Response

We thank Yu-His Hsieh et  al1 for their comments. Historically, the adenoma detection rate (ADR) was proposed as a clinically applicable and measurable quality indicator that was a surrogate for miss rates for adenomas.2 Miss rates are not practical to measure in clinical practice because they require 2 examinations,3 whic h is not an issue with ADR measurement.4 Thus, because the ADR can be readily measured and studied as a variable, it has been validated as a predictor of interval colorectal cancers (CRC).
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Letter to the Editor Source Type: research