{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,27]],"date-time":"2024-07-27T10:38:22Z","timestamp":1722076702220},"reference-count":21,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2016,5,11]],"date-time":"2016-05-11T00:00:00Z","timestamp":1462924800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Digestive Endoscopy"],"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:sec><jats:title>Background and Aim<\/jats:title><jats:p>Colonoscopy is sensitive at detecting large polyps; however, a significant polyp miss rate is still recognized. Indicators such as the adenoma detection rate (ADR) and, more recently, the adenoma per colonoscopy rate (APC) are increasingly used to ensure quality in colonoscopy. We carried out a prospective, randomized, controlled study evaluating improvement in adenoma detection between wide\u2010screen, high\u2010definition (WSHD) monitors compared to standard monitors (SD).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients undergoing screening or surveillance colonoscopy were randomized to a WSHD room or SD. Polyp size, location, shape, and histology were recorded. Right\u2010sided polyps were considered to be those proximal to the splenic flexure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 152 patients were enrolled in the study, with 78 (51.3%) and 74 (48.7%) enrolled in the WSHD and SD groups, respectively. A 10% absolute difference in favor of the WSHD group was noted for the ADR (41% <jats:italic>vs<\/jats:italic> 31% patients); however, the difference was statistically not significant. In the WSHD and SD groups, APC of 0.9\u00a0\u00b1\u00a01.4 versus 0.7\u00a0\u00b1\u00a01.4 (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.49) were noted, respectively. For polyps &lt;5\u00a0mm, an ADR of 0.3\u00a0\u00b1\u00a00.4 versus 0.2\u00a0\u00b1\u00a00.4 (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.34) and APC of 0.5\u00a0\u00b1\u00a01.1 versus 0.2\u00a0\u00b1\u00a00.5 (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.06) were seen in the WSHD and SD groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study shows a trend toward improvement in ADR, with an increase in APC for small adenomas that approaches statistical significance. WSHD monitors are a one\u2010time, low\u2010cost intervention for improving the quality of colonoscopy with potentially favorable outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/den.12667","type":"journal-article","created":{"date-parts":[[2016,4,14]],"date-time":"2016-04-14T00:30:48Z","timestamp":1460593848000},"page":"577-582","source":"Crossref","is-referenced-by-count":2,"title":["Use of wide\u2010screen, high\u2010definition monitors for improving adenoma detection: A prospective, randomized, controlled trial"],"prefix":"10.1111","volume":"28","author":[{"given":"Douglas","family":"Mills","sequence":"first","affiliation":[{"name":"Division of Gastroenterology Advocate Lutheran General Hospital  Park Ridge USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tilemahos","family":"Spyratos","sequence":"additional","affiliation":[{"name":"Department of Medicine Advocate Lutheran General Hospital  Park Ridge USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"Haider","sequence":"additional","affiliation":[{"name":"Department of Medicine Advocate Lutheran General Hospital  Park Ridge USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suela","family":"Sulo","sequence":"additional","affiliation":[{"name":"James R. &amp; Helen D. Russell Institute for Research &amp; Innovation Advocate Health Care  Downers Grove USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy","family":"Laurie","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology Advocate Lutheran General Hospital  Park Ridge USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,5,11]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21254"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199312303292701"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.296.23.2815"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1542-3565(03)00294-5"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.24216"},{"key":"e_1_2_7_7_1","first-page":"35","article-title":"Colon cancer treatment costs for Medicare and dually eligible beneficiaries","volume":"31","author":"Luo Z","year":"2010","journal-title":"Health Care Financ. 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