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Surveillance colonoscopy recommendations for average-risk patients with 1 to 2 small polyps consistent with guidelines
Date:4/16/2014

DOWNERS GROVE, Ill. April 16, 2014 According to a new study, endoscopists' recommendations for timing of surveillance colonoscopy in average-risk patients with one to two small polyps are consistent with guideline recommendations in about 90 percent of cases. This may be an appropriate target for quality indicators. This is the first multicenter endoscopic database study to quantify adherence to guidelines for timing of repeat colonoscopy after one to two small polyps are found during screening colonoscopy in average-risk patients. The study appears in the April issue of GIE: Gastrointestinal Endoscopy, the monthly peer-reviewed scientific journal of the American Society for Gastrointestinal Endoscopy (ASGE).

The quality of colorectal cancer (CRC) screening with colonoscopy is primarily dependent on high-quality baseline examinations, whereas cost-effectiveness of CRC screening is more dependent on adherence to guideline recommendations for timing of repeat screening and surveillance colonoscopy. Guideline recommendations should be followed in most, but not all, patients. Endoscopists (physicians who perform endoscopic procedures including colonoscopy) may occasionally vary from guidelines, which state that average-risk patients with one to two small (< 1 cm) adenomas (precancerous polyps) on screening colonoscopy should be told to get surveillance colonoscopy in five to ten years or to get repeat colonoscopy in ten years if only one to two small hyperplastic (noncancerous) polyps are found. However, the frequency of endoscopists' recommending repeat colonoscopy sooner than recommended by guidelines will be scrutinized closely in the coming years as different components of the Affordable Care Act are enacted.

"The aim of our study was to quantify the frequency of appropriate follow-up colonoscopy recommendations after one to two polyps were found during screening colonoscopy in average-risk patients. In addition, we aimed to identify
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Contact: Anne Brownsey
abrownsey@asge.org
630-570-5635
American Society for Gastrointestinal Endoscopy
Source:Eurekalert

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