title: Colorectal neoplasia detection among black and Latino individuals undergoing screening colonoscopy: a prospective cohort study.
abstract: BACKGROUND
  Most prospective studies of screening colonoscopy (SC) in average-risk, asymptomatic individuals have included few minority individuals. Little is known about the prevalence and distribution of adenomas found at screening colonoscopy among black and Latino individuals.
  
  
  OBJECTIVE
  To determine the prevalence and distribution of histologically confirmed adenomas among black and Latino participants enrolled in a prospective SC study.
  
  
  METHODS
  Cross-sectional analysis of consecutive patients undergoing SC between 2008 and 2011.
  
  
  METHODS
  Urban academic medical center.
  
  
  METHODS
  Average risk, asymptomatic black and Latino patients aged ≥50 years undergoing SC.
  Adenoma prevalence and distribution by ethnic group.
  
  
  RESULTS
  A total of 584 patients (270 black, 314 Latino) completed SC. Overall, 26.4% had adenomas, and 20% had proximal adenomas. Advanced adenomas occurred in 11.5% (12.2% black vs 10.8% Latino; P = .21) and proximal advanced adenomas in 7.5% (5.9% black vs 8.9% Latino; P = .17). These rates were at least as high as those of other studies that enrolled mainly white participants.
  
  
  CONCLUSIONS
  Lack of comparison group of white patients.
  
  
  CONCLUSIONS
  The prevalence of adenomas, advanced adenomas, and proximal adenomas was high in both black and Latino participants. The high prevalence of clinically significant proximal lesions has implications for the choice of colon cancer screening test and colonoscopic surveillance intervals.
authors: Division of Gastroenterology, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
authors: Kristen K
authors: KK
authors: Lee
authors: Division of Cancer Prevention and Control, Department of Oncological Sciences, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
authors: Lina
authors: L
authors: Jandorf
authors: Division of Cancer Prevention and Control, Department of Oncological Sciences, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
authors: Linda
authors: L
authors: Thélèmaque
authors: Division of Gastroenterology, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
authors: Steven H
authors: SH
authors: Itzkowitz
mesh_terms: D000046:Academic Medical Centers; D000236:Adenoma / Q000175:diagnosis* / Q000208:ethnology / Q000473:pathology; D001741:Black or African American / Q000706:statistics & numerical data*; D000367:Age Factors; D000368:Aged; D003113:Colonoscopy; D015179:Colorectal Neoplasms / Q000175:diagnosis* / Q000208:ethnology / Q000473:pathology; D003430:Cross-Sectional Studies; D055088:Early Detection of Cancer / Q000706:statistics & numerical data*; D005260:Female; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009519:New York City / Q000453:epidemiology; D015995:Prevalence; D011446:Prospective Studies; D012907:Smoking / Q000453:epidemiology; D014505:Urban Population / Q000706:statistics & numerical data