Our obsession with ADR and PCCRC

Today I am talking to Dr Nick Burr, one of our Rising Stars in Gastroenterology, working in Leeds.  You may recognise his name from some of the most influential papers written on the topic of ADR and PCCRC in the recent past.  I’ve decided to ambush him with some difficult questions about our unhealthy obsession with ADR and see if I can convince him that the PCRCR rate is irrelevant to individual colonoscopists.  

I am armed with the references below to support my argument ! 

1. Karminski MF. Quality Indicators for Colonoscopy and the Risk of Interval Cancer. NEJM 2010;362:1795-803
2. Eide T. Risk of CRC in adenoma bearing individuals. Intern J Cancer 1986;38;173–6
3. Stryker S. Natural history of untreated colonic polyps. Gastroenterology 1987;93:1009–13
4. Pickhart PJ. Assessment of volumetric growth rates of small colorectal polyps with CT colonography: a longitudinal study of natural history.  Lancet Oncol. 2013;14(8):711–20
5. Kuntz KM.  A Systematic Comparison of Microsimulation Models of Colorectal Cancer: The Role of Assumptions about Adenoma Progression.  Medical Decision making 2011;31(4):530-9 https://doi.org/10.1177/0272989X11408730
6. Djinbachian R. Rates of Incomplete Resection of 1- to 20-mm Colorectal Polyps: A Systematic Review and Meta-Analysis.  Gastroenterology 2020;159(3):904-14   https://doi.org/10.1053/j.gastro.2020.05.018