Year: 2024
Type: article
Study design: Observational Study
Abstract: BACKGROUND/AIMS: We investigated the clinical practice patterns of post-polypectomy colonoscopic surveillance among Korean endoscopists. METHODS: In a web-based survey conducted between September and November 2021, participants were asked about their preferred surveillance intervals and the patient age at which surveillance was discontinued. Adherence to the recent guidelines of the U.S. Multi-Society Task Force on Colorectal Cancer (USMSTF) was also analyzed. RESULTS: In total, 196 endoscopists completed the survey. The most preferred first surveillance intervals were: a 5-year interval after the removal of 1-2 tubular adenomas < 10 mm; a 3-year interval after the removal of 3-10 tubular adenomas < 10 mm, adenomas ≥ 10 mm, tubulovillous or villous adenomas, ≤ 20 hyperplastic polyps < 10 mm, 1-4 sessile serrated lesions (SSLs) < 10 mm, hyperplastic polyps or SSLs ≥ 10 mm, and traditional serrated adenomas; and a 1-year interval after the removal of adenomas with highgrade dysplasia, >10 adenomas, 5-10 SSLs, and SSLs with dysplasia. In piecemeal resections of large polyps ( > 20 mm), surveillance colonoscopy was mostly preferred after 1 year for adenomas and 6 months for SSLs. The mean USMSTF guideline adherence rate was 30.7%. The largest proportion of respondents (40.8%-55.1%) discontinued the surveillance at the patient age of 80-84 years. CONCLUSIONS: A significant discrepancy was observed between the preferred post-polypectomy surveillance intervals and recent international guidelines. Individualized measures are required to increase adherence to the guidelines.
Source: Intestinal Research
Institutions: Keimyung University, Catholic University of Korea, Kyung Hee University, Kyung Hee University Hospital at Gangdong, Chosun University, Yonsei University, Wonju Severance Christian Hospital, Yonsei University Mirae Campus, Chosun University Hospital, Soonchunhyang University, Soonchunhyang University Hospital Seoul, Korea University, Korea University Medical Center, Samsung Medical Center, Sungkyunkwan University, Ewha Womans University, Ewha Womans University Seoul Hospital, Chonnam National University, Pusan National University Hospital, Pusan National University, Seoul National University, Asan Medical Center, University of Ulsan, Soonchunhyang University Hospital Cheonan, Gangnam Severance Hospital, Yonsei University Health System
Language: English
Subfield: Oncology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4395444314