Monadnock Community Hospital Shows Strong Performance in Colon Polyp Detection Across New Hampshire
What This Means for Prevention, Early Detection, and Your Health
Colorectal cancer is one of the most preventable cancers, yet rates have been rising nationally, particularly among younger adults. As we recognize Colorectal Cancer Awareness Month this March, Monadnock Community Hospital is proud to share meaningful progress in early detection and prevention happening right here in our community.
MCH’s Gastroenterology team demonstrates high performance in adenoma (polyp) detection rates, exceeding state averages according to the New Hampshire Colonoscopy Registry. Adenoma detection rate is the most important quality measure in colorectal cancer prevention.
Why Polyp Detection Rates Matter
Adenomas are precancerous polyps that can develop into colorectal cancer if left untreated. The higher an endoscopist’s ADR, the more effective they are at identifying and removing these polyps before they progress.

From the NHCR report (March 2024 – July 2025) for our GI department:
- Adenoma Detection Rate (All Exams): 41.5%
- This significantly exceeds statewide composite benchmarks, demonstrating exceptional quality in our colonoscopy care.
- MCH also shows strong performance in serrated polyp detection, another critical marker of preventing right‑sided colon cancers.
These numbers reaffirm the expertise and diligence of our GI team and translate directly to more cancers prevented in our region.
Rising Rates of Colorectal Cancer
Across the U.S., colorectal cancer is increasingly affecting younger populations. In fact, medical guidelines have recently shifted in response to these trends:
- Screening now begins at age 45 for average‑risk adults.
- Those with family history or additional risk factors may need to begin even earlier.
Early detection is key. When colorectal cancer is found early, the 5‑year survival rate is about 90%. Colonoscopy remains the gold standard test because it not only detects cancer, it prevents it.
How MCH Is Making a Difference
Our Gastroenterology department’s high ADR means:
- More precancerous growths found early
- More cancers prevented
- Fewer repeat procedures
- Better long-term outcomes for our patients
Exceptional performance like this doesn’t happen by chance. It reflects deep clinical expertise, meticulous attention to quality, and dedication to community health.
Led by Dr. Michael Gilbert and Nurse Practitioner Erin Jablonski, Monadnock Gastroenterology Associates (MGA) offers you the latest care and treatment options for a wide range of digestive conditions and disorders including ones of the esophagus, stomach, small intestine, colon, rectum, pancreas, gallbladder, and bile ducts.
What You Can Do
During Colorectal Cancer Awareness Month, we encourage everyone to take steps to protect their health:
- Schedule your screening colonoscopy starting at age 45
- Know your family history
- Talk to your provider about symptoms such as changes in bowel habits, abdominal pain, or rectal bleeding
- Maintain a healthy diet, exercise regularly, and limit alcohol and tobacco use
We’re Here for You
MCH is committed to providing the highest-quality colorectal cancer prevention and screening services. If you’re due for a screening or not sure when you should start, our team is ready to guide you.
Schedule your screening: Call to schedule an appointment today 603-924-2600
Learn more about our Gastroenterology services: Visit MonadnockGastro.org
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