In a large, pragmatic quality improvement program, investigators from the Department of Veterans Affairs showed that the availability of computer-aided detection systems improved adenoma detection rates over those seen at sites where CADe was not provided, although it did not affect all quality colonoscopy indicators.
“The odds of adenoma detection improved by 22%. Significant improvements in ADR persisted compared to sites without CADe,” said Jason A. Dominitz, MD, the executive director of the Veterans Health Administration’s National Gastroenterology and Hepatology Program, and a professor of medicine at the University of Washington, in Seattle.
However, the researchers also observed a long-term trend toward a slight decline in ADR at sites offering CADe. Dr. Dominitz suggested this trend might reflect a reduction in the actual use of CADe, although this could not be determined based on the study design.