UNASSIGNED: Background and study aims: The management of @entity1 with @entity1586 who are referred to surgery remains uncharacterized in a population-based setting. The aims of this study were to determine the frequency, risk factors, and outcomes of @entity1 referred for surgical resection of @entity1127 . @entity1 and methods: All @entity1 who underwent a colonoscopy for positive fecal occult blood test in the setting of a population-based @entity14 screening program in France between 2003 and 2012 were analyzed. The primary outcome was the proportion of @entity1 undergoing colorectal surgery for @entity1127 without @entity189 . Logistic regression analysis was applied to identify risk factors for surgical resection. Results: Among 4251 @entity1 with at least one @entity1127 , 175 (4.1%) underwent colorectal surgery. Risk factors for surgery included size, proximal polyp location, advanced histology (villous or high grade @entity1141 ), the endoscopy center, and colonoscopy performed during the first half of the study period. Subgroup analysis of 3475 colonoscopies performed by 22 endoscopists who performed at least 50 colonoscopies during the study period, identified the endoscopist as an additional risk factor. The adjusted proportions of referrals to surgery ranged from 0 to 46.6% per endoscopist for @entity1127 >= 20mm (median 20.2%). Overall, surgical complications occurred in 24.0%, and one @entity1 died following surgery (0.5%). None of the 175 @entity1 who underwent surgery were referred to a tertiary endoscopic center prior to surgery. Conclusions: In this population-based study, 4.1% of @entity1 with nonmalignant @entity1127 were referred for surgical resection. The endoscopist was one important factor that was associated with surgical referral. To further decrease the proportion of inappropriate surgery in @entity1 , endoscopists should refer their @entity1 with large or difficult @entity1127 to expert endoscopists prior to surgery.

Frequency of and risk factors for the surgical resection of nonmalignant XXXX : a population-based study.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity1127 :: ('MESH:D011127', 'Disease') :: ['colorectal polyps', 'polyps', 'colorectal polyp'] @entity189 :: ('MESH:D002277', 'Disease') :: ['invasive carcinoma'] @entity1141 :: ('MESH:C535662', 'Disease') :: ['dysplasia'] @entity14 :: ('MESH:D015179', 'Disease') :: ['colorectal cancer'] @entity1586 :: ('MESH:D003111', 'Disease') :: ['colon polyps']
@entity1127 :: (MESH:D011127,Disease) :: ['colorectal polyps']
