New risk stratification after colorectal polypectomy reduces burden of surveillance without increasing mortality.

ABSTRACT:

Background

The 2020 postpolypectomy surveillance guideline update of European Society for Gastrointestinal Endoscopy defines a more restrictive group of individuals in need for surveillance 3 years after colonoscopy.

Aim

The aim of this cohort study was to validate the new guideline recommendation.

Methods

Based on a national quality assurance program, we compared the 2020 risk group definition with the previous 2013 recommendations for their strength of association with (1) colorectal cancer death, and (2) all-cause death.

Results

A total of 265,608 screening colonoscopies were included in the study. Mean age was 61.1 years (SD ±9.0), and 50.6% were women. During a mean follow-up of 59.3 months (SD ±35.0), 170 CRC deaths and 7723 deaths of any cause were ident

SUBMITTER: Waldmann E 

PROVIDER: S-EPMC8498405 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature