One-Year Risk for Advanced Colorectal Neoplasia
Authors: María Elena Martínez, Dennis Ahnen, E. Robert Greenberg
Journal: Annals of Internal Medicine (2013)

Letters16 April 2013One-Year Risk for Advanced Colorectal NeoplasiaMaría Elena Martínez, PhD, Dennis Ahnen, MD, and E. Robert Greenberg, MDMaría Elena Martínez, PhDFrom Moores Cancer Center and University of California, San Diego, School of Medicine, La Jolla, California; Denver Veterans Affairs Medical Center and University of Colorado School of Medicine, Denver, Colorado; and Fred Hutchinson Cancer Research Center, Seattle, Washington.Search for more papers by this author, Dennis Ahnen, MDFrom Moores Cancer Center and University of California, San Diego, School of Medicine, La Jolla, California; Denver Veterans Affairs Medical Center and University of Colorado School of Medicine, Denver, Colorado; and Fred Hutchinson Cancer Research Center, Seattle, Washington.Search for more papers by this author, and E. Robert Greenberg, MDFrom Moores Cancer Center and University of California, San Diego, School of Medicine, La Jolla, California; Denver Veterans Affairs Medical Center and University of Colorado School of Medicine, Denver, Colorado; and Fred Hutchinson Cancer Research Center, Seattle, Washington.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-158-8-201304160-00019 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We thank Dr. Rex for his thoughtful discussion of the implications of our report for the U.S. colonoscopy surveillance guidelines. He particularly emphasizes the importance of improving endoscopy quality, a point that we acknowledged in our study. Indeed, 73% (200 of 273) of all advanced neoplasms and 69% (18 of 26) of high-grade dysplasias or cases of cancer that were detected at the 1-year colonoscopy in our sample occurred among patients who would not be categorized as high-risk by the U.K. guidelines.Focusing on colonoscopy performance clearly deserves a high priority. However, examination is not likely to be ... Author, Article, and Disclosure InformationAffiliations: From Moores Cancer Center and University of California, San Diego, School of Medicine, La Jolla, California; Denver Veterans Affairs Medical Center and University of Colorado School of Medicine, Denver, Colorado; and Fred Hutchinson Cancer Research Center, Seattle, Washington.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M12-1274. 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 Douglas Rex and Metrics Cited byA prognostic model for advanced colorectal neoplasia recurrence 16 April 2013Volume 158, Issue 8Page: 639KeywordsAdenomasColonoscopyConflicts of interestDisclosureDysplasiaEndoscopyRisk management ePublished: 16 April 2013 Issue Published: 16 April 2013 Copyright & PermissionsCopyright © 2013 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...