Gastroenterology Research and Practice (Jan 2023)

Sedation Is Associated with Higher Polyp and Adenoma Detection Rates during Colonoscopy: A Retrospective Cohort Study

  • Chenghu Xu,
  • Dehua Tang,
  • Ying Xie,
  • Muhan Ni,
  • Min Chen,
  • Yonghua Shen,
  • Xiaotan Dou,
  • Lin Zhou,
  • Guifang Xu,
  • Lei Wang,
  • Ying Lv,
  • Shu Zhang,
  • Xiaoping Zou

DOI
https://doi.org/10.1155/2023/1172478
Journal volume & issue
Vol. 2023

Abstract

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Background and Aims. Currently sedation is a common practice in colonoscopy to reduce pain of patients and improve the operator satisfaction, whereas its impact on examination quality, especially adenoma detection rate (ADR) is still controversial. Thus, we aimed to investigate the association of sedation with ADR. Methods. Consecutive patients receiving colonoscopy between January 2017 and January 2020 at the Nanjing Drum Tower Hospital, Nanjing, China, were collected. Univariate and multivariate logistic regression models were performed to investigate the association between sedation and ADR. Subgroup analysis and propensity score matching (PSM) analysis, as sensitivity analysis, were performed to validate the independent effect. Results. The ADR was significantly higher in cases with sedation (ADR: 36.9% vs. 29.1%, odds ratio [OR]: 1.42, 95% confidence interval [CI]: 1.31–1.55, P0.05) and PSM analysis (ADR: 37.6% vs. 29.1%, OR: 1.47, 95% CI: 1.33–1.63, P<0.001). Conclusion. Sedation was associated with a higher polyp and ADR s during colonoscopy, which can promote the quality of colonoscopy.