A Polish observational study revealed that improved adenoma detection rates (ADR) among physicians with a baseline ADR below 26% significantly reduced post-colonoscopy colorectal cancer (CRC) risk in their patients. Patients of these physicians experienced a CRC incidence of 31.8 per 100,000 person-years, compared to 40.7 per 100,000 for those whose physicians did not improve. However, no significant differences in CRC incidence were found among patients of physicians with a baseline ADR above 26%, regardless of improvement. This highlights the critical role of enhancing ADR for physicians starting below the adequacy threshold—could targeted training further impact patient outcomes?
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