Adherence to post colorectal cancer surveillance colonoscopy guidelines at a tertiary care center

Journal of Coloproctology - Tập 39 - Trang 303-308 - 2019
Nabeeha Mohy-ud-din1, Shifa Umar2, Aslam Syed2, Dulabh Monga3
1Allegheny Health Network, Medicine Institute, Pittsburgh, PA, United States
2Allegheny Health Network, Division of Gastroenterology and Hepatology, Pittsburgh, PA, United States
3Allegheny Health Network, Division of Hematology and Oncology, Pittsburgh, PA, United States

Tóm tắt

Abstract Background Surveillance colonoscopy 1 year after resection of colorectal cancer is recommended by all major societies, including National Comprehensive Cancer Network and United States Multi Society Task Force. Study objectives Our study assesses adherence to post colorectal cancer resection surveillance colonoscopy guidelines at a large tertiary care center and aims to identify reasons for non-adherence. Methods A retrospective study was conducted for patients who underwent curative resection for colorectal cancer between January 2016 and June 2017. Adherence to surveillance colonoscopy for non-obstructed or partially obstructed colon and rectal cancers was defined as performance of colonoscopy 11–14 months and 11–15 months after surgery, respectively. Results A total of 80 patients were identified. Mean age was 66 ± 13 years and 58% (n = 46) were males. 60% (n = 48) had colon cancer and 40% (n = 32) had rectal cancer. 69% (n = 24) of patients with colon cancer and 42% (n = 8) of patients with rectal cancer adhered to surveillance colonoscopy guidelines and the mean time to colonoscopy was 315 ± 44 days and 369 ± 103 days, respectively. The most commonly identified reasons for non-adherence to surveillance colonoscopy included metastases (10.9%) and patients’ refusal to undergo surveillance (6.5%). Conclusion Overall, post colorectal cancer resection to follow up surveillance is inadequate. There is a need to identify barriers to surveillance post colorectal cancer resection and address them.

Tài liệu tham khảo

Siegel, 2018, Cancer statistics, 2018, CA Cancer J Clin, 68, 7, 10.3322/caac.21442 Meyerhardt, 2013, American Society of Clinical Oncology Follow-up care, surveillance protocol, and secondary prevention measures for survivors of colorectal cancer: American Society of Clinical Oncology clinical practice guideline endorsement, J Clin Oncol Off J Am Soc Clin Oncol, 31, 4465, 10.1200/JCO.2013.50.7442 Cancer Care Ontario. Cancer Care Ontario. https://www.cancercareontario.ca/en [accessed 12.03.19]. NCCN – Evidence-based cancer guidelines, oncology drug compendium, oncology continuing medical education. https://www.nccn.org/ [accessed 12.03.19]. Labianca, 2013, ESMO Guidelines Working Group Early colon cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up, Ann Oncol Off J Eur Soc Med Oncol, 24, vi64, 10.1093/annonc/mdt354 Glynne-Jones, 2017, ESMO Guidelines Committee Rectal cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up, Ann Oncol Off J Eur Soc Med Oncol, 28, iv22, 10.1093/annonc/mdx224 Guidance on Surveillance for People at Increased Risk of Colorectal Cancer. Ministry of Health NZ. https://www.health.govt.nz/publication/guidance-surveillance-people-increased-risk-colorectal-cancer [accessed 12.03.19]. Health M of. BC Guidelines – Province of British Columbia. https://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/bc-guidelines [accessed 10.04.19]. El-Shami, 2015, American cancer society colorectal cancer survivorship care guidelines, CA Cancer J Clin, 65, 428, 10.3322/caac.21286 Colonoscopy Surveillance after Colorectal Cancer Resection: Recommendations of the US Multi-Society Task Force on Colorectal Cancer | American College of Gastroenterology. https://gi.org/guideline/colonoscopy-surveillance-after-colorectal-cancer-resection-recommendations-of-the-us-multi-society-task-force-on-colorectal-cancer/ [accessed 12.03.19]. Guidelines for Colonoscopy Surveillance After Screening and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer | American College of Gastroenterology. https://gi.org/guideline/guidelines-for-colonoscopy-surveillance-after-screening-and-polypectomy-a-consensus-update-by-the-us-multi-society-task-force-on-colorectal-cancer/ [accessed 12.03.19]. Carpentier, 2013, Receipt of recommended surveillance among colorectal cancer survivors: a systematic review, J Cancer Surviv Res Pract, 7, 464, 10.1007/s11764-013-0290-x Pita-Fernández, 2015, Intensive follow-up strategies improve outcomes in nonmetastatic colorectal cancer patients after curative surgery: a systematic review and meta-analysis, Ann Oncol Off J Eur Soc Med Oncol, 26, 644, 10.1093/annonc/mdu543 Renehan, 2002, Impact on survival of intensive follow up after curative resection for colorectal cancer: systematic review and meta-analysis of randomised trials, BMJ, 324, 813, 10.1136/bmj.324.7341.813 Figueredo, 2003, Gastrointestinal Cancer Disease Site Group of Cancer Care Ontario's Program in Evidence-based Care Follow-up of patients with curatively resected colorectal cancer: a practice guideline, BMC Cancer, 3, 26, 10.1186/1471-2407-3-26 Jeffery, 2016, Follow-up strategies for patients treated for non-metastatic colorectal cancer, Cochrane Database Syst Rev, 11, CD002200 Tjandra, 2007, Follow-up after curative resection of colorectal cancer: a meta-analysis, Dis Colon Rectum, 50, 1783, 10.1007/s10350-007-9030-5 Effect of More vs. Less Frequent Follow-up Testing on Overall and Colorectal Cancer–Specific Mortality in Patients With Stage II or III Colorectal Cancer: The COLOFOL Randomized Clinical Trial. Colorectal Cancer JAMA. JAMA Network. https://jamanetwork.com/journals/jama/fullarticle/2681744 [accessed 10.04.19]. Vargas, 2013, Physician follow-up and observation of guidelines in the post treatment surveillance of colorectal cancer, Surgery, 154, 244, 10.1016/j.surg.2013.04.013 Singh, 2013, Many patients who undergo surgery for colorectal cancer receive surveillance colonoscopies earlier than recommended by guidelines, Clin Gastroenterol Hepatol Off Clin Pract J Am Gastroenterol Assoc, 11, 65 Sisler, 2012, Concordance with ASCO guidelines for surveillance after colorectal cancer treatment: a population-based analysis, J Oncol Pract, 8, e69, 10.1200/JOP.2011.000396 Ayanian, 2008, Physician reminders to promote surveillance colonoscopy for colorectal adenomas: a randomized controlled trial, J Gen Intern Med, 23, 762, 10.1007/s11606-008-0576-2 Bampton, 2002, Applying evidence-based guidelines improves use of colonoscopy resources in patients with a moderate risk of colorectal neoplasia, Med J Aust, 176, 155, 10.5694/j.1326-5377.2002.tb04344.x Carey, 2017, Improving adherence to colorectal cancer surveillance guidelines: results of a randomised controlled trial, BMC Cancer, 17, 106, 10.1186/s12885-017-3095-x
Thông tin
Thông tin xuất bản

Journal of Coloproctology

Tập 39

303-308

Thông tin tác giả