To the Editor I read with great interest the article by Sarvepalli et al¹ to assess the association between endoscopist characteristics and detection of positive clinical findings by colonoscopy with appropriate adjustments. The authors adopted a multilevel mixed-effects logistic regression model for the analysis, and 7 endoscopist characteristic variables were used as independent variables to determine the association with adenoma detection rates and proximal sessile serrated polyp detection rates (pSSPDRs). Adenoma detection rates were not significantly associated with endoscopist characteristics. In contrast, adjusted odds ratios of years in practice per increment of 10 years and the number of annual colonoscopies performed per 50 colonoscopies per year for pSSPDR were 0.86 (95% CI, 0.83-0.89) and 1.05 (95% CI, 1.01-1.09), respectively. The authors concluded that there was a need for additional training for increasing pSSPDRs. I have some queries regarding their study.

我非常感兴趣地向编辑看了Sarvepalli等人的文章¹通过适当的调整来评估内镜医师特征与通过结肠镜检查发现阳性临床发现之间的关联。作者采用了多级混合效应逻辑回归模型进行分析，并使用7个内镜医师特征变量作为自变量来确定与腺瘤检出率和无柄锯齿状息肉检出率（pSSPDRs）的相关性。腺瘤检出率与内镜医师特征无显着相关。相比之下，对于pSSPDR，每10年递增的实际实践年调整比值比和每年每50例结肠镜检查执行的年度结肠镜检查数分别为0.86（95％CI，0.83-0.89）和1.05（95％CI，1.01-1.09） ）， 分别。作者得出的结论是，有必要对增加的pSSPDR进行额外的培训。我对他们的学习有一些疑问。