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组织学、大小和高级息肉数量与指南不一致的监测建议相关。

Histology, Size, and Number of Advanced Polyps are Associated With Guideline-Discordant Surveillance Recommendations.

机构信息

H.H. Chao Comprehensive Digestive Disease Center, University of California Irvine, Orange, California.

Division of Gastroenterology & Hepatology, University of Colorado Anschutz Medical Campus, Aurora, Colorado.

出版信息

Clin Gastroenterol Hepatol. 2022 Oct;20(10):2402-2404. doi: 10.1016/j.cgh.2021.05.016. Epub 2021 May 13.

Abstract

Surveillance guidelines following polypectomy promote cost-effective reductions in future colorectal cancer (CRC) risk, but high nonadherence rates can have negative consequences on costs and effectiveness. Professional societies recommend a 3-year interval for patients with advanced colorectal polyps (ACPs), although few studies report provider adherence to surveillance intervals. This study evaluated rates and predictors of guideline-discordant recommendations for patients with ACPs.

摘要

息肉切除术后的监测指南有助于以具有成本效益的方式降低未来结直肠癌(CRC)的风险,但高不依从率可能对成本和效果产生负面影响。专业协会建议对患有高级结直肠息肉(ACPs)的患者进行 3 年的间隔监测,尽管很少有研究报告提供者是否遵守监测间隔。本研究评估了 ACP 患者的指南不一致建议的发生率和预测因素。

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Post-polypectomy colonoscopy surveillance: Can we improve the diagnostic yield?息肉切除术后结肠镜检查监测:我们能否提高诊断率?
Gastroenterol Hepatol. 2022 Jun-Jul;45(6):474-487. doi: 10.1016/j.gastrohep.2021.11.005. Epub 2021 Nov 27.

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