Inappropriate colonoscopic surveillance of hyperplastic polyps.

Hdl Handle:
http://hdl.handle.net/10147/189667
Title:
Inappropriate colonoscopic surveillance of hyperplastic polyps.
Authors:
Keane, R A; O'Connor, A; Ryan, B; Breslin, N; O'Connor, H J; Qasim, A; O'Morain, C
Affiliation:
AMNCH, Tallaght, Dublin 24. rukeane@tcd.ie
Citation:
Inappropriate colonoscopic surveillance of hyperplastic polyps., 104 (7):211-4 Ir Med J
Journal:
Irish medical journal
Issue Date:
15-Nov-2011
URI:
http://hdl.handle.net/10147/189667
PubMed ID:
21957689
Abstract:
Colonoscopic surveillance of hyperplastic polyps alone is controversial and may be inappropriate. The colonoscopy surveillance register at a university teaching hospital was audited to determine the extent of such hyperplastic polyp surveillance. The surveillance endoscopy records were reviewed, those patients with hyperplastic polyps were identified, their clinical records were examined and contact was made with each patient. Of the 483 patients undergoing surveillance for colonic polyps 113 (23%) had hyperplastic polyps alone on last colonoscopy. 104 patients remained after exclusion of those under appropriate surveillance. 87 of the 104 patients (84%) were successfully contacted. 37 patients (8%) were under appropriate colonoscopic surveillance for a significant family history of colorectal carcinoma. 50 (10%) patients with hyperplastic polyps alone and no other clinical indication for colonoscopic surveillance were booked for follow up colonoscopy. This represents not only a budgetary but more importantly a clinical opportunity cost the removal of which could liberate valuable colonoscopy time for more appropriate indications.
Item Type:
Article
Language:
en
MeSH:
Colonic Polyps; Colonoscopy; Female; Genetic Predisposition to Disease; Humans; Ireland; Male; Middle Aged; Population Surveillance; Questionnaires; Risk Factors; Unnecessary Procedures
ISSN:
0332-3102

Full metadata record

DC FieldValue Language
dc.contributor.authorKeane, R Aen
dc.contributor.authorO'Connor, Aen
dc.contributor.authorRyan, Ben
dc.contributor.authorBreslin, Nen
dc.contributor.authorO'Connor, H Jen
dc.contributor.authorQasim, Aen
dc.contributor.authorO'Morain, Cen
dc.date.accessioned2011-11-15T16:06:51Z-
dc.date.available2011-11-15T16:06:51Z-
dc.date.issued2011-11-15T16:06:51Z-
dc.identifier.citationInappropriate colonoscopic surveillance of hyperplastic polyps., 104 (7):211-4 Ir Med Jen
dc.identifier.issn0332-3102-
dc.identifier.pmid21957689-
dc.identifier.urihttp://hdl.handle.net/10147/189667-
dc.description.abstractColonoscopic surveillance of hyperplastic polyps alone is controversial and may be inappropriate. The colonoscopy surveillance register at a university teaching hospital was audited to determine the extent of such hyperplastic polyp surveillance. The surveillance endoscopy records were reviewed, those patients with hyperplastic polyps were identified, their clinical records were examined and contact was made with each patient. Of the 483 patients undergoing surveillance for colonic polyps 113 (23%) had hyperplastic polyps alone on last colonoscopy. 104 patients remained after exclusion of those under appropriate surveillance. 87 of the 104 patients (84%) were successfully contacted. 37 patients (8%) were under appropriate colonoscopic surveillance for a significant family history of colorectal carcinoma. 50 (10%) patients with hyperplastic polyps alone and no other clinical indication for colonoscopic surveillance were booked for follow up colonoscopy. This represents not only a budgetary but more importantly a clinical opportunity cost the removal of which could liberate valuable colonoscopy time for more appropriate indications.-
dc.language.isoenen
dc.subject.meshColonic Polyps-
dc.subject.meshColonoscopy-
dc.subject.meshFemale-
dc.subject.meshGenetic Predisposition to Disease-
dc.subject.meshHumans-
dc.subject.meshIreland-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshPopulation Surveillance-
dc.subject.meshQuestionnaires-
dc.subject.meshRisk Factors-
dc.subject.meshUnnecessary Procedures-
dc.titleInappropriate colonoscopic surveillance of hyperplastic polyps.en
dc.typeArticleen
dc.contributor.departmentAMNCH, Tallaght, Dublin 24. rukeane@tcd.ieen
dc.identifier.journalIrish medical journalen
dc.description.provinceLeinster-
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