Endoscopist performance outweighs high-risk polyps in colorectal cancer risk

The study reveals that the risk of post-colonoscopy colorectal cancer (PCCRC) primarily hinges on endoscopist performance rather than the presence of high-risk polyps. An analysis of data from 239,217 individuals found no significant association between high-risk polyps and PCCRC risk. Instead, higher adenoma detection rates (ADR) and proximal serrated polyp detection rates (PSPDR) correlated with reduced PCCRC risk. Clinicians are urged to audit endoscopist quality indicators, highlighting the need for improved surveillance practices.