Computer-Aided Detection Increased Adenoma Detection in a Large Pragmatic Cluster Randomized Colonoscopy Study

Highlights

In this pragmatic cluster randomized quality improvement study across Veterans Health Administration facilities, availability of computer-aided detection (CADe) during colonoscopy was associated with a significant increase in adenoma detection compared with usual care.

The absolute adenoma detection rate (ADR) increased by 4.2 percentage points at CADe sites, from 50.7% to 54.9%, whereas ADR fell slightly at control sites, from 51.8% to 51.1%.