Guideline adherence to colonoscopic surveillance intervals after polypectomy in Korea: Results from a nationwide survey

Seri Hong, Mina Suh, Kui Son Choi, Boyoung Park, Jae Myung Cha, Hyun Soo Kim, Jae Kwan Jun, Dong Soo Han

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background/Aims: People around the world are increasingly choosing to undergo colorectal cancer screening via colonoscopy. As a result, guideline adherence to postpolypectomy colonoscopy surveillance has drawn increasing attention. The present study was performed to assess recognition and adherence to guidelines among primary care physicians and gastroenterologists and to identify characteristics associated with compliance. Methods: A nationwide sample of primary care physicians employed at cancer screening facilities and registered members of the Korean Society of Gastrointestinal Endoscopy were recruited. Participants were asked to complete a survey of six hypothetical clinical scenarios designed to assess their potential course of action in response to screening or follow-up colonoscopy results. Frequencies and odds ratios and 95% confidence intervals for guideline adherence were estimated. Results: The proportions of doctors recommending shortened colonoscopy surveillance intervals for low- and high-risk adenomas were greater than 90% among primary physicians and were much lower among gastroenterologists. Guideline adherence was relatively good among groups of doctors who were young, had a specialty in gastroenterology, worked at tertiary hospitals, and cared for an appropriate number of patients. Conclusions: The present study reveals a remaining discrepancy between practitioner recommendations and current guidelines for postpolypectomy surveillance. Several factors were shown to be related to guideline adherence, suggesting a need for appropriate control and continuing education or training programs among particular groups of practitioners.

Original languageEnglish
Pages (from-to)426-432
Number of pages7
JournalGut and liver
Volume12
Issue number4
DOIs
Publication statusPublished - 2018 Jul

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Guideline Adherence
Korea
Colonoscopy
Primary Care Physicians
Early Detection of Cancer
Continuing Education
Gastroenterology
Tertiary Care Centers
Adenoma
Action Potentials
Compliance
Colorectal Neoplasms
Odds Ratio
Surveys and Questionnaires
Guidelines
Confidence Intervals
Physicians
Education

All Science Journal Classification (ASJC) codes

  • Hepatology
  • Gastroenterology

Cite this

Hong, Seri ; Suh, Mina ; Choi, Kui Son ; Park, Boyoung ; Cha, Jae Myung ; Kim, Hyun Soo ; Jun, Jae Kwan ; Han, Dong Soo. / Guideline adherence to colonoscopic surveillance intervals after polypectomy in Korea : Results from a nationwide survey. In: Gut and liver. 2018 ; Vol. 12, No. 4. pp. 426-432.
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abstract = "Background/Aims: People around the world are increasingly choosing to undergo colorectal cancer screening via colonoscopy. As a result, guideline adherence to postpolypectomy colonoscopy surveillance has drawn increasing attention. The present study was performed to assess recognition and adherence to guidelines among primary care physicians and gastroenterologists and to identify characteristics associated with compliance. Methods: A nationwide sample of primary care physicians employed at cancer screening facilities and registered members of the Korean Society of Gastrointestinal Endoscopy were recruited. Participants were asked to complete a survey of six hypothetical clinical scenarios designed to assess their potential course of action in response to screening or follow-up colonoscopy results. Frequencies and odds ratios and 95{\%} confidence intervals for guideline adherence were estimated. Results: The proportions of doctors recommending shortened colonoscopy surveillance intervals for low- and high-risk adenomas were greater than 90{\%} among primary physicians and were much lower among gastroenterologists. Guideline adherence was relatively good among groups of doctors who were young, had a specialty in gastroenterology, worked at tertiary hospitals, and cared for an appropriate number of patients. Conclusions: The present study reveals a remaining discrepancy between practitioner recommendations and current guidelines for postpolypectomy surveillance. Several factors were shown to be related to guideline adherence, suggesting a need for appropriate control and continuing education or training programs among particular groups of practitioners.",
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Guideline adherence to colonoscopic surveillance intervals after polypectomy in Korea : Results from a nationwide survey. / Hong, Seri; Suh, Mina; Choi, Kui Son; Park, Boyoung; Cha, Jae Myung; Kim, Hyun Soo; Jun, Jae Kwan; Han, Dong Soo.

In: Gut and liver, Vol. 12, No. 4, 07.2018, p. 426-432.

Research output: Contribution to journalArticle

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