Should We Measure Adenoma Detection Rate for Gastroenterology Fellows in Training?

Background: Adenoma detection rate (ADR) is a proven quality metric for colonoscopy. The value of ADR for the evaluation of gastroenterology fellows is not well established. The aim of this study is to calculate and evaluate the utility of ADR as a measure of competency for gastroenterology fellows.

Patient understanding of benefits, risks, and alternatives to screening colonoscopy.

Background: While several tests and strategies are recommended for colorectal cancer (CRC) screening, studies suggest that primary care providers often recommend colonoscopy without providing information about its risks or alternatives. These observations raise concerns about the quality of informed consent for screening colonoscopy.

Methods: We conducted a telephone survey (August 2008 to September 2009) of a convenience sample of 98 patients scheduled for a screening colonoscopy to assess their understanding of the procedure's benefits, risks, and alternatives and their sources of information.

A high-fiber diet does not protect against asymptomatic diverticulosis.

Background & Aims: The complications of diverticulosis cause considerable morbidity in the United States; health care expenditures for this disorder are estimated to be $2.5 billion per year. Many physicians and patients believe that a high-fiber diet and frequent bowel movements prevent the development of diverticulosis.