Surveillance colonoscopy rarely IDs cancer in older adults, study finds

Colorectal most cancers (CRC) isn’t detected from surveillance colonoscopy amongst older adults, no matter prior adenoma findings, based on a study revealed on-line April 2 in JAMA Community Open.

Jeffrey Okay. Lee, M.D., M.P.H., from Kaiser Permanente Northern California in Oakland, and colleagues estimated surveillance colonoscopy yields in older adults. The evaluation included 9,601 people 70 to 85 years who obtained 9,740 surveillance colonoscopies at a big, community-based U.S. well being care system (2017 via 2019) and had an adenoma detected ≥12 months beforehand.

The researchers reported that CRC yields have been present in 0.3 p.c of procedures, superior adenoma in 11.7 p.c, and superior neoplasia in 12.0 p.c. There have been no vital variations in yields throughout age teams.

CRC yields have been considerably greater for colonoscopies amongst sufferers with a previous superior adenoma versus nonadvanced adenoma (0.5 versus 0.2 p.c).

The same sample was seen for superior neoplasia (16.5 versus 10.6 p.c). Detection of superior neoplasia at surveillance was related to prior superior adenoma (adjusted odds ratio [aOR]1.65), physique mass index ≥30 versus <25 kg/m² (aOR, 1.21), and having ever smoked tobacco (aOR, 1.14). There was an inverse affiliation between Asian or Pacific Islander race and superior neoplasia.

“With present pointers providing no particular age at which to cease surveillance colonoscopy, the research findings can inform clinicians and older sufferers concerning the potential advantages (or lack of advantages) of continuous with postpolypectomy surveillance within the context of the life expectancy of the affected person and weighed towards the uncommon however identified harms of colonoscopy,” the authors write.

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