Higher Endoscopist Sessile Serrated Lesion Detection Rates and Postcolonoscopy Cancer Incidence

In this study, Huang et al 1 reported that higher endoscopist detection rates of sessile serrated lesions (SSL) were associated with a lower risk for postcolonoscopy colorectal cancer (PCCRC). 1 Compared with patients who had colonoscopies performed by endoscopists in the lowest quartile of SSL detection rate (SSLDR), those with examinations performed by endoscopists in the highest quartile had a lower risk PCCRC (hazard ratio, 0.69; 95% CI, 0.50-0.94).Since PCCRC incidence is an important outcome for endoscopists, these data validate SSLDR as a quality measure for endoscopists.These data are consistent with previously published New Hampshire Colonoscopy Registry (NHCR) data that showed an inverse association between SSLDR and PCCRC. 2