Evidence map›Paper›PMID 23616961›Full record

GuidelineCanadian journal of gastroenterology = Journal canadien de gastroenterologie2013

Colorectal cancer surveillance after index colonoscopy: guidance from the Canadian Association of Gastroenterology.

Desmond Leddin, Robert Enns, Robert Hilsden, Carlo A Fallone, Linda Rabeneck, Daniel C Sadowski, Harminder Singh, Canadian Association of Gastroenterology

Registry-linked trialOpen access · goldAbstract readPractice Guideline
In one paragraph

Guideline in Canadian journal of gastroenterology = Journal canadien de gastroenterologie, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04889352 (Optimizing Timing of Follow-up Colonoscopy), which is not on this map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04889352 nacompletednot on this mapstarted 2021, after this paper: background citation

Optimizing Timing of Follow-up Colonoscopy: A Pilot Cluster Randomized Trial to Test the Utility of a Knowledge Translation Tool

TypeinterventionalSponsorUniversity of ManitobaRan2021 to 2022Enrolled29ConditionsColo-rectal Cancer, Colon Polyp, Colonic Polyp, Rectal PolypArmsAccess to colonoscopy web app
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Rapid recommendations: Updates from 2019 guidelines: part 1.Canadian family physician Medecin de famille canadien · 2020
    Article
  12. Article
  13. Review
  14. Validating bowel preparation scales.Endoscopy international open · 2017
    Article
  15. Review
  16. Article
  17. Colonoscopy in Colorectal Cancer Screening: Current Aspects.Indian journal of surgical oncology · 2015
    Review
  18. Article
  19. Serrated polyps and polyposis of the colon: a brief review for surgeon endoscopists.Canadian journal of surgery. Journal canadien de chirurgie
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 7 institutions in 1 country.

Desmond LeddinDepartment of Medicine, Dalhousie University, Halifax, Nova Scotia. desmond.leddin@dal.ca
Robert Enns
Robert Hilsden
Carlo A Fallone
Linda Rabeneck
Daniel C Sadowski
Harminder Singh
Canadian Association of Gastroenterology
Dalhousie University · CAMcGill University · CARoyal Alexandra Hospital · CAUniversity of British Columbia · CAUniversity of Calgary · CAUniversity of Manitoba · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDifferences between American (United States [US]) and European guidelines for colonoscopy surveillance may create confusion for the practicing clinician. Under- or overutilization of surveillance colonoscopy can impact patient care.

methodsThe Canadian Association of Gastroenterology (CAG) convened a working group (CAG-WG) to review available guidelines and provide unified guidance to Canadian clinicians regarding appropriate follow-up for colorectal cancer (CRC) surveillance after index colonoscopy. A literature search was conducted for relevant data that postdated the published guidelines.

resultsThe CAG-WG chose the 2012 US Multi-Society Task Force (MSTF) on Colorectal Cancer to serve as the basis for the Canadian position, primarily because the US approach was the simplest and comprehensively addressed the issue of serrated polyps. Aspects of other guidelines were incorporated where relevant. The CAG-WG recommendations differed from the US MSTF guidelines in three main areas: patients with negative index colonoscopy should be followed-up at 10 years using any of the appropriate screening tests, including colonoscopy, for average-risk individuals; among patients with >10 adenomas, a one-year interval for subsequent colonoscopy is recommended; and for long-term follow-up, patients with low-risk adenomas on both the index and first follow-up procedures can undergo second follow-up colonoscopy at an interval of five to 10 years. DISCUSSION: The CAG-WG adapted the US MSTF guidelines for colonoscopy surveillance to the Canadian health care environment with a few modifications. It is anticipated that the present article will provide unified guidance that will enhance physician acceptance and encourage appropriate utilization of recommended surveillance intervals.

Indexed as

AdenomaCanadaColonoscopyColorectal NeoplasmsGastroenterologyHumansIntestinal PolypsOccult BloodSocieties, MedicalTime Factors

Identifiers

PMID23616961
PMCPMC3742480
OpenAlexW84181795

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.