Published online Jan 14, 2015. doi: 10.3748/wjg.v21.i2.525
Peer-review started: May 6, 2014
First decision: May 29, 2014
Revised: July 1, 2014
Accepted: August 28, 2014
Article in press: August 28, 2014
Published online: January 14, 2015
Core tip: In this post-hoc study of a prospective randomized trial we analysed the impact of predefined patients and procedural characteristics on adenoma detection. Proximal lesions are at risk for being missed during colonoscopy but data is sparse regarding the existence of specific predictors for the detection of proximal and distal adenomas. Therefore, in our analysis we computed side specific regression analysis in order to define those predictors. Male gender, longer duration of colonoscopy procedure and increasing age were predictors for both proximal and distal adenomas. Proximal adenomas frequently occurred in the absence of distal adenomatous lesions. We therefore suggest total colonoscopy instead of sigmoidoscopy for colorectal cancer screening.