One-Year Risk for Advanced Colorectal Neoplasia
Authors: Douglas Rex
Journal: Annals of Internal Medicine (2013)

Letters16 April 2013One-Year Risk for Advanced Colorectal NeoplasiaDouglas Rex, MD, on behalf of the U.S. Multi-Society Task Force on Colorectal CancerDouglas Rex, MDFrom Indiana University Medical Center, Indianapolis, Indiana.Search for more papers by this author, on behalf of the U.S. Multi-Society Task Force on Colorectal CancerSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-158-8-201304160-00018 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Martínez and colleagues (1) found that the U.K. colonoscopy postpolypectomy surveillance guidelines identified a high-risk group of patients who benefit from repeated colonoscopy at 1 year after baseline but for whom the U.S. Multi-Society Task Force on Colorectal Cancer (MSTF) guidelines recommend colonoscopy at 3 years (2). The authors acknowledged that advanced lesions detected at 1 year in the high-risk group were probably missed during the baseline examinations. Multiple adenomas are well-established as a predictor of missed lesions in tandem colonoscopy studies. The potential implications of this trial for the U.S. guidelines are substantial.The 2012 MSTF ...References1. Martínez ME, Thompson P, Messer K, Ashbeck EL, Lieberman DA, Baron JA, et al. One-year risk for advanced colorectal neoplasia: U.S. versus U.K. risk-stratification guidelines. Ann Intern Med. 2012;157:856-64. [PMID: 23247939] LinkGoogle Scholar2. Lieberman DA, Rex DK, Winawer SJ, Giardiello FM, Johnson DA, Levin TR; United States Multi-Society Task Force on Colorectal Cancer. Guidelines for colonoscopy surveillance after screening and polypectomy: a consensus update by the US Multi-Society Task Force on Colorectal Cancer. Gastroenterology. 2012;143:844-57. [PMID: 22763141] CrossrefMedlineGoogle Scholar3. Rex DK, Bond JH, Winawer S, Levin TR, Burt RW, Johnson DA, et al; U. S. Multi-Society Task Force on Colorectal Cancer. Quality in the technical performance of colonoscopy and the continuous quality improvement process for colonoscopy: recommendations of the U.S. Multi-Society Task Force on Colorectal Cancer. Am J Gastroenterol. 2002;97:1296-308. [PMID: 12094842] CrossrefMedlineGoogle Scholar4. Kaminski MF, Regula J, Kraszewska E, Polkowski M, Wojciechowska U, Didkowska J, et al. Quality indicators for colonoscopy and the risk of interval cancer. N Engl J Med. 2010;362:1795-803. [PMID: 20463339] CrossrefMedlineGoogle Scholar5. Winawer SJ, Zauber AG, O'Brien MJ, Ho MN, Gottlieb L, Sternberg SS, et al. Randomized comparison of surveillance intervals after colonoscopic removal of newly diagnosed adenomatous polyps. The National Polyp Study Workgroup. N Engl J Med. 1993;328:901-6. [PMID: 8446136] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Indiana University Medical Center, Indianapolis, Indiana.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoOne-Year Risk for Advanced Colorectal Neoplasia: U.S. Versus U.K. Risk-Stratification Guidelines María Elena Martínez , Patricia Thompson , Karen Messer , Erin L. Ashbeck , David A. Lieberman , John A. Baron , Dennis J. Ahnen , Douglas J. Robertson , Elizabeth T. Jacobs , E. Robert Greenberg , Amanda J. Cross , and Wendy Atkin One-Year Risk for Advanced Colorectal Neoplasia María Elena Martínez , Dennis Ahnen , and E. Robert Greenberg Metrics 16 April 2013Volume 158, Issue 8Page: 638-639KeywordsAdenomasCancer preventionCecumColonoscopyColorectal cancerConflicts of interestLesions ePublished: 16 April 2013 Issue Published: 16 April 2013 Copyright & PermissionsCopyright © 2013 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...