol
Pays: Australia
ID NLM: 8607909
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
revised:
16
08
2021
received:
21
02
2021
accepted:
28
09
2021
pubmed:
8
10
2021
medline:
11
1
2022
entrez:
7
10
2021
Statut:
ppublish
Résumé
The optimal colonoscopy withdrawal time is still a controversial topic. While several studies demonstrate that longer withdrawal time improves adenoma detection rate, others have contradicted these findings. Three independent reviewers performed a comprehensive review of all original articles published from inception to January 2021 and included studies reporting comparison of the two cohorts-(i) ≥ 6 but less than 9 min of colonoscopy withdrawal time (CWT) and (ii) ≥ 9 min of CWT. The outcome measures were the following: (i) adenoma detection rate (ADR), (ii) advanced ADR, and (iii) sessile serrated adenoma detection rate (SDR). The meta-analysis was performed, and the statistics were two-tailed. A total of seven studies met the inclusion criteria after a thorough search of the literature was completed. The analysis revealed that ≥ 9 min of CWT had significantly higher odds of adenoma detection as compared with 6-9 min of CWT (odds ratio [OR] 1.54, 95% confidence interval [CI] 1.30-1.82; I This systematic review and meta-analysis analysis provides further evidence that at least 9 min of CWT cohort had significantly higher ADR and SDR as compared with the at least 6 min but less than 9 min of cohort.
Types de publication
Comparative Study
Journal Article
Meta-Analysis
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
3260-3267Informations de copyright
© 2021 Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd.
Références
Siegel RL, Miller KD, Jemal A. Cancer statistics, 2019. CA Cancer J. Clin. 2019; 69: 7-34.
Rex DK, Boland CR, Dominitz JA et al. Colorectal cancer screening: recommendations for physicians and patients from the U.S. Multi-Society Task Force on Colorectal Cancer. Gastroenterology 2017; 153: 307-323.
Rex DK, Schoenfeld PS, Cohen J et al. Quality indicators for colonoscopy. Gastrointest. Endosc. 2015; 81: 31-53.
Millan MS, Gross P, Manilich E, Church JM. Adenoma detection rate: the real indicator of quality in colonoscopy. Dis. Colon Rectum 2008; 51: 1217-1220.
Napoleon B, Ponchon T, Lefebvre RR et al. French Society of Digestive Endoscopy (SFED) guidelines on performing a colonoscopy. Endoscopy 2006; 38: 1152-1155.
Rembacken B, Hassan C, Riemann JF et al. Quality in screening colonoscopy: position statement of the European Society of Gastrointestinal Endoscopy (ESGE). Endoscopy 2012; 44: 957-968.
Shaukat A, Rector TS, Church TR et al. Longer withdrawal time is associated with a reduced incidence of interval cancer after screening colonoscopy. Gastroenterology 2015; 149: 952-957.
Butterly L, Robinson CM, Anderson J et al. Serrated and adenomatous polyp detection increases with longer withdrawal time: results from the New Hampshire Colonoscopy Registry. Am. J. Gastroenterol. 2014; 109: 417-426.
de Wijkerslooth TR, Stoop EM, Bossuyt PM et al. Differences in proximal serrated polyp detection among endoscopists are associated with variability in withdrawal time. Gastrointest. Endosc. 2013; 77: 617-623.
Barclay RL, Vicari JJ, Greenlaw RL. Effect of a time-dependent colonoscopic withdrawal protocol on adenoma detection during screening colonoscopy. Clin. Gastroenterol. Hepatol. 2008; 6: 1091-1098.
Coghlan E, Laferrere L, Zenon E et al. Timed screening colonoscopy: a randomized trial of two colonoscopic withdrawal techniques. Surg. Endosc. 2020; 34: 1200-1205.
Kumar S, Thosani N, Ladabaum U et al. Adenoma miss rates associated with a 3-minute versus 6-minute colonoscopy withdrawal time: a prospective, randomized trial. Gastrointest. Endosc. 2017; 85: 1273-1280.
Adler A, Wegscheider K, Lieberman D et al. Factors determining the quality of screening colonoscopy: a prospective study on adenoma detection rates, from 12,134 examinations (Berlin colonoscopy project 3, BECOP-3). Gut 2013; 62: 236-241.
