Frequency of colorectal surveillance colonoscopies for adenomatous polyps: systematic review and meta-analysis

Yiu Ming Ho; Katharina Merollini; Louisa Gordon

doi:10.1111/jgh.16397

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Frequency of colorectal surveillance colonoscopies for adenomatous polyps: systematic review and meta-analysis

Journal article

Open access

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Frequency of colorectal surveillance colonoscopies for adenomatous polyps: systematic review and meta-analysis

Yiu Ming Ho, Katharina Merollini and Louisa Gordon

Journal of Gastroenterology and Hepatology, Vol.39(1), pp.37-46

2024

DOI: https://doi.org/10.1111/jgh.16397

PMID: 37967829

Appears in Cancer Research Cluster Research Collection

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Abstract

adenomatous polyps

clinical guidelines

colonscopy surveillance

colorectal cancer screening

surveillance frequency

systematic review

Background and Aim: The purpose of this study was to assess evidence on the frequency of polyp surveillance colonoscopies performed earlier than the recommended follow-up intervals in clinical practice guidelines. Methods: A systematic review was performed based on electronic searches in PubMed and Embase. Research articles, letters to the editors, and review articles, published before April 2022, were included. Studies that focused on the intervals of polyp surveillance in adult populations were selected. The Risk Of Bias In Non-randomized Studies of Exposure (ROBINS-E) was used to assess the risk of bias. A meta-analysis was performed with Forest plots to illustrate the results. Results: In total, 16 studies, comprising 11 172 patients from Australia, Europe, and North America, were included for analysis. The quality of the studies was moderate. Overall, 38% (95% CI: 30–47%) of colonoscopies were undertaken earlier than their respective national clinical guidelines. In risk-stratified surveillance, 10 studies contained data relating to low-risk polyp surveillance intervals and 30% (95% CI: 29–31%) of colonoscopies were performed earlier than recommended. Eight studies contained data relating to intermediate-risk polyp surveillance and 15% (95% CI: 14–17%) of colonoscopies were performed earlier than recommended. One study showed that 6% (95% CI: 4–10%) of colonoscopies performed for high-risk polyp surveillance were performed earlier than recommended. Conclusions: A significant proportion of polyp surveillance was performed earlier than the guidelines suggested. This provides evidence of the potential overuse of healthcare resources and the opportunity to improve hospital efficiency.

Details

Title: Frequency of colorectal surveillance colonoscopies for adenomatous polyps: systematic review and meta-analysis
Authors: Yiu Ming Ho (Corresponding Author) - The University of Queensland
Katharina Merollini (Author) - University of the Sunshine Coast, Queensland, School of Health - Public Health
Louisa Gordon (Author) - QIMR Berghofer Medical Research Institute
Publication details: Journal of Gastroenterology and Hepatology, Vol.39(1), pp.37-46
Publisher: John Wiley & Sons, Inc.
Date published: 2024
DOI: 10.1111/jgh.16397
ISSN: 1440-1746
PMID: 37967829
Copyright note: © 2023 The Authors. Journal of Gastroenterology and Hepatology published by Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Grant note: Royal Australasian College of Surgeons. Grant Number: Peter King Research Scholarship 2022
Organisation Unit: Cancer Research Cluster; School of Health - Public Health
Language: English
Record Identifier: 99979096402621
Output Type: Journal article

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