Evidence map›Paper›PMID 30144415›Full record

ArticleGastrointestinal endoscopy2019

Index colonoscopy-related risk factors for postcolonoscopy colorectal cancers.

Theodore A Tollivoro, Christopher D Jensen, Amy R Marks, Wei K Zhao, Joanne E Schottinger, Virginia P Quinn, Nirupa R Ghai, Ann G Zauber, Chyke A Doubeni, Theodore R Levin and 3 more

Abstract read
In one paragraph

Article in Gastrointestinal endoscopy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

  1. Article
  2. Combating Post-colonoscopy Colorectal Cancer: Insight from the Trials and Cohort Studies.The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2025
    Review
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. [Korean Guidelines for Postpolypectomy Colonoscopic Surveillance: 2022 Revised Edition].The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2022
    Review
  14. Article
  15. Prevalence of Forceps Polypectomy of Nondiminutive Polyps Is Substantial But Modifiable.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2022
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Clinicopathologic and genetic characteristics of interval colorectal carcinomas favor origin from missed or incompletely excised precursors.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2019
    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

13 authors.

Theodore A TollivoroDivision of Research, Kaiser Permanente Northern California, Oakland, California, USA.
Christopher D JensenDivision of Research, Kaiser Permanente Northern California, Oakland, California, USA.
Amy R MarksDivision of Research, Kaiser Permanente Northern California, Oakland, California, USA.
Wei K ZhaoDivision of Research, Kaiser Permanente Northern California, Oakland, California, USA.
Joanne E SchottingerDepartment of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, California, USA.
Virginia P QuinnDepartment of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, California, USA.
Nirupa R GhaiDepartment of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, California, USA.
Ann G ZauberMemorial Sloan Kettering Cancer Center, New York, New York, USA.
Chyke A DoubeniDepartment of Family Medicine and Community Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Theodore R LevinDivision of Research, Kaiser Permanente Northern California, Oakland, California, USA.
Bruce FiremanDivision of Research, Kaiser Permanente Northern California, Oakland, California, USA.
Charles P QuesenberryDivision of Research, Kaiser Permanente Northern California, Oakland, California, USA.
Douglas A CorleyDivision of Research, Kaiser Permanente Northern California, Oakland, California, USA.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Optimizing Colorectal Cancer Screening PREcision and Outcomes in CommunIty-baSEd Populations (PRECISE)UM1CA222035 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI CHUBAK, JESSICA, CORLEY, DOUGLAS ALLEN · 2018 to 2023
$15.6M
Optimizing the use of colonoscopy for CRC screening in a large community-basedU54CA163262 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI CORLEY, DOUGLAS ALLEN, DOUBENI, CHYKE ABADAMA · 2011 to 2017
$9.6M
NCI NIH HHS P30 CA008748NCI NIH HHS U54 CA163262NCI NIH HHS UM1 CA222035
6 · The paper itself

Abstract

BACKGROUND AND

aimsPostcolonoscopy colorectal cancers (PCCRCs) are defined as those detected ≤10 years after an index colonoscopy negative for cancer, but modifiable risk factors are not well established in large, community-based populations.

methodsWe evaluated risk factors from the index colonoscopy for PCCRCs diagnosed 1 to 10 years after an index colonoscopy using a case-control design. Odds ratios (OR) and 95% confidence intervals (CI) were adjusted for potential confounders.

resultsA proximal polyp ≥10 mm (OR, 8.18; 95% CI, 4.59-14.60), distal polyp ≥10 mm (OR, 3.30; 95% CI, 1.65-6.58), adenoma with (OR, 3.23; 95% CI, 1.83-5.68) and without advanced histology (OR, 1.87; 95% CI, 1.37-2.55), and an incomplete colonoscopy (OR, 5.52; 95% CI, 2.98-10.21) were associated with PCCRC. Risk factors for early versus late cancers (12-36 months vs >36 months to 10 years after examination) included incomplete polyp excision in the colonic segment of the subsequent cancer (OR, 4.76; 95% CI, 2.35-9.65); failure to examine the segment (OR, 2.42; 95% CI, 1.27-4.60); and a polyp ≥10 mm in the segment (OR, 2.38; 95% CI, 1.53-3.70). A total of 559 of 1206 patients with PCCRC (46.4%) had 1 or more risk factors that were significant for PCCRC (incomplete examination, large polyp, or any adenoma).

conclusionsIn a large community-based study with comprehensive capture of PCCRCs, almost half of PCCRCs had potentially modifiable factors related to polyp surveillance or removal and examination completeness. These represent potential high-yield targets to further increase the effectiveness of colorectal cancer screening.

Indexed as

ColonoscopyAdenocarcinomaAdenomaAgedAged, 80 and overCase-Control StudiesColonic PolypsColorectal NeoplasmsEarly Detection of CancerFemaleHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisOdds Ratio

Identifiers

PMID30144415
PMCPMC7486003

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Registered trials

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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.