Effect of Implementing a Regional Referral Network on Surgical Referral Rate of Benign Polyps Found During a Colorectal Cancer Screening Program: A Population-Based Study

Rodrigues, Raíssa Katherine; Geyl, Sophie; Albouys, Jérémie; Carvalho, CR de; Crespi, Massimo; Tabouret, Tessa; Taïbi, Abdelkader; Durand-Fontanier, Sylvaine; Legros, Romain; Dahan, Marcel; Carrier, Paul; Sautereau, Denis; Loustaud‐Ratti, Véronique; Kerever, Sébastien; Jacques, Jean-Paul

doi:10.1055/s-0040-1704372

Cited by 2 publications

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“…While the standard method in the treatment of CRC is surgical resection, the role of surgical treatment has decreased compared to the past due to advances in endoscopic excision methods in colorectal adenomas [18]. However, among the cases that cannot undergo colonoscopic polypectomy and are directed to referral centers, only 70% of polyps can be excised [19].…”

Section: Discussionmentioning

confidence: 99%

The Modified Systemic Inflammation Score Can Be Used to Predict the Presence of Invasive Carcinoma in Colorectal Polyps With High-Grade Dysplasia

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Güneş

et al. 2021

SDÜ Tıp Fakültesi Dergisi

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Son yıllarda sistemik inflamasyon skor (SIS) ve modifiye sistemik inflamasyon skor (mSIS) gibi skorların kolorektal kanserlerde prognostik ve prediktif değerleri araştırılmıştır. Bu çalışmada, basit labaratuvar testleri ile hesaplanan modifiye sistemik inflamatuar skorun (mSIS) high grade displazili (HGD) kolon poliplerinde invaziv karsinom varlığını öngörmedeki etkinliği araştırıldı. Gereç ve YöntemOcak 2019 -Ekim 2021 tarihleri arasında preoperatif HGD tanısıyla opere edilen 44 kolorektal polipli hastanın postoperatif verileri retrospektif olarak incelendi. Hastalar postoperatif histopatolojik inceleme sonuçlarına göre HGD, Tis veya adenomatöz polip ve invaziv karsinom olarak iki gruba ayrıldı. mSIS hesaplaması; mSIS 0 [albümin (ALB) ≥ 4.0 g/dL ve lenfosit/monosit oranı (LMR) ≥ 3.4], mSIS 1 (ALB <4.0 g / dL veya LMR <3.4) ve mSIS 2 (ALB <4.0 g / dL ve LMR <3.4) şeklinde yapıldı.

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Section: Discussionmentioning

confidence: 99%

The Modified Systemic Inflammation Score Can Be Used to Predict the Presence of Invasive Carcinoma in Colorectal Polyps With High-Grade Dysplasia

Akın

Ocaklı

Güneş

et al. 2021

SDÜ Tıp Fakültesi Dergisi

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“…Our hospital participates in a network with in which all these endoscopic techniques are available. A French study showed a reduction of referrals after the implementation of a regional referral network; however, all included patients were screen‐detected [33]. Therefore, the influence of a national bowel screening programme on referral numbers was not investigated.…”

Section: Discussionmentioning

confidence: 99%

Referrals for surgical removal of polyps since the introduction of a colorectal cancer screening programme

Leicher

Vermeer

et al. 2020

Colorectal Disease

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Aim: Implementation of the Dutch national bowel screening programme in 2014 led to an increased rate of detection of polyps. In general, polyps should be removed endoscopically. However, if the size and location of the polyp make endoscopic removal technically difficult, or if there is a suspicion for early (T1) cancer, surgery is the preferred method for removal. An increasing number of these patients are being treated with minimally invasive surgical procedures instead of segmental resection. The aim of this study was to assess the number of referrals for surgery and the type of surgery for polyps since the introduction of the Dutch national bowel screening programme. Method: A retrospective cohort study was performed. Patients who underwent surgery for colorectal polyps between January 2012 and December 2017 were included. Patients with histologically proven carcinoma prior to surgery were excluded. Primary outcomes were the number and type of surgical procedures for polyps. Results: A total of 164 patients were included. An annual increase in procedures for colorectal polyps was observed, from 18 patients in 2012 to 36 patients in 2017. All the procedures before implementation of the screening programme were segmental resections, and 58.8% of the patients underwent organ-preserving surgery after implementation of the screening. The overall complication rate of organ-preserving surgery was 16.3%, compared with 44.3% for segmental resections (P = 0.001). Overall, invasive colorectal cancer was encountered in 23.8% of cases. Conclusion: The number of referrals for surgical resection of colorectal polyps has doubled since the introduction of the Dutch national bowel screening programme with a substantial shift towards organ-preserving techniques.

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Effect of Implementing a Regional Referral Network on Surgical Referral Rate of Benign Polyps Found During a Colorectal Cancer Screening Program: A Population-Based Study

Cited by 2 publications

References 0 publications

The Modified Systemic Inflammation Score Can Be Used to Predict the Presence of Invasive Carcinoma in Colorectal Polyps With High-Grade Dysplasia

The Modified Systemic Inflammation Score Can Be Used to Predict the Presence of Invasive Carcinoma in Colorectal Polyps With High-Grade Dysplasia

Referrals for surgical removal of polyps since the introduction of a colorectal cancer screening programme

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