Risk of recurrent advanced colorectal neoplasia in individuals with baseline non-advanced neoplasia followed up at 5 vs 7-10 years
Colorectal cancer (CRC) is one of the commonest cancers, especially among the Asian populations. We compared the recurrence rate of advanced colorectal neoplasia (ACN) at 5 year vs 7-10 years among individuals with non-advanced adenoma (NAA) detected and polypectomized at baseline colonoscopy in a l...
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| Veröffentlicht in: | Journal of gastroenterology and hepatology 2023-12, Vol.38 (12), p.2122-2129 |
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| container_title | Journal of gastroenterology and hepatology |
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| creator | Wong, Martin C S Leung, Eman Yee-Man Chun, Sam C C Deng, Yunyang Lam, Thomas Tang, Raymond S Y Huang, Junjie |
| description | Colorectal cancer (CRC) is one of the commonest cancers, especially among the Asian populations. We compared the recurrence rate of advanced colorectal neoplasia (ACN) at 5 year vs 7-10 years among individuals with non-advanced adenoma (NAA) detected and polypectomized at baseline colonoscopy in a large Chinese population.
We extracted data of a large Chinese population with NAA polypectomized who received surveillance colonoscopy after 5 or 7-10 years from a large database (2008-2018). The outcome variable included recurrence of ACN at surveillance colonoscopy. We examined the association between length of surveillance and the outcome variable, whilst controlling for risk factors of colorectal cancer.
We include 109 768 subjects who have received a baseline colonoscopy from our dataset. They were aged 67.35 (SD 9.84) years, and 60.9% of them were male subjects. The crude 5-year and 10-year recurrence rate of ACN was 1.50% and 2.42%, respectively (crude odds ratio = 1.629, 95% CI 1.362 to 1.949, P |
| doi_str_mv | 10.1111/jgh.16367 |
| format | Article |
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We extracted data of a large Chinese population with NAA polypectomized who received surveillance colonoscopy after 5 or 7-10 years from a large database (2008-2018). The outcome variable included recurrence of ACN at surveillance colonoscopy. We examined the association between length of surveillance and the outcome variable, whilst controlling for risk factors of colorectal cancer.
We include 109 768 subjects who have received a baseline colonoscopy from our dataset. They were aged 67.35 (SD 9.84) years, and 60.9% of them were male subjects. The crude 5-year and 10-year recurrence rate of ACN was 1.50% and 2.42%, respectively (crude odds ratio = 1.629, 95% CI 1.362 to 1.949, P < 0.001). From the binary logistic regression model, individuals with surveillance colonoscopy performed at 10 years had a statistically higher recurrence rate of ACN than those followed-up at 5 year (adjusted odds ratio [aOR] = 1.544, 95% CI 1.266 to 1.877, P < 0.001), but the effect size of aOR is small.
