Most older adults with low-risk surveillance colonoscopy findings and/or limited life expectancy are advised to undergo a repeat procedure in the future, according to a new study. CRCSM
For older adults, surveillance after prior findings of colon polyps is the most frequent indication for colonoscopy. Data suggest that an estimated 5.6 million adults older than 75 will undergo follow-up colonoscopy annually by 2024.
Using data from the New Hampshire Colonoscopy Registry, which is linked with the Medicare claims database, they evaluated surveillance colonoscopy findings and follow-up advice according to severity of findings and patients' estimated life expectancy for 9831 adults .Overall, 791 patients were found to have advanced polyps or CRC on surveillance colonoscopy.
Among patients with no significant findings, 95% of those with life expectancy of ≥10 years were recommended to undergo repeat colonoscopy down the road, compared with 58% of those with estimated life expectancy of <5 years. The risk for a colonoscopy complication has been estimated at 26 per 1000 people, they note. That's nearly 10 times greater than the potential benefits seen in their study .
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