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Physician adherence to societal guidelines following colonoscopy with polypectomy.

Authors
  • Naftali, Jonathan1
  • Naftali, Timna2, 3
  • Half, Elizabeth4, 1
  • Maza, Itai4, 1
  • Stein, Assaf2, 3
  • Waterman, Matti4, 1
  • Sergeyev, Ilia2, 3
  • Yassin, Kamal4, 1
  • Chermesh, Irit4, 1
  • Khamaysi, Iyad4, 1
  • Sklerovsky-Benjamfinov, Fabiana2, 3
  • Vayner, Yaacob2, 3
  • Yaccob, Afif4, 1
  • Brun, Rita4, 1
  • Saadi, Tarek4, 1
  • Klein, Amir4, 1
  • 1 Technion-Israel Institute of Technology, Haifa (Jonathan Naftali, Elizabeth Half, Itai Maza, Matti Waterman, Kamal Yassin, Irit Chermesh, Iyad Khamaysi, Afif Yaccob, Rita Brun, Tarek Saadi, Amir Klein). , (Israel)
  • 2 Department of Gastroenterology, Meir Medical Centre (Timna Naftali, Assaf Stein, Ilia Sergeyev, Fabiana Sklerovsky-Benjamfinov, Yaacob Vayner).
  • 3 Tel Aviv University, Sackler School of Medicine, Tel Aviv (Timna Naftali, Assaf Stein, Ilia Sergeyev, Fabiana Sklerovsky-Benjamfinov, Yaacob Vayner), Israel. , (Israel)
  • 4 Department of Gastroenterology, Rambam Health Care Campus, Haifa (Jonathan Elizabeth Half, Itai Maza, Matti Waterman, Kamal Yassin, Irit Chermesh, Iyad Khamaysi, Afif Yaccob, Rita Brun, Tarek Saadi, Amir Klein).
Type
Published Article
Journal
Annals of gastroenterology
Publication Date
Jan 01, 2020
Volume
33
Issue
5
Pages
516–520
Identifiers
DOI: 10.20524/aog.2020.0523
PMID: 32879599
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Colorectal cancer is a significant cause of mortality and morbidity in western countries. Polypectomy reduces the incidence and mortality of colorectal cancer. Following polypectomy, recommendations regarding the frequency and duration of surveillance rely mostly on features of the resected polyps and are summarized in various gastroenterological societal guidelines. In this study, we aimed to delineate the accuracy of current post-polypectomy surveillance recommendations and to check whether active intervention would lead to an improvement in accuracy and consistency with societal guidelines. We prospectively collected polypectomy reports over a 3-month period in 2 tertiary medical centers. We then performed an intervention that included: 1) presentation of results from 1st phase; 2) re-affirming the guidelines in a departmental meeting; 3) addition of a dedicated reporting form for post-polypectomy surveillance recommendations in the patients' electronic medical file. Finally, we conducted a second prospective collection of post-polypectomy recommendations, over a second 3-month period. Prior to the intervention, 76% of the colonoscopies with polypectomy had a recommendation for surveillance, compared to 85% after the intervention (P=0.003). Prior to the intervention, 65% of patients received a recommendation consistent with societal guidelines, compared with 78% after the intervention (P=0.001). Intervention, including re-affirmation of the current guidelines and creation of a dedicated reporting platform, significantly increases the number of follow-up recommendations after polypectomy and their consistency with societal guidelines. Copyright: © Hellenic Society of Gastroenterology.

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