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Adherence to Surveillance Guidelines after the Removal of Colorectal Polyps: A Multinational, Multicenter, Prospective Survey.
Oh, Chang Kyo; Aniwan, Satimai; Piyachaturawat, Panida; Wong, Zhiqin; Soe, Thida; Luvsandagva, Bayasgalan; Tran, Quang Trung; Fauzi, Achmad; Byeon, Jeong-Sik; Cho, Young-Seok.
Afiliación
  • Oh CK; Department of Internal Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
  • Aniwan S; Deprtment of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
  • Piyachaturawat P; Deprtment of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
  • Wong Z; Gastroentorology Unit, Department of Medicine, Faculty of Medicine, National University of Malaysia, Kuala Lumpur, Malaysia.
  • Soe T; Department of Gastroenterology, University of Medicine 1 Yangon, Yangon, Myanmar.
  • Luvsandagva B; Department of Endoscopy, Ulaanbaatar Songdo Hospital, Ulaanbaatar, Mongolia.
  • Tran QT; Department of Internal Medicine, Hue University of Medicine and Pharmacy, Hue University, Hue, Vietnam.
  • Fauzi A; Department of Medicine A, University Medicine Greifswald, Greifswald, Germany.
  • Byeon JS; Department of Internal Medicine, University of Indonesia, Kota Depok, Indonesia.
  • Cho YS; Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Gut Liver ; 15(6): 878-886, 2021 11 15.
Article en En | MEDLINE | ID: mdl-33790055
Background/Aims: As the number of colonoscopies and polypectomies performed continues to increase in many Asian countries, there is a great demand for surveillance colonoscopy. The aim of this study was to investigate the adherence to postpolypectomy surveillance guidelines among physicians in Asia. Methods: A survey study was performed in seven Asian countries. An email invitation with a link to the survey was sent to participants who were asked to complete the questionnaire consisting of eight clinical scenarios. Results: Of the 137 doctors invited, 123 (89.8%) provided valid responses. Approximately 50% of the participants adhered to the guidelines regardless of the risk of adenoma, except in the case of tubulovillous adenoma ≥10 mm combined with high-grade dysplasia, in which 35% of the participants adhered to the guidelines. The participants were stratified according to the number of colonoscopies performed: ≥20 colonoscopies per month (high volume group) and <20 colonoscopies per month (low volume group). Higher adherence to the postpolypectomy surveillance guidelines was evident in the high volume group (60%) than in the low volume group (25%). The reasons for nonadherence included concern of missed polyps (59%), the low cost of colonoscopy (26%), concern of incomplete resection (25%), and concern of medical liability (15%). Conclusions: A discrepancy between clinical practice and surveillance guidelines among physicians in Asia was found. Physicians in the low volume group frequently did not adhere to the guidelines, suggesting a need for continuing education and appropriate control. Concerns regarding the quality of colonoscopy and complete polypectomy were the main reasons for nonadherence.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Colorrectales / Pólipos del Colon Tipo de estudio: Clinical_trials / Diagnostic_studies / Guideline / Observational_studies / Qualitative_research / Risk_factors_studies / Screening_studies Límite: Humans Idioma: En Revista: Gut Liver Año: 2021 Tipo del documento: Article Pais de publicación: Corea del Sur
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Colorrectales / Pólipos del Colon Tipo de estudio: Clinical_trials / Diagnostic_studies / Guideline / Observational_studies / Qualitative_research / Risk_factors_studies / Screening_studies Límite: Humans Idioma: En Revista: Gut Liver Año: 2021 Tipo del documento: Article Pais de publicación: Corea del Sur