Pauline A. Mysliwiec, MD, MPH; Martin L. Brown, PhD; Carrie N. Klabunde, PhD; David F. Ransohoff, MD
Grant Support: By the National Cancer Institute (contract no. N01-PC-85169).
Potential Financial Conflicts of Interest: None disclosed.
Requests for Single Reprints: Martin Brown, PhD, National Cancer Institute, Executive Plaza North 4005, 6130 Executive Boulevard, Bethesda, MD 20892-7344; e-mail, firstname.lastname@example.org.
Current Author Addresses: Dr. Mysliwiec: Department of Internal Medicine, Division of Gastroenterology, University of California, Davis, 4150 V Street, Suite 3508, Sacramento, CA 95817.
Drs. Brown and Klabunde: National Cancer Institute, Executive Plaza North 4005, 6130 Executive Boulevard, Bethesda, MD 20892-7344.
Dr. Ransohoff: CB # 7080, 4103 Bioinformatics Building, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7080.
Author Contributions: Conception and design: P.A. Mysliwiec, M.L. Brown, C.N. Klabunde, D.F. Ransohoff.
Analysis and interpretation of the data: P.A. Mysliwiec, M.L. Brown, C.N. Klabunde, D.F. Ransohoff.
Drafting of the article: P.A. Mysliwiec, M.L. Brown, C.N. Klabunde, D.F. Ransohoff.
Critical revision of the article for important intellectual content: P.A. Mysliwiec, M.L. Brown, C.N. Klabunde, D.F. Ransohoff.
Final approval of the article: P.A. Mysliwiec, M.L. Brown, C.N. Klabunde, D.F. Ransohoff.
Provision of study materials or patients: M.L. Brown, C.N. Klabunde.
Obtaining of funding: M.L. Brown, C.N. Klabunde.
Administrative, technical, or logistic support: M.L. Brown, C.N. Klabunde.
Collection and assembly of data: M.L. Brown, C.N. Klabunde.
Mysliwiec PA, Brown ML, Klabunde CN, Ransohoff DF. Are Physicians Doing Too Much Colonoscopy? A National Survey of Colorectal Surveillance after Polypectomy. Ann Intern Med. 2004;141:264-271. doi: 10.7326/0003-4819-141-4-200408170-00006
Download citation file:
Published: Ann Intern Med. 2004;141(4):264-271.
Colonoscopic surveillance following colon polypectomy is costly in terms of money and manpower. Clinical practice guidelines recommend different surveillance intervals after polypectomy, depending on the size, number, and histologic characteristics of the polyps identified; however, actual adherence to the guidelines is unknown.
This nationally representative survey of gastroenterologists and general surgeons shows that physicians recommend surveillance colonoscopy much more frequently than clinical guidelines suggest, especially for hyperplastic polyps and small adenomas.
Unjustified overuse of surveillance colonoscopy after polypectomy seems to be widespread; this situation threatens to overwhelm the money and resources available for health care maintenance.
Learn more about subscription options.
Register Now for a free account.
Gastroenterology/Hepatology, Hematology/Oncology, Colonoscopy/Sigmoidoscopy, Prevention/Screening.
Results provided by:
Copyright © 2016 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only