Using New Hampshire Colonoscopy Registry data to assess United States and European post-polypectomy surveillance guidelines.

ABSTRACT:

Background

 Our goal was to compare the updated European Society of Gastrointestinal Endoscopy (ESGE) and United States Multi-Society Task Force on Colorectal Cancer (USMSTF) high risk groups in predicting metachronous advanced neoplasia on first follow-up colonoscopy and long-term colorectal cancer (CRC).

Methods

 We compared advanced metachronous neoplasia risk (serrated polyps ≥ 1 cm or with dysplasia, advanced adenomas [≥ 1 cm, villous, high grade dysplasia], CRC) on first surveillance colonoscopy in patients with high risk findings according to ESGE versus USMSTF guidelines. We also compared the positive and negative predictive values (PPV, NPV) of both guidelines for metachronous neoplasia.

Results

 The risk for metachronous neoplasia in our sample (n = 20 458)

SUBMITTER: Liu MC 

PROVIDER: S-EPMC10292179 | biostudies-literature | 2023 May

REPOSITORIES: biostudies-literature