Publication Name	World Journal of Gastroenterology
Manuscript ID	114092
Country	Bosnia and Herzegovina

Category	Gastroenterology & Hepatology
Manuscript Type	Letter to the Editor
Article Title	Insertion time as a proxy for procedural complexity: Refining its role in predictive models of adenoma detection
Manuscript Source	Invited Manuscript
All Author List	Predrag Jovanovic
Funding Agency and Grant Number
Corresponding Author	Predrag Jovanovic, Associate Professor, Chief Physician, Consultant, Head, PhD, Faculty of Medicine, Department of Internal Medicine, University of Tuzla, Univerzitetska 1, Tuzla 75000, Tuzla Canton, Bosnia and Herzegovina. predrag.jovanovic@untz.ba
Key Words	Adenoma detection rate; Colonoscopy; Cecal intubation time; Withdrawal time; Procedural complexity; Machine learning; Quality indicators
Core Tip	Insertion time is not merely duration but a marker of procedural complexity. Clinicians should view prolonged insertion time as a potential risk factor for reduced adenoma detection, unless offset by adequate withdrawal. Predictive models that incorporate insertion-to-withdrawal ratios and established quality benchmarks may better guide colonoscopy performance and improve outcomes in colorectal cancer prevention.
Citation	Jovanovic P. Insertion time as a proxy for procedural complexity: Refining its role in predictive models of adenoma detection. World J Gastroenterol 2025; In press

Received	2025-09-11 01:43
Peer-Review Started	2025-09-11 01:44
To Make the First Decision
Return for Revision	2025-09-17 09:37
Revised	2025-09-18 01:01
Second Decision	2025-11-04 02:33
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief	2025-11-04 09:21
Articles in Press	2025-11-04 09:21
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1007-9327 (print) and 2219-2840 (online)
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