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Adherence to Post-polypectomy Surveillance Guidelines at a Large District General Hospital
Introduction In 2020, the British Society of Gastroenterologists (BSG), the Association of Coloproctology of Great Britain and Ireland (ACPGBI), and Public Health England (PHE) published joint guidelines regarding post-polypectomy surveillance. This study aimed to establish clinician adherence at th...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10051098/ https://www.ncbi.nlm.nih.gov/pubmed/37007318 http://dx.doi.org/10.7759/cureus.35516 |
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author | Butler, Daniel M Myintmo, Aye Flashman, Harriet Ukoumunne, Obioha C Bethune, Rob |
author_facet | Butler, Daniel M Myintmo, Aye Flashman, Harriet Ukoumunne, Obioha C Bethune, Rob |
author_sort | Butler, Daniel M |
collection | PubMed |
description | Introduction In 2020, the British Society of Gastroenterologists (BSG), the Association of Coloproctology of Great Britain and Ireland (ACPGBI), and Public Health England (PHE) published joint guidelines regarding post-polypectomy surveillance. This study aimed to establish clinician adherence at the Royal Devon University Healthcare NHS Foundation Trust to the 2020 guidelines compared to the now-retired 2010 guidelines. Materials and Methods Data on 152 patients treated under the 2010 guidelines and 133 patients treated under the 2020 guidelines were collected retrospectively from the hospital’s colonoscopy database. Data were analysed to determine whether patients who had a colonoscopy fulfilled BSG/ACPGBI/PHE guidelines for follow-up. Costs were estimated using the price of colonoscopy in the NHS National Schedule. Results Approximately 41.4% (63/152) of patients were adherent to the 2010 guidelines while 66.2% (88/133) of patients were adherent to the 2020 guidelines. The difference in adherence rate was 24.7% (95% confidence interval 13.5% - 35.9%, p<0.0001). Nearly 37% (35/95) of patients who would have been followed up under the 2010 guidelines did not receive any follow-up as a result of the 2020 guidelines. This represents a cost saving of £36,892.28 per year in our hospital. Approximately 47% (28/60) of patients treated under the 2020 guidelines had surveillance colonoscopy planned when the guidelines recommended no follow-up. If every clinician were fully adherent to the 2020 guidelines, then a further £29,513.82 per year would have been saved. Discussion and Conclusion Following the introduction of the 2020 guidelines, adherence to polyp surveillance guidelines increased in our hospital. However, nearly half of the colonoscopies were performed unnecessarily due to non-adherence. Furthermore, our results demonstrate that the 2020 guidelines have decreased the need for follow-up. |
format | Online Article Text |
id | pubmed-10051098 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-100510982023-03-30 Adherence to Post-polypectomy Surveillance Guidelines at a Large District General Hospital Butler, Daniel M Myintmo, Aye Flashman, Harriet Ukoumunne, Obioha C Bethune, Rob Cureus Gastroenterology Introduction In 2020, the British Society of Gastroenterologists (BSG), the Association of Coloproctology of Great Britain and Ireland (ACPGBI), and Public Health England (PHE) published joint guidelines regarding post-polypectomy surveillance. This study aimed to establish clinician adherence at the Royal Devon University Healthcare NHS Foundation Trust to the 2020 guidelines compared to the now-retired 2010 guidelines. Materials and Methods Data on 152 patients treated under the 2010 guidelines and 133 patients treated under the 2020 guidelines were collected retrospectively from the hospital’s colonoscopy database. Data were analysed to determine whether patients who had a colonoscopy fulfilled BSG/ACPGBI/PHE guidelines for follow-up. Costs were estimated using the price of colonoscopy in the NHS National Schedule. Results Approximately 41.4% (63/152) of patients were adherent to the 2010 guidelines while 66.2% (88/133) of patients were adherent to the 2020 guidelines. The difference in adherence rate was 24.7% (95% confidence interval 13.5% - 35.9%, p<0.0001). Nearly 37% (35/95) of patients who would have been followed up under the 2010 guidelines did not receive any follow-up as a result of the 2020 guidelines. This represents a cost saving of £36,892.28 per year in our hospital. Approximately 47% (28/60) of patients treated under the 2020 guidelines had surveillance colonoscopy planned when the guidelines recommended no follow-up. If every clinician were fully adherent to the 2020 guidelines, then a further £29,513.82 per year would have been saved. Discussion and Conclusion Following the introduction of the 2020 guidelines, adherence to polyp surveillance guidelines increased in our hospital. However, nearly half of the colonoscopies were performed unnecessarily due to non-adherence. Furthermore, our results demonstrate that the 2020 guidelines have decreased the need for follow-up. Cureus 2023-02-27 /pmc/articles/PMC10051098/ /pubmed/37007318 http://dx.doi.org/10.7759/cureus.35516 Text en Copyright © 2023, Butler et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Gastroenterology Butler, Daniel M Myintmo, Aye Flashman, Harriet Ukoumunne, Obioha C Bethune, Rob Adherence to Post-polypectomy Surveillance Guidelines at a Large District General Hospital |
title | Adherence to Post-polypectomy Surveillance Guidelines at a Large District General Hospital |
title_full | Adherence to Post-polypectomy Surveillance Guidelines at a Large District General Hospital |
title_fullStr | Adherence to Post-polypectomy Surveillance Guidelines at a Large District General Hospital |
title_full_unstemmed | Adherence to Post-polypectomy Surveillance Guidelines at a Large District General Hospital |
title_short | Adherence to Post-polypectomy Surveillance Guidelines at a Large District General Hospital |
title_sort | adherence to post-polypectomy surveillance guidelines at a large district general hospital |
topic | Gastroenterology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10051098/ https://www.ncbi.nlm.nih.gov/pubmed/37007318 http://dx.doi.org/10.7759/cureus.35516 |
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