Maratt JK, et al. - A retrospective review was performed to ascertain the surveillance adenoma detection rate (ADR) and sessile serrated polyp detection rate (SSPDR) and identify related indicators. The outcome revealed that almost 50% of patients had an adenoma and one in twelve had an SSP for surveillance colonoscopy. In addition to established factors, BMI, endoscopists' screening ADR, and years since training were related to ADR, whereas African-American race and diabetes were inversely related to SSPDR. Further studies are required prior to integrating surveillance ADR and SSPDR into quality metrics.