Improving Quality and Safety in the Endoscopy Unit (Virtual) | August 2023-2020 USMSTF Colonoscopy Surveillance

2020 USMSTF Colonoscopy Surveillance_GIE

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The US Multi-Society Task Force has provided recommendations for post-colonoscopy follow-up to reduce the risk of colorectal cancer (CRC). They suggest repeat screening in 10 years for those with a normal colonoscopy, and repeat colonoscopy in 10 years for individuals with 1-2 tubular adenomas <10 mm. For patients with 3-4 or 5-10 adenomas, colonoscopy is recommended in 3-5 years and 3 years respectively. The recommendations do not apply to high-risk individuals and assume a high-quality exam. The latest updates include longer intervals for low-risk adenomas and more frequent intervals for high-risk adenomas. Further research is needed to improve surveillance strategies.<br /><br />Key updates to the recommendations include a 7-10 year follow-up for patients with 1-2 small adenomas, detailed recommendations for follow-up after removal of serrated polyps, and emphasizing the importance of a high-quality initial examination. Further research is needed for individuals over 75 years old or with multiple comorbidities. Best practices for future research include reporting individual findings and histology-specific data, and providing both relative and absolute risks