Provider Adherence to the 2020 US Multi-Society Task Force Guidelines for Surveillance After Colonoscopy With Polypectomy
Background and Aims: The 2020 United States Multi-Society Task Force on Colorectal Cancer guidelines for surveillance after colonoscopy with polypectomy introduced significant changes in surveillance intervals. We sought to identify rates of adherence to these new guidelines at an academic medical c...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | Gastro Hep Advances |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772572324001262 |
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| author | Benjamin E. Cassell Katherine Scholand Wyatt Tarter Camille J. Hochheimer Colleen Long Gregory L. Austin |
| author_facet | Benjamin E. Cassell Katherine Scholand Wyatt Tarter Camille J. Hochheimer Colleen Long Gregory L. Austin |
| author_sort | Benjamin E. Cassell |
| collection | DOAJ |
| description | Background and Aims: The 2020 United States Multi-Society Task Force on Colorectal Cancer guidelines for surveillance after colonoscopy with polypectomy introduced significant changes in surveillance intervals. We sought to identify rates of adherence to these new guidelines at an academic medical center. Methods: Average-risk screening colonoscopies where 1 to 4 polyps <10 mm were removed between January 1, 2020, and June 30, 2021 were included. To determine predictors of nonadherence, a multivariable logistic regression analysis was conducted and included patient and procedure-related variables. Bayesian changepoint analysis was applied to identify timing of change in adherence. Multinomial logistic regression was used to identify predictors of variability within the guidelines. Results: One thousand twenty-six procedures were analyzed. Adherence to the guidelines was 85%. In procedures with 1 to 2 polyps, increasing size (odds ratio [OR] 0.84 per mm; 95% confidence interval [CI]: 0.75–0.93) and a mixture of tubular adenomas (TA) and hyperplastic polyps (OR 0.35; 95% CI: 0.21–0.59) were associated with nonadherence. Among procedures with 1 to 2 TAs, age (OR 0.86 per 5-year increase; 95% CI: 0.75–0.99), increasing size (OR 0.86 per mm; 95% CI: 0.75–0.99) and polyp number (OR 0.54; 95% CI: 0.33–0.90) were associated with nonadherence. Changepoint analysis identified a potential changepoint on September 2, 2020 (95% credible interval April 2, 2020–February 22, 2020). Larger TAs were less likely to receive a 10-year recommendation (OR 0.61, 95% CI 0.5–0.75). Conclusion: Adherence rates to the 2020 surveillance guidelines were high with a potential changepoint identified on 2/9/20. Deviation from guidelines was associated with patient and procedure related variables. |
| format | Article |
| id | doaj-art-fbc3ffa1abf046daab29e152a291e758 |
| institution | Kabale University |
| issn | 2772-5723 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Gastro Hep Advances |
| spelling | doaj-art-fbc3ffa1abf046daab29e152a291e7582025-01-18T05:05:31ZengElsevierGastro Hep Advances2772-57232025-01-0141100532Provider Adherence to the 2020 US Multi-Society Task Force Guidelines for Surveillance After Colonoscopy With PolypectomyBenjamin E. Cassell0Katherine Scholand1Wyatt Tarter2Camille J. Hochheimer3Colleen Long4Gregory L. Austin5Division of Gastroenterology and Hepatology - The University of Colorado School of Medicine; Aurora, Colorado; Correspondence: Address correspondence to: Benjamin E. Cassell, M.D., Division of Gastroenterology and Hepatology, University of Colorado School of Medicine, 1700 N. Wheeling St 111-E, Aurora CO, 80045.Division of Gastroenterology and Hepatology - The University of Colorado School of Medicine; Aurora, ColoradoCenter for Innovative Design and Analysis, Colorado School of Public Health, Aurora, ColoradoCenter for Innovative Design and Analysis, Colorado School of Public Health, Aurora, ColoradoDepartment of Medicine, University of Colorado School of Medicine, Aurora, ColoradoDivision of Gastroenterology and Hepatology - The University of Colorado School of Medicine; Aurora, ColoradoBackground and Aims: The 2020 United States Multi-Society Task Force on Colorectal Cancer guidelines for surveillance after colonoscopy with polypectomy introduced significant changes in surveillance intervals. We sought to identify rates of adherence to these new guidelines at an academic medical center. Methods: Average-risk screening colonoscopies where 1 to 4 polyps <10 mm were removed between January 1, 2020, and June 30, 2021 were included. To determine predictors of nonadherence, a multivariable logistic regression analysis was conducted and included patient and procedure-related variables. Bayesian changepoint analysis was applied to identify timing of change in adherence. Multinomial logistic regression was used to identify predictors of variability within the guidelines. Results: One thousand twenty-six procedures were analyzed. Adherence to the guidelines was 85%. In procedures with 1 to 2 polyps, increasing size (odds ratio [OR] 0.84 per mm; 95% confidence interval [CI]: 0.75–0.93) and a mixture of tubular adenomas (TA) and hyperplastic polyps (OR 0.35; 95% CI: 0.21–0.59) were associated with nonadherence. Among procedures with 1 to 2 TAs, age (OR 0.86 per 5-year increase; 95% CI: 0.75–0.99), increasing size (OR 0.86 per mm; 95% CI: 0.75–0.99) and polyp number (OR 0.54; 95% CI: 0.33–0.90) were associated with nonadherence. Changepoint analysis identified a potential changepoint on September 2, 2020 (95% credible interval April 2, 2020–February 22, 2020). Larger TAs were less likely to receive a 10-year recommendation (OR 0.61, 95% CI 0.5–0.75). Conclusion: Adherence rates to the 2020 surveillance guidelines were high with a potential changepoint identified on 2/9/20. Deviation from guidelines was associated with patient and procedure related variables.http://www.sciencedirect.com/science/article/pii/S2772572324001262Colon CancerColon Cancer ScreeningPolypectomyPractice Guidelines |
| spellingShingle | Benjamin E. Cassell Katherine Scholand Wyatt Tarter Camille J. Hochheimer Colleen Long Gregory L. Austin Provider Adherence to the 2020 US Multi-Society Task Force Guidelines for Surveillance After Colonoscopy With Polypectomy Gastro Hep Advances Colon Cancer Colon Cancer Screening Polypectomy Practice Guidelines |
| title | Provider Adherence to the 2020 US Multi-Society Task Force Guidelines for Surveillance After Colonoscopy With Polypectomy |
| title_full | Provider Adherence to the 2020 US Multi-Society Task Force Guidelines for Surveillance After Colonoscopy With Polypectomy |
| title_fullStr | Provider Adherence to the 2020 US Multi-Society Task Force Guidelines for Surveillance After Colonoscopy With Polypectomy |
| title_full_unstemmed | Provider Adherence to the 2020 US Multi-Society Task Force Guidelines for Surveillance After Colonoscopy With Polypectomy |
| title_short | Provider Adherence to the 2020 US Multi-Society Task Force Guidelines for Surveillance After Colonoscopy With Polypectomy |
| title_sort | provider adherence to the 2020 us multi society task force guidelines for surveillance after colonoscopy with polypectomy |
| topic | Colon Cancer Colon Cancer Screening Polypectomy Practice Guidelines |
| url | http://www.sciencedirect.com/science/article/pii/S2772572324001262 |
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