Gellad ZF, Weiss DG, Ahnen DJ, Lieberman DA, Jackson GL, Provenzale D. Colonoscopy withdrawal time and risk of neoplasia at 5 years: results from VA Cooperative Studies Program 380. Am. J. Gastroenterol. 2010; 105: 1746-1752.
Lee RH, Tang RS, Muthusamy VR et al. Quality of colonoscopy withdrawal technique and variability in adenoma detection rates (with videos). Gastrointest. Endosc. 2011; 74: 128-134.
Moritz V, Bretthauer M, Ruud HK et al. Withdrawal time as a quality indicator for colonoscopy-a nationwide analysis. Endoscopy 2012; 44: 476-481.
Sterne JA, Hernán MA, Reeves BC et al. ROBINS-I: a tool for assessing risk of bias in non-randomised studies of interventions. BMJ 2016; 355: i4919.
Cumpston M, Li T, Page MJ et al. Updated guidance for trusted systematic reviews: a new edition of the Cochrane Handbook for Systematic Reviews of Interventions. Cochrane Database Syst. Rev. 2019; 10: ED000142.
Borenstein M, Hedges L, Higgins J, Rothstein H. Comprehensive meta-analysis version 3. 2013.
Zhao S, Yang X, Wang S et al. Impact of 9-minute withdrawal time on the adenoma detection rate: a multicenter randomized controlled trial. Clin. Gastroenterol. Hepatol. 2020.
Zhou MJ, Lebwohl B, Krigel A. Patient and physician factors associated with adenoma and sessile serrated lesion detection rates. Dig. Dis. Sci. 2020; 65: 3123-3131.
Takuji Kawamura YO, Kobayashi K, Matsuda K et al. Colonoscopy withdrawal time and adenoma detection rate: a Japanese multicenter analysis. J. Gastroenterol. Hepatol. 2017; 6.
Yun GY, Eun HS, Kim JS et al. Colonoscopic withdrawal time and adenoma detection in the right colon. Medicine (Baltimore) 2018; 97: e12113.
Lee TJ, Blanks RG, Rees CJ et al. Longer mean colonoscopy withdrawal time is associated with increased adenoma detection: evidence from the Bowel Cancer Screening Programme in England. Endoscopy 2013; 45: 20-26.
Rex DK. Colonoscopic withdrawal technique is associated with adenoma miss rates. Gastrointest. Endosc. 2000; 51: 33-36.
Gromski MA, Miller CA, Lee SH et al. Trainees' adenoma detection rate is higher if >/= 10 minutes is spent on withdrawal during colonoscopy. Surg. Endosc. 2012; 26: 1337-1342.
Higuchi T, Sugihara K, Jass JR. Demographic and pathological characteristics of serrated polyps of colorectum. Histopathology 2005; 47: 32-40.
Kushnir VM, Oh YS, Hollander T et al. Impact of retroflexion vs. second forward view examination of the right colon on adenoma detection: a comparison study. Am. J. Gastroenterol. 2015; 110: 415-422.
Kim SY, Lee SJ, Chung JW et al. Efficacy of repeat forward-view examination of the right-sided colon during colonoscopy: a prospective randomized controlled trial. J. Gastroenterol. Hepatol. 2020; 35: 1746-1752.
Crockett SD, Nagtegaal ID. Terminology, molecular features, epidemiology, and management of serrated colorectal neoplasia. Gastroenterology 2019; 157: 949-966 e4.
Anderson JC, Srivastava A. Colorectal cancer screening for the serrated pathway. Gastrointest. Endosc. Clin. N. Am. 2020; 30: 457-478.
Penz D, Ferlitsch A, Waldmann E et al. Impact of adenoma detection rate on detection of advanced adenomas and endoscopic adverse events in a study of over 200,000 screening colonoscopies. Gastrointest. Endosc. 2020; 91: 135-141.
Barclay RL, Vicari JJ, Doughty AS, Johanson JF, Greenlaw RL. Colonoscopic withdrawal times and adenoma detection during screening colonoscopy. N. Engl. J. Med. 2006; 355: 2533-2541.
Ahn SB, Han DS, Bae JH, Byun TJ, Kim JP, Eun CS. The miss rate for colorectal adenoma determined by quality-adjusted, back-to-back colonoscopies. Gut Liver 2012; 6: 64-70.