{"id":9987,"date":"2021-02-16T15:54:02","date_gmt":"2021-02-16T14:54:02","guid":{"rendered":"https:\/\/www.endoscopy-campus.com\/?post_type=ec-news&#038;p=9987"},"modified":"2021-02-16T15:54:03","modified_gmt":"2021-02-16T14:54:03","slug":"cancer-incidence-and-mortality-risk-after-index-colonoscopies-showing-low-risk-adenomas-high-risk-adenomas-or-no-adenomas","status":"publish","type":"ec-news","link":"https:\/\/www.endoscopy-campus.com\/en\/ec-news\/cancer-incidence-and-mortality-risk-after-index-colonoscopies-showing-low-risk-adenomas-high-risk-adenomas-or-no-adenomas\/","title":{"rendered":"Cancer Incidence and Mortality Risk After Index Colonoscopies Showing Low-Risk Adenomas, High-Risk Adenomas, or No Adenomas"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Postpolypectomy surveillance recommendations are based on observational studies, often using advanced adenomas at follow-up as their primary outcome.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A new meta-analysis focused on the risk of incident cancer and related mortality reviewed 12 studies with 510,019 patients. Colorectal cancer incidence per 10,000 person-years was slightly higher in those with low-risk adenomas (1-2 adenomas &lt;10 mm with tubular histology and only low-grade dysplasia) than no adenomas, with a statistically significant odds ratio (OR) of 1.26 (95% confidence interval [CI], 1.06-1.5). For those with high-risk adenomas compared to those with no adenomas, the odds ratio for cancer was 2.92 (95% CI, 2.31-3.69). Cancer-related mortality in those with low-risk adenomas compared to no adenomas was not statistically significant (OR, 1.15; 95% CI, 0.76-1.74) but was higher in those with high-risk adenomas (OR, 2.69; 95% CI, 1.87-3.87). Both cancer incidence and mortality were also significantly higher in those with high-risk adenomas compared with low-risk adenomas.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The authors argue that these data indicate that surveillance intervals in those with low-risk adenomas should be the same as those with no adenomas.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Postpolypectomy surveillance recommendations are based on observational studies, often using advanced adenomas at follow-up as their primary outcome.&nbsp; A new meta-analysis focused on the risk of incident cancer and related mortality reviewed 12 studies with 510,019 patients. Colorectal cancer incidence per 10,000 person-years was slightly higher in those with low-risk adenomas (1-2 adenomas &lt;10 mm &#8230; <a title=\"Cancer Incidence and Mortality Risk After Index Colonoscopies Showing Low-Risk Adenomas, High-Risk Adenomas, or No Adenomas\" class=\"read-more\" href=\"https:\/\/www.endoscopy-campus.com\/en\/ec-news\/cancer-incidence-and-mortality-risk-after-index-colonoscopies-showing-low-risk-adenomas-high-risk-adenomas-or-no-adenomas\/\" aria-label=\"Read more about Cancer Incidence and Mortality Risk After Index Colonoscopies Showing Low-Risk Adenomas, High-Risk Adenomas, or No Adenomas\">Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,1769],"tags":[2633,2058,2632],"class_list":["post-9987","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-asge-kolon","tag-cancer-incidence","tag-colon-2","tag-mstf"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/9987","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/ec-news"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=9987"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=9987"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=9987"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}