0

The full content of Annals is available to subscribers

Subscribe/Learn More  >
Articles |

Are Physicians Doing Too Much Colonoscopy? A National Survey of Colorectal Surveillance after Polypectomy

Pauline A. Mysliwiec, MD, MPH; Martin L. Brown, PhD; Carrie N. Klabunde, PhD; and David F. Ransohoff, MD
[+] Article and Author Information

From the National Cancer Institute, Bethesda, Maryland, and the University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.


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, mb53o@nih.gov.

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.


Ann Intern Med. 2004;141(4):264-271. doi:10.7326/0003-4819-141-4-200408170-00006
Text Size: A A A

This national study of gastroenterologists and general surgeons provides important insight into physicians' recommendations for surveillance after polypectomy in the United States. The findings suggest considerable overperformance of surveillance colonoscopy when compared with published guidelines and raise questions about the extent of influence of evidence-based guidelines. If physicians perform surveillance colonoscopy as intensively as this survey suggests, substantial resources for endoscopic surveillance will be used in low-risk persons (that is, those with a hyperplastic polyp or a small adenoma), who are less likely to benefit but will consume critical resources.

First Page Preview

View Large
First page PDF preview

Tables

References

Letters

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Comments

Submit a Comment
Submit a Comment

Summary for Patients

National Survey of Doctors' Beliefs about How Frequently Colonoscopy Should Be Done after Removal of a Colon Polyp

The summary below is from the full report titled “Are Physicians Doing Too Much Colonoscopy? A National Survey of Colorectal Surveillance after Polypectomy.” It is in the 17 August 2004 issue of Annals of Internal Medicine (volume 141, pages 264-271). The authors are P.A. Mysliwiec, M.L. Brown, C.N. Klabunde, and D.F. Ransohoff.

Read More...

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.

Toolkit

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Advertisement
Related Articles
Journal Club
Related Point of Care
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.
(Required)
(Required)