Evidence map›Paper›PMID 34563501›Full record

ArticleGastrointestinal endoscopy2022

Recommendations for follow-up interval after colonoscopy with inadequate bowel preparation in a national colonoscopy quality registry.

Audrey H Calderwood, Jennifer L Holub, David A Greenwald

Abstract read
In one paragraph

Article in Gastrointestinal endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Short Interval Repeat Colonoscopy After Inadequate Bowel Preparation Is Low Among Veterans.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2024
    Article
  5. Article
  6. Review
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

3 authors.

Audrey H CalderwoodDepartment of Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA; The Geisel School of Medicine at Dartmouth and the Dartmouth Institute of Health Policy and Clinical Practice, Hanover, New Hampshire, USA.
Jennifer L HolubGI Quality Improvement Consortium, Ltd, Bethesda, Maryland, USA.
David A GreenwaldDepartment of Medicine, Mount Sinai Hospital, New York, New York, USA.

Funding

Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Steven D Leach · 1985 to 2026
$91.3M
SYNERGY: The Dartmouth Center for clinical and Translational ScienceUL1TR001086 · NCATS · DARTMOUTH COLLEGE · PI GREEN, ALAN I · 2013 to 2017
$18.3M
Reducing Inappropriate Use of Surveillance Colonoscopy in Older AdultsR21CA227776 · NCI · DARTMOUTH-HITCHCOCK CLINIC · PI CALDERWOOD, AUDREY HONG · 2019 to 2020
$375k
NCATS NIH HHS UL1 TR001086NCI NIH HHS P30 CA023108NCI NIH HHS R21 CA227776
6 · The paper itself

Abstract

BACKGROUND AND

aimsEndoscopist recommendations regarding a repeat colonoscopy after inadequate bowel cleanliness have not been fully described. Our aim was to evaluate the timing of recommendations for repeat colonoscopy after inadequate bowel preparation using a large, national colonoscopy registry.

methodsWe performed a cross-sectional analysis of all outpatient screening and surveillance colonoscopies among adults ages 50 to 75 reported in the GI Quality Improvement Consortium from 2011 to 2018. The primary outcome was a recommendation to repeat colonoscopy within 1 year. Secondary outcomes were recommendations based on indication of colonoscopy and colonoscopy findings and predictors of a recommendation to follow-up within 1 year.

resultsThere were 260,314 colonoscopies with inadequate bowel preparation performed at 672 different sites by 4001 endoscopists. Of these, 31.9% contained a recommendation for follow-up within 1 year. This did not differ meaningfully by examination indication. The severity of colonoscopy findings influenced the recommendations for follow-up (within 1 year in 84.0% of cases with adenocarcinoma, 51.8% with any advanced lesion, and 23.2% with 1-2 small adenomas). Younger age, more severe pathology, location in the Northeast, and performance by an endoscopist with an adenoma detection rate ≥25% were associated with recommendations for follow-up within 1 year.

conclusionsOnly some colonoscopies with inadequate bowel preparation are recommended to be repeated within 1 year, which may have implications for potential missed lesions. Further understanding of reasons driving recommendations is an important next step to improving guideline-concordant colonoscopy practice.

Indexed as

AdenomaColorectal NeoplasmsAgedColonoscopyCross-Sectional StudiesEarly Detection of CancerFollow-Up StudiesHumansMiddle AgedRegistries

Identifiers

PMID34563501
PMCPMC10802146

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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.