Abstract
The quality of screening colonoscopy, the cornerstone of colorectal cancer prevention, varies among endoscopists and directly impacts rates of adenoma detection and the incidence of interval cancers. Through continuous quality improvement, it may be possible to improve the performance of otherwise low-level adenoma detectors. This section reviews a variety of possible interventions that may impact individual practitioners׳ adenoma detection rates. Despite advances in imaging technology and the introduction of novel devices into the endoscopy suite, self-improvement by incorporating best practice techniques is the most effective way to improve polyp detection.
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