Abstract
The effectiveness of screening colonoscopy programs depends on adequate bowel preparation quality and appropriate adenoma detection rates. Lower socioeconomic status (SES), as measured by insurance status, has been suggested as a predictor of suboptimal bowel preparation. Higher rates of suboptimal bowel preparation in low SES patients may prevent endoscopists from achieving recommended adenoma detection rate (ADR) benchmarks, limit the effectiveness of colon cancer screening programs, and increase the burden of colorectal cancer in persons of lower SES.
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