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Published in:

01-06-2012

Factors associated with adherence to the recommended postpolypectomy surveillance interval

Authors: Eun Ran Kim, Dong Hyun Sinn, Jin Yong Kim, Dong Kyung Chang, Poong-Lyul Rhee, Jae J. Kim, Jong Chul Rhee, Young-Ho Kim

Published in: Surgical Endoscopy | Issue 6/2012

Abstract

Background

Appropriate surveillance intervals are important to ensure that the benefits of surveillance are not offset by harm. This study aimed to determine the factors associated with nonadherence to recommended colonoscopic surveillance intervals.

Methods

The study enrolled 296 patients who underwent screening colonoscopy. The colonoscopies were performed by four endoscopists in the first or second year of fellowship. After each procedure, the endoscopists responded to a questionnaire that elicited information on the degree of concern for missed polyps (using a visual analog scale [VAS]), colonoscopic technical factors, and surveillance intervals.

Results

Of the 296 patients, 105 (36%) were adherent and 191 (64%) and were nonadherent to the guidelines. There were no differences in insertion time, withdrawal time, or polyp detection rate between the adherence and nonadherence groups. The endoscopy at cecal intubation was longer in the nonadherence group than in the adherence group (P = 0.013). The proportion of patients with poor bowel preparation was higher in the nonadherence group than in the adherence group (P = 0.011). The endoscopist’s concern for missed polyps was greater in the nonadherence group than in the adherence group (P < 0.001). Based on multivariate analysis, only the endoscopist’s concern was an independent factor associated with adherence to guidelines (P = 0.008). Poor bowel preparation, loop formation, and colonoscopy experience were independent factors associated with a high concern for missed polyps.

Conclusions

Nonadherence to the recommended guidelines was associated with the endoscopist’s concern for missed polyps. Improving colonoscopic skills and bowel preparation may decrease nonadherence to the recommended postpolypectomy surveillance interval.

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Title: Factors associated with adherence to the recommended postpolypectomy surveillance interval
Authors: Eun Ran Kim
Dong Hyun Sinn
Jin Yong Kim
Dong Kyung Chang
Poong-Lyul Rhee
Jae J. Kim
Jong Chul Rhee
Young-Ho Kim
Publication date: 01-06-2012
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 6/2012
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-011-2094-2

At a glance: The STEP trials

Springer Medicine

Factors associated with adherence to the recommended postpolypectomy surveillance interval

Abstract

Background

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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