Response:

We appreciate the thoughtful comments of Dr Agrawal1 regarding the Multi-Society Task Force (MSTF) recommendations on colorectal cancer screening.2 Dr Agrawal suggests that the MSTF should advise patients to ask prospective colonoscopists for their rate of adequate preparations. Dr Agrawal cites the ≥85% target for adequate preparations, which he attributes to the American College of Gastroenterology (ACG). This target, although endorsed by the ACG, was first presented by the MSTF.3 Thus, we strongly agree that colonoscopists should measure rates of adequate bowel preparation (defined by the use of bowel preparation descriptors or scores consistent with adequacy plus adherence to screening or surveillance recommendations appropriate to the examination findings) and make changes when needed to exceed this target.

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