Higher Serrated Polyp Detection Rates Are Associated With Lower Risk of Postcolonoscopy Colorectal Cancer: Data From the New Hampshire Colonoscopy Registry.
Journal
The American journal of gastroenterology
ISSN: 1572-0241
Titre abrégé: Am J Gastroenterol
Pays: United States
ID NLM: 0421030
Informations de publication
Date de publication:
01 11 2023
01 11 2023
Historique:
received:
12
04
2023
accepted:
23
06
2023
medline:
3
11
2023
pubmed:
7
7
2023
entrez:
7
7
2023
Statut:
ppublish
Résumé
We used New Hampshire Colonoscopy Registry data to examine the association between postcolonoscopy colorectal cancer (PCCRC) and sessile serrated detection rates (SSLDRs). We included patients with either a colonoscopy or a CRC diagnosis in the NH State Cancer Registry. PCCRC was any CRC diagnosed ≥ 6 months after index examination. Of 26,901 patients, 162 were diagnosed with PCCRC. The hazard ratio for PCCRC was lowest for patients whose endoscopists had the highest SSLDR quintile (≥6%) (hazard ratio 0.29; 95% confidence interval 0.16-0.50). Endoscopists with higher SSLDRs had lower risks of PCCRC. These data validate SSLDR as a clinically relevant quality measure.
Identifiants
pubmed: 37417792
doi: 10.14309/ajg.0000000000002403
pii: 00000434-990000000-00799
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
1927-1930Subventions
Organisme : NCI NIH HHS
ID : R01 CA243449
Pays : United States
Organisme : NCCDPHP CDC HHS
ID : U58 DP003930
Pays : United States
Informations de copyright
Copyright © 2023 by The American College of Gastroenterology.
Références
Anderson JC. Techniques for detection and complete resection of sessile serrated polyps. Gastroenterol Hepatol (N Y) 2021;17:384–6.
Anderson JC, Srivastava A. Colorectal cancer screening for the serrated pathway. Gastrointest Endosc Clin N Am 2020;30:457–78.
Bell PD, Anderson JC, Srivastava A. The frontiers of serrated polyps. Am J Surg Pathol 2022;46:e64–e70.
Corley DA, Jensen CD, Marks AR, et al. Adenoma detection rate and risk of colorectal cancer and death. N Engl J Med 2014;370:1298–306.
Ahmad A, Moorghen M, Wilson A, et al. Implementation of optical diagnosis with a “resect and discard” strategy in clinical practice: DISCARD3 study. Gastrointest Endosc 2022;96:1021–32.e2.
Anderson JC, Butterly LF, Robinson CM, et al. Impact of fair bowel preparation quality on adenoma and serrated polyp detection: Data from the New Hampshire Colonoscopy Registry by using a standardized preparation-quality rating. Gastrointest Endosc 2014;80:463–70.
Anderson JC, Butterly LF, Weiss JE, et al. Providing data for serrated polyp detection rate benchmarks: An analysis of the New Hampshire Colonoscopy Registry. Gastrointest Endosc 2017;85:1188–94.
Greene MA, Butterly LF, Goodrich M, et al. Matching colonoscopy and pathology data in population-based registries: Development of a novel algorithm and the initial experience of the New Hampshire Colonoscopy Registry. Gastrointest Endosc 2011;74:334–40.
van Toledo D, JEG IJ, Bossuyt PMM, et al. Serrated polyp detection and risk of interval post-colonoscopy colorectal cancer: A population-based study. Lancet Gastroenterol Hepatol 2022;7:747–54.
Zessner-Spitzenberg J, Waldmann E, Jiricka L, et al. Comparison of adenoma detection rate and proximal serrated polyp detection rate and their effect on post-colonoscopy colorectal cancer mortality in screening patients. Endoscopy 2023;55:434–41.
Anderson JC, Butterly LF, Goodrich M, et al. Differences in detection rates of adenomas and serrated polyps in screening versus surveillance colonoscopies, based on the New Hampshire Colonoscopy Registry. Clin Gastroenterol Hepatol 2013;11:1308–12.
Hassan C, Spadaccini M, Iannone A, et al. Performance of artificial intelligence in colonoscopy for adenoma and polyp detection: A systematic review and meta-analysis. Gastrointest Endosc 2021;93:77–85.e6.
Rex DK, Schoenfeld PS, Cohen J, et al. Quality indicators for colonoscopy. Gastrointest Endosc 2015;81:31–53.
Rice K, Sharma K, Li C, et al. Cost-effectiveness of a patient navigation intervention to increase colonoscopy screening among low-income adults in New Hampshire. Cancer 2019;125:601–9.
Rex DK, Hardacker K, MacPhail M, et al. Determining the adenoma detection rate and adenomas per colonoscopy by photography alone: Proof-of-concept study. Endoscopy 2015;47:245–50.
Anderson JC, Calderwood AH, Christensen BC, et al. Smoking and other risk factors in individuals with synchronous conventional high-risk adenomas and clinically significant serrated polyps. Am J Gastroenterol 2018;113:1828–35.
Anderson JC, Butterly LF, Robinson CM, et al. Risk of metachronous high-risk adenomas and large serrated polyps in individuals with serrated polyps on index colonoscopy: Data from the New Hampshire Colonoscopy Registry. Gastroenterology 2018;154:117–27.e2.
Payne SR, Church TR, Wandell M, et al. Endoscopic detection of proximal serrated lesions and pathologic identification of sessile serrated adenomas/polyps vary on the basis of center. Clin Gastroenterol Hepatol 2014;12:1119–26.
Shaukat A, Holub J, Greenwald D, et al. Variation over time and factors associated with detection rates of sessile serrated lesion across the United States: Results form a national sample using the GIQuIC Registry. Am J Gastroenterol 2021;116:95–9.