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. 2022 Oct;20(10):2402-2404.
doi: 10.1016/j.cgh.2021.05.016. Epub 2021 May 13.

Histology, Size, and Number of Advanced Polyps are Associated With Guideline-Discordant Surveillance Recommendations

Jennifer M Kolb  1 , Gregory L Austin  2
Affiliations

Histology, Size, and Number of Advanced Polyps are Associated With Guideline-Discordant Surveillance Recommendations

Jennifer M Kolb et al. Clin Gastroenterol Hepatol. 2022 Oct.

Abstract

Surveillance guidelines following polypectomy promote cost-effective reductions in future colorectal cancer (CRC) risk, but high nonadherence rates1 can have negative consequences on costs and effectiveness. Professional societies recommend a 3-year interval for patients with advanced colorectal polyps (ACPs), although few studies report provider adherence to surveillance intervals.2 This study evaluated rates and predictors of guideline-discordant recommendations for patients with ACPs.

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Conflict of interest statement

Conflicts of Interest: none

Figures

Figure 1.
Figure 1.. Adjusted probabilities for predictors of surveillance intervals longer (A*) and shorter (B**) than USMSTF recommendations
*Adjusted for number of polyps, size of largest polyp, villous histology, high grade histology, morphology (flat, pedunculated), piecemeal resection, fellow involvement, & bowel preparation quality **Adjusted for number of polyps, high-grade dysplasia, and piecemeal resection
See this image and copyright information in PMC

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References

    1. Djinbachian R, Dube AJ, Durand M, et al. Adherence to post-polypectomy surveillance guidelines: a systematic review and meta-analysis. Endoscopy 2019;51:673–683. - PubMed
    1. Lieberman DA, Rex DK, Winawer SJ, et al. Guidelines for colonoscopy surveillance after screening and polypectomy: a consensus update by the US Multi-Society Task Force on Colorectal Cancer. Gastroenterology 2012;143:844–857. - PubMed
    1. Kolb JM, Molmenti CL, Patel SG, et al. Increased Risk of Colorectal Cancer Tied to Advanced Colorectal Polyps; An Untapped Opportunity to Screen First-Degree Relatives and Decrease Cancer Burden. American Journal of Gastroenterology 2020;Publish Ahead of Print. - PMC - PubMed
    1. Gupta S, Lieberman D, Anderson JC, et al. Recommendations for Follow-Up After Colonoscopy and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer. Gastroenterology 2020. - PMC - PubMed
    1. Click B, Pinsky PF, Hickey T, et al. Association of Colonoscopy Adenoma Findings With Long-term Colorectal Cancer Incidence. JAMA 2018;319:2021–2031. - PMC - PubMed

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