There is a small difference in recurrence of ACN between individuals who received colonoscopy workup at 5 years vs 7-10 years. These findings support a 7-10 years surveillance period after baseline NAA was polypectomized.</description><identifier>ISSN: 0815-9319</identifier><identifier>EISSN: 1440-1746</identifier><identifier>DOI: 10.1111/jgh.16367</identifier><identifier>PMID: 37771047</identifier><language>eng</language><publisher>Australia: Wiley Subscription Services, Inc</publisher><subject>Colonoscopy ; Colorectal cancer ; Colorectal carcinoma ; Risk factors ; Surveillance</subject><ispartof>Journal of gastroenterology and hepatology, 2023-12, Vol.38 (12), p.2122-2129</ispartof><rights>2023 The Authors. Journal of Gastroenterology and Hepatology published by Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd.</rights><rights>2023. This article is published under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c308t-784d74ed444b602fd548a7e0ea97edfcd94fb8a08237dcc108c1e7188b0da1d43</cites><orcidid>0000-0002-2433-8036 ; 0000-0003-2382-4443 ; 0000-0002-4306-4990 ; 0000-0003-4848-2953 ; 0000-0001-7706-9370</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37771047$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wong, Martin C S</creatorcontrib><creatorcontrib>Leung, Eman Yee-Man</creatorcontrib><creatorcontrib>Chun, Sam C C</creatorcontrib><creatorcontrib>Deng, Yunyang</creatorcontrib><creatorcontrib>Lam, Thomas</creatorcontrib><creatorcontrib>Tang, Raymond S Y</creatorcontrib><creatorcontrib>Huang, Junjie</creatorcontrib><title>Risk of recurrent advanced colorectal neoplasia in individuals with baseline non-advanced neoplasia followed up at 5 vs 7-10 years</title><title>Journal of gastroenterology and hepatology</title><addtitle>J Gastroenterol Hepatol</addtitle><description>Colorectal cancer (CRC) is one of the commonest cancers, especially among the Asian populations. We compared the recurrence rate of advanced colorectal neoplasia (ACN) at 5 year vs 7-10 years among individuals with non-advanced adenoma (NAA) detected and polypectomized at baseline colonoscopy in a large Chinese population.
We extracted data of a large Chinese population with NAA polypectomized who received surveillance colonoscopy after 5 or 7-10 years from a large database (2008-2018). The outcome variable included recurrence of ACN at surveillance colonoscopy. We examined the association between length of surveillance and the outcome variable, whilst controlling for risk factors of colorectal cancer.
We include 109 768 subjects who have received a baseline colonoscopy from our dataset. They were aged 67.35 (SD 9.84) years, and 60.9% of them were male subjects. The crude 5-year and 10-year recurrence rate of ACN was 1.50% and 2.42%, respectively (crude odds ratio = 1.629, 95% CI 1.362 to 1.949, P < 0.001). From the binary logistic regression model, individuals with surveillance colonoscopy performed at 10 years had a statistically higher recurrence rate of ACN than those followed-up at 5 year (adjusted odds ratio [aOR] = 1.544, 95% CI 1.266 to 1.877, P < 0.001), but the effect size of aOR is small.
There is a small difference in recurrence of ACN between individuals who received colonoscopy workup at 5 years vs 7-10 years. These findings support a 7-10 years surveillance period after baseline NAA was polypectomized.</description><subject>Colonoscopy</subject><subject>Colorectal cancer</subject><subject>Colorectal carcinoma</subject><subject>Risk factors</subject><subject>Surveillance</subject><issn>0815-9319</issn><issn>1440-1746</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNpdkc1KxTAQhYMoev1Z-AIScKOL6qRNm3Qp4h8Igui6pMlUc81trkl7xbUv4rP4ZMZ_cBgYOHxzOHAI2WZwwNIcTu_uD1hVVGKJTBjnkDHBq2UyAcnKrC5YvUbWY5wCAAdRrpK1QgjBgIsJebm28YH6jgbUYwjYD1SZheo1Gqq980kelKM9-rlT0Spq-7TGLqwZlYv0yQ73tFURne2R9r7Pft__fjrvnH9K0jinaqAlXUQqMgZvr8-oQtwkK13ywq3vu0FuT09ujs-zy6uzi-Ojy0wXIIdMSG4ER8M5byvIO1NyqQQCqlqg6bSpeddKBTIvhNGagdQMBZOyBaOY4cUG2fvynQf_OGIcmpmNGp1TKeoYm1wKqOtc5pDQ3X_o1I-hT-mavAZe1nklWaL2vygdfIwBu2Ye7EyF54ZB89FMk5ppPptJ7M6349jO0PySP1UU74H3iss</recordid><startdate>202312</startdate><enddate>202312</enddate><creator>Wong, Martin