Colonic Polyps, Colonoscopy, Surveillance
Conditions
Brief summary
In colorectal cancer screening era a huge burden of medical resources has been applied to surveillance. Although the adherence to post-polipectomy recommendations is a advocated as a mainstay for quality assurance colonoscopy programs, prospective data on appropriateness of surveillance are lacking. The aim of present study was to evaluate the percentage of subjects in which timing of surveillance colonoscopy in practice agrees with that recommended by guidelines and to identify factors associated to the appropriateness of surveillance.
Interventions
OTHERcolonoscopy
evaluation of surveillance timing adequacy as compared to the guidelines
Sponsors
Valduce Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* consecutive colonoscopy outpatients * adults (18-80 yrs)
Exclusion criteria
* Subjects with missing data on polyp findings at previous colonoscopy (number, endoscopic or histological features) * Subjects with unsatisfactory quality standards of previous examination (no cecal intubation, inadequate bowel preparation, incomplete polyp resection) * patients with a medical history of inflammatory bowel disease, inherited or other polyposis syndrome and colorectal cancer.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adherence to post-polypectomy surveillance guidelines | up to one year | Time interval between index and surveillance colonoscopies for patients undergoing post-polypectomy surveillance was calculated and compared to that suggested by the guidelines according to endoscopic findings at previous examination. For each patiens, surveillance time interval was regarded as correct if coherent with the recommended interval +/- 6 months, thus allowing to calculate the proportion of correct prescriptions |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Factors associated to surveillance appropriateness | up to one year | The presence of factors associated to appropriate surveillance prescriptions was investigated by multivariate analysis (odds ratio and 95% confidence interval for each factor) |
Countries
Italy
Outcome results
None listed