Importance of postpolypectomy surveillance and postpolypectomy compliance to follow-up screening—review of literature

Rapuri, Sri; Spencer, J; Eckels, Dennis L.

doi:10.1007/s00384-007-0430-8

Cited by 37 publications

(22 citation statements)

References 51 publications

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“…In addition, the standard guidelines for postpolypectomy CS surveillance are not always followed, and these surveillance rates are not often reported in the population‐based programs. Rapuri et al mention some of the strategies to improve postpolypectomy screening, like dispensing information at initial presentation, providing endoscopy pictures to patients, reminder letters, adding to active problem list, and alert messages from electronic medical records …”

Section: Discussionmentioning

confidence: 99%

Population‐based programs for increasing colorectal cancer screening in the United States

Sarfaty

Brooks

Wender

2015

CA A Cancer J Clinicians

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Answer questions and earn CME/CNE Screening to detect polyps or cancer at an early stage has been shown to produce better outcomes in colorectal cancer (CRC). Programs with a population-based approach can reach a large majority of the eligible population and can offer cost-effective interventions with the potential benefit of maximizing early cancer detection and prevention using a complete follow-up plan. The purpose of this review was to summarize the key features of population-based programs to increase CRC screening in the United States. A search was conducted in the SCOPUS, OvidSP, and PubMed databases. The authors selected published reports of population-based programs that met at least 5 of the 6 International Agency for Research on Cancer (IARC) criteria for cancer prevention and were known to the National Colorectal Cancer Roundtable. Interventions at the level of individual practices were not included in this review. IARC cancer prevention criteria served as a framework to assess the effective processes and elements of a population-based program. Eight programs were included in this review. Half of the programs met all IARC criteria, and all programs led to improvements in screening rates. The rate of colonoscopy after a positive stool test was heterogeneous among programs. Different population-based strategies were used to promote these screening programs, including system-based, provider-based, patient-based, and media-based strategies. Treatment of identified cancer cases was not included explicitly in 4 programs but was offered through routine medical care. Evidence-based methods for promoting CRC screening at a population level can guide the development of future approaches in health care prevention. The key elements of a successful population-based approach include adherence to the 6 IARC criteria and 4 additional elements (an identified external funding source, a structured policy for positive fecal occult blood test results and confirmed cancer cases, outreach activities for recruitment and patient education, and an established rescreening process).

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Section: Discussionmentioning

confidence: 99%

Population‐based programs for increasing colorectal cancer screening in the United States

Sarfaty

Brooks

Wender

2015

CA A Cancer J Clinicians

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“…Postpolypectomy surveillance has become a major component of endoscopic practice because an increasing number of patients with colorectal polyps have been discovered as a result of increased use of CRC screening, particularly the dramatic increase in screening colonoscopies 12,13. How-ever, although postpolypectomy colonoscopy surveillance could reduce the incidence of CRC and improve CRC-related mortality, its preventative effect is smaller than that of screening colonoscopies, and there is a need to increase the efficiency of surveillance colonoscopy practices and decrease the number of unnecessary examinations and their associated costs, risks, and the diversion of scarce medical resources 6,9,14…”

Section: Introductionmentioning

confidence: 99%

Korean Guidelines for Postpolypectomy Colonoscopy Surveillance

et al. 2012

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Postpolypectomy surveillance has become a major indication for colonoscopy as a result of increased use of screening colonoscopy in Korea. In this report, a careful analytic approach was used to address all available evidences to delineate the predictors for advanced neoplasia at surveillance colonoscopy and we elucidated the high risk findings of the index colonoscopy as follows: 3 or more adenomas, any adenoma larger than 10 mm, any tubulovillous or villous adenoma, any adenoma with high-grade dysplasia, and any serrated polyps larger than 10 mm. Surveillance colonoscopy should be performed five years after the index colonoscopy for those without any high-risk findings and three years after the index colonoscopy for those with one or more high risk findings. However, the surveillance interval can be shortened considering the quality of the index colonoscopy, the completeness of polypectomy, the patient's general condition, and family and medical history.

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“…This includes adenomas but also cancer [6]. Effective surveillance screening with good patient compliance in post-polypectomy patients will contribute significantly in reducing colon cancer morbidity and mortality [7]. For these reasons, guidelines advise follow-up endoscopy.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic follow-up after surgery for colorectal cancer

Loffeld

2015

Int J Colorectal Dis

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Importance of postpolypectomy surveillance and postpolypectomy compliance to follow-up screening—review of literature

Abstract: In conclusion, effective surveillance screening with good patient compliance in postpolypectomy patients will contribute significantly in reducing colon cancer morbidity and mortality.

Cited by 37 publications

References 51 publications

Population‐based programs for increasing colorectal cancer screening in the United States

Population‐based programs for increasing colorectal cancer screening in the United States

Korean Guidelines for Postpolypectomy Colonoscopy Surveillance

Endoscopic follow-up after surgery for colorectal cancer

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