Original article—alimentary tractAwareness of Surveillance Recommendations Among Patients With Colorectal Adenomas
Section snippets
Methods
A patient survey was used for this study. Survey items were selected using discussion with experts in the endoscopy field, after determination of the measurement aim and target population as previously recommended for designing surveys.11 The survey contained questions evaluating the information and (histologic) findings at initial colonoscopy, the knowledge of follow-up recommendations, and knowledge about reasons why follow-up evaluation was or was not recommended. In addition, we assessed
Results
Among the 4000 cases in data set 1, 798 (20%) patients with at least one adenoma were identified for inclusion. Patients were excluded for the survey mailing rounds if they had died (n = 28), or if their contact details could not be retrieved (n = 32). The remaining 738 patients were approached by mail (Figure 1).
A total of 604 of 738 patients responded (82%). A total of 55 surveys were withdrawn from the analyses because of incomplete answers, leading to 549 analyzable surveys. The mean time
Discussion
Patients who have undergone endoscopic adenoma removal are at increased risk for adenoma recurrence.14 Surveillance colonoscopy in adenoma-bearing patients therefore is acknowledged as a key aspect of CRC prevention.14 Embedded in the effectiveness of CRC screening, the attendance rate for surveillance colonoscopy is of utmost importance.7, 15, 16 Patient attendance may be influenced by patient awareness of their own colonoscopy findings and knowledge about the necessity for surveillance. Our
Acknowledgments
SCoPE Consortium participants: J. Sint Nicolaas, V. de Jonge, M. E. van Leerdam, and E. J. Kuipers (Erasmus MC University Medical Center, Rotterdam, The Netherlands); F. ter Borg (Deventer Hospital, Deventer, The Netherlands); J. T. Brouwer (Reinier de Graaf Hospital, Delft, The Netherlands); D. L. Cahen (Amstelland Hospital, Amstelveen, The Netherlands); F. J. G. M. Kubben (Maasstad Hospital, Rotterdam, The Netherlands); W. Lesterhuis (Albert Schweitzer Hospital, Dordrecht, The Netherlands);
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Conflicts of interest The authors disclose no conflicts.