Cecal intubation rate correlates with adenoma detection rate but has no impact on advanced adenoma detection rate

Introduction: Incomplete screening colonoscopy can result in missing precancerous lesions, such as adenomas. By a study of Kaminski et al., cecal intubation rate (CIR) as a major quality indicator, showed to be not associated with higher risk of interval cancer Adenoma detection rate (ADR) is considered a main quality measure in screening colonoscopy and should be at least 20%. Advanced adenomas (AA) carry greater risk for progression to cancer than non-advanced adenomas and should be detected early. Because of lack association between CIR and the risk of interval cancer, our primary aim was to investigate wheth…