Frequency of Surveillance and Impact of Surveillance Colonoscopies in Patients With Ulcerative Colitis Who Developed Colorectal Cancer
| Autor: | Elisabeth B. Cole, Nabeel Khan, Yash Shah, Yu-Xiao Yang, Leon P. McLean |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Colorectal cancer medicine.medical_treatment Colonoscopy 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Humans Stage (cooking) neoplasms Veterans Affairs Early Detection of Cancer Aged Colectomy Aged 80 and over medicine.diagnostic_test business.industry Gastroenterology Odds ratio Middle Aged medicine.disease Ulcerative colitis digestive system diseases Confidence interval Oncology 030220 oncology & carcinogenesis Patient Compliance Colitis Ulcerative 030211 gastroenterology & hepatology Colorectal Neoplasms business |
| Zdroj: | Clinical Colorectal Cancer. 17:e289-e292 |
| ISSN: | 1533-0028 |
| Popis: | Background The risk of developing colorectal cancer (CRC) in patients with chronic ulcerative colitis (UC) is increased. The aim of this study was to evaluate if patients who developed CRC in the setting of UC were undergoing guideline-recommended surveillance colonoscopies and to determine the impact of surveillance on the staging of CRC. Patients and Methods Data was obtained from the Veterans Affairs healthcare system to identify patients with UC and CRC. Stage 0 and I were considered early-stage CRC, whereas stage ≥ II were considered advanced-stage CRC. Patients were considered to have adequate surveillance if they had a colonoscopy within 2 years before developing CRC. We conducted a case-case analysis using multivariable logistic regression to estimate the odds ratio for presenting with advanced-stage CRC associated with lack of adequate surveillance. Results Of the 48 patients, the majority were white (70.8%) and male (100%). Sixty-nine percent of patients had inadequate surveillance. In multivariable analysis, prior adherence to CRC surveillance was associated with a decreased risk of presenting with advanced-stage CRC (vs. early-stage CRC) (adjusted odds ratio, 0.20; 95% confidence interval, 0.05-0.85; P = .029). Conclusion The majority of patients who developed CRC in the setting of UC underwent inadequate surveillance, and they were more likely to present with advanced-stage CRC. |
| Databáze: | OpenAIRE |
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