C S</creator><creator>Leung, Eman Yee-Man</creator><creator>Chun, Sam C C</creator><creator>Deng, Yunyang</creator><creator>Lam, Thomas</creator><creator>Tang, Raymond S Y</creator><creator>Huang, Junjie</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2433-8036</orcidid><orcidid>https://orcid.org/0000-0003-2382-4443</orcidid><orcidid>https://orcid.org/0000-0002-4306-4990</orcidid><orcidid>https://orcid.org/0000-0003-4848-2953</orcidid><orcidid>https://orcid.org/0000-0001-7706-9370</orcidid></search><sort><creationdate>202312</creationdate><title>Risk of recurrent advanced colorectal neoplasia in individuals with baseline non-advanced neoplasia followed up at 5 vs 7-10 years</title><author>Wong, Martin C S ; Leung, Eman Yee-Man ; Chun, Sam C C ; Deng, Yunyang ; Lam, Thomas ; Tang, Raymond S Y ; Huang, Junjie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c308t-784d74ed444b602fd548a7e0ea97edfcd94fb8a08237dcc108c1e7188b0da1d43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Colonoscopy</topic><topic>Colorectal cancer</topic><topic>Colorectal carcinoma</topic><topic>Risk factors</topic><topic>Surveillance</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wong, Martin C S</creatorcontrib><creatorcontrib>Leung, Eman Yee-Man</creatorcontrib><creatorcontrib>Chun, Sam C C</creatorcontrib><creatorcontrib>Deng, Yunyang</creatorcontrib><creatorcontrib>Lam, Thomas</creatorcontrib><creatorcontrib>Tang, Raymond S Y</creatorcontrib><creatorcontrib>Huang, Junjie</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of gastroenterology and hepatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wong, Martin C S</au><au>Leung, Eman Yee-Man</au><au>Chun, Sam C C</au><au>Deng, Yunyang</au><au>Lam, Thomas</au><au>Tang, Raymond S Y</au><au>Huang, Junjie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk of recurrent advanced colorectal neoplasia in individuals with baseline non-advanced neoplasia followed up at 5 vs 7-10 years</atitle><jtitle>Journal of gastroenterology and hepatology</jtitle><addtitle>J Gastroenterol Hepatol</addtitle><date>2023-12</date><risdate>2023</risdate><volume>38</volume><issue>12</issue><spage>2122</spage><epage>2129</epage><pages>2122-2129</pages><issn>0815-9319</issn><eissn>1440-1746</eissn><abstract>Colorectal cancer (CRC) is one of the commonest cancers, especially among the Asian populations. We compared the recurrence rate of advanced colorectal neoplasia (ACN) at 5 year vs 7-10 years among individuals with non-advanced adenoma (NAA) detected and polypectomized at baseline colonoscopy in a large Chinese population.
We extracted data of a large Chinese population with NAA polypectomized who received surveillance colonoscopy after 5 or 7-10 years from a large database (2008-2018). The outcome variable included recurrence of ACN at surveillance colonoscopy. We examined the association between length of surveillance and the outcome variable, whilst controlling for risk factors of colorectal cancer.
We include 109 768 subjects who have received a baseline colonoscopy from our dataset. They were aged 67.35 (SD 9.84) years, and 60.9% of them were male subjects. The crude 5-year and 10-year recurrence rate of ACN was 1.50% and 2.42%, respectively (crude odds ratio = 1.629, 95% CI 1.362 to 1.949, P < 0.001). From the binary logistic regression model, individuals with surveillance colonoscopy performed at 10 years had a statistically higher recurrence rate of ACN than those followed-up at 5 year (adjusted odds ratio [aOR] = 1.544, 95% CI 1.266 to 1.877, P < 0.001), but the effect size of aOR is small.
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| source | Wiley Online Library Journals Frontfile Complete |
| subjects | Colonoscopy Colorectal cancer Colorectal carcinoma Risk factors Surveillance |
| title | Risk of recurrent advanced colorectal neoplasia in individuals with baseline non-advanced neoplasia followed up at 5 vs 7-10 years |
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