Timeliness of Surveillance Colonoscopy in Underserved Populations: Association with Patient Navigation for Initial Screening Colonoscopy

2021 ◽  
Vol 32 (2) ◽  
pp. 712-723
Author(s):  
Sanja Percac-Lima ◽  
Jeffrey M. Ashburner ◽  
Imarhia Enogieru ◽  
J. Janet Ho ◽  
Julian Mitton ◽  
...  
Keyword(s):  
Patient Navigation ◽  
Underserved Populations ◽  
Screening Colonoscopy ◽  
Surveillance Colonoscopy ◽  
Initial Screening

scholarly journals P397 Surveillance in ulcerative colitis: Can we predict the risk for intraepithelial neoplasia?

2020 ◽  
Vol 14 (Supplement_1) ◽  
pp. S368-S369
Author(s):  
J Estorninho ◽  
P Freire ◽  
S Lopes ◽  
M Ferreira ◽  
M Ferreira ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Disease Duration ◽  
Intraepithelial Neoplasia ◽  
Screening Colonoscopy ◽  
Low Grade ◽  
Surveillance Colonoscopy ◽  
High Quality ◽  
Increased Risk ◽  
History Of ◽  
Low Grade Dysplasia

Abstract Background Ulcerative colitis (UC) has been associated with an increased risk of colorectal cancer (CRC). Although dye spray chromoendoscopy showed superiority to standard colonoscopy in surveillance studies, with the availability of higher-resolution colonoscopes, the utility of chromoendoscopy (CE) has been questioned. We aimed to evaluate the risk of intraepithelial neoplasia (IN) after a high-quality screening colonoscopy (making use of CE or random biopsies (RB) and removing all detected lesions) in a population with longstanding UC and to identify potential risk factors for dysplasia incidence. Methods In a previous study, 145 patients with clinically and endoscopic longstanding (≥8 yr) distal/extensive UC without primary sclerosing cholangitis and/or history of IN were prospectively randomised to undergo CE or RB. In this study, after a median follow-up of 5 additional years, we evaluated subsequent IN incidence in these patients, submitted to surveillance colonoscopy. Patients without high-quality surveillance colonoscopy (with good bowel preparation and cecum intubation) using high-definition were excluded. Results One hundred and twenty-one patients were included. Nine had removed adenomas with low-grade dysplasia in the index colonoscopy. Now, in surveillance colonoscopy, we detected 9 (7.4%) IN: low-grade dysplasia was found in 8 (6.6%) patients and a colorectal adenocarcinoma in 1 (0.008%) patient. After multivariate analysis, IN was significantly associated with older age (68 vs. 52 years, p < 0.05) and higher disease duration (26 vs. 20 years, p < 0.05). No association was found between IN and previous detection of IN in screening colonoscopy sex, the CE or RB use in index colonoscopy, extent of disease, The presence of pseudopolyps, smoking habits, familial history of CRC or maintenance therapy for UC. Conclusion In this study, older patients and higher disease duration were associated with a higher risk of IN in surveillance colonoscopy.

Sa1404 Information Letter Improves Physicans‘ Recommendations for Surveillance Colonoscopy Within a Quality Assurance Program for Screening Colonoscopy

2014 ◽  
Vol 79 (5) ◽  
pp. AB199
Author(s):  
Irina Gessl ◽  
Elisabeth Waldmann ◽  
Martha Britto-Arias ◽  
Eleonore Pablik ◽  
Daniela Sallinger ◽  
...  
Keyword(s):  
Quality Assurance ◽  
Screening Colonoscopy ◽  
Quality Assurance Program ◽  
Surveillance Colonoscopy

scholarly journals Evaluating screening colonoscopy quality in an uninsured urban population following patient navigation

2017 ◽  
Vol 5 ◽  
pp. 194-199 ◽  
Author(s):  
Keith Naylor ◽  
Cassandra Fritz ◽  
Blase Polite ◽  
Karen Kim
Keyword(s):  
Urban Population ◽  
Patient Navigation ◽  
Screening Colonoscopy ◽  
Colonoscopy Quality

Propofol Versus Conscious Sedation Use and the Yield of Lesions Found During Initial Screening Colonoscopy

2008 ◽  
Vol 67 (5) ◽  
pp. AB323
Author(s):  
Cherag Daruwala ◽  
Giancarlo Mercogliano ◽  
Melissa Morgan
Keyword(s):  
Conscious Sedation ◽  
Screening Colonoscopy ◽  
Initial Screening

scholarly journals Cost-effectiveness of patient navigation to increase adherence with screening colonoscopy among minority individuals

Cancer ◽  
2014 ◽  
Vol 121 (7) ◽  
pp. 1088-1097 ◽  
Author(s):  
Uri Ladabaum ◽  
Ajitha Mannalithara ◽  
Lina Jandorf ◽  
Steven H. Itzkowitz
Keyword(s):  
Cost Effectiveness ◽  
Patient Navigation ◽  
Screening Colonoscopy

scholarly journals Confounders in Adenoma Detection at Initial Screening Colonoscopy: A Factor in the Assessment of Racial Disparities as a Risk for Colon Cancer

2019 ◽  
Vol 10 (04) ◽  
pp. 269-289 ◽  
Author(s):  
Yakira David ◽  
Lorenzo Ottaviano ◽  
Jihye Park ◽  
Sadat Iqbal ◽  
Michelle Likhtshteyn ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Racial Disparities ◽  
Screening Colonoscopy ◽  
Initial Screening ◽  
Adenoma Detection

Abstract B94: Examining the process of patient navigation for screening colonoscopy among African American and Latinos

2014 ◽  
Author(s):  
Jamilia Sly ◽  
Debra Pelto ◽  
Gary Winkel ◽  
Hayley Thompson ◽  
William Redd ◽  
...  
Keyword(s):  
African American ◽  
Patient Navigation ◽  
Screening Colonoscopy

Utility of Initial Screening Colonoscopy in Elderly Patients

2008 ◽  
Vol 103 ◽  
pp. S547
Author(s):  
Steven Kaptik ◽  
Thomas Lyles ◽  
Frederick Harris ◽  
Mohammad Ismail ◽  
Claudio Tombazzi
Keyword(s):  
Elderly Patients ◽  
Screening Colonoscopy ◽  
Initial Screening
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