Data on adenoma detection rates were collected by the ACHS Clinical Indicator Program for the first time in 2019, following a review of the Gastrointestinal Endoscopy set in 2018.
Adenoma detection rates (ADR) have been used internationally for two decades as a quality indicator to measure colonoscopy performance. A higher ADR is a validated predictor of lower risk of colorectal cancer and cancer-related mortality. ADR has been recognised as a critical indicator by the Australian Commission on Safety and Quality in Healthcare and is included in the Colonoscopy Clinical Care Standard.
Associate Professor Stephen Pianko from the Gastroenterological Society of Australia said, “This important indicator is now one of the hallmarks of quality colonoscopy and the basis of endoscopist recertification. A minimum standard of 25% adenoma detection in over 50-year old individuals is required for accreditation in Australia.”
According to 2019 data from ACHS members, the adenoma detection rate reported was 41%. This is markedly higher compared with the minimum standard (25%). Although the reported number of recorded adenoma events was lower than for some of the other reported indicators (such as the rate of failure to reach the caecum), this is a new and emerging indicator with a promising result.
While preliminary results suggest some reporter bias may be occurring, for instance, better endoscopists or high performing HCOs are more likely to report the data compared with less-experienced counterparts, ACHS anticipates that this effect will reduce over time as more data is gathered.
With 1H2021 data due on the 20th of August, the POS team anticipates more healthcare organisations taking part in this important measure of safety and quality in endoscopy practice.
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