Reference case probabilities and ranges considered
Variable | Location | Values | Range | References |
LSL proportion | Colon | 0.827 | 0.75–0.90 | ACE data set1 |
Rectum | 0.173 | 0.10–0.25 | ||
Prevalence of SMIC | Colon | 0.069 | 0.01–0.10 | ACE data set52 |
Rectum | 0.144 | 0.05–0.25 | ||
% of LR-SMIC | Colon | 0.370 | 0.20–0.80 | ACE data set18 32–34 |
Rectum | 0.364 | 0.20–0.60 | ||
Lesion assessment for SMIC | ||||
Sensitivity | All | 0.349 | 0.10–0.83 | ACE data set30 |
Specificity | All | 0.984 | 0.5–0.99 | ACE data set30 |
Effectiveness of WF-EMR | ||||
Risk of recurrence—no SMIC | Colon | 0.144 | 0.05–0.25 | ACE data set |
Rectum | 0.189 | 0.05–0.35 | ||
Proportion requiring surgery | Colon | 0.011 | 0.0025–0.10 | ACE data set |
Rectum | 0.010 | 0.0025–0.10 | ||
Effectiveness of ESD | ||||
Risk of recurrence—no SMIC | Colon | 0.020 | 0.005–0.10 | 55 |
Rectum | 0.031 | 0.005–0.15 | ||
Proportion requiring surgery—no SMIC | Colon | 0.015 | 0.05–0.10 | 39 |
Rectum | 0.020 | 0.05–0.10 | ||
Risk of recurrence—LR-SMIC | Colon | 0.020 | 0.05–0.15 | 56 |
Rectum | 0.030 | 0.05–0.25 | ||
Effectiveness of transanal resection | ||||
Risk of recurrence—no SMIC | Rectum | 0.03 | 0.010–0.050 | 57 |
Proportion requiring surgery—no SMIC | Rectum | 0.015 | 0.005–0.010 | 57 |
Risk of recurrence—LR-SMIC | Rectum | 0.030 | 0.010–0.050 | 57 |
Procedural risks WF-EMR | ||||
Perforation requiring surgery | Colon | 0.002 | 0.001–0.010 | ACE data set |
Rectum | 0.001 | 0.001–0.010 | ||
Non-surgical complication | Colon | 0.076 | 0.05–0.20 | ACE data set |
Rectum | 0.080 | 0.05–0.20 | ||
Procedural risks ESD | ||||
Perforation requiring surgery | Colon | 0.010 | 0.005–0.20 | 20 55 |
Rectum | 0.010 | 0.005–0.20 | ||
Non-surgical complication | Colon | 0.081 | 0.05–0.20 | 20 55 |
Rectum | 0.055 | 0.02–0.20 | ||
Procedural risks transanal resection | ||||
Perforation requiring further surgery | Rectum | 0.008 | 0.003–0.10 | 57 |
Non-surgical complication | Rectum | 0.060 | 0.05–0.20 | 57 |
ACE, Australian Colonic Endoscopic Resection; ESD, endoscopic submucosal dissection; LR-SMIC, low-risk submucosal invasive cancer car; LSL, large laterally spreading lesion; SMIC, submucosal invasive cancer; WF-EMR, wide-field endoscopic mucosal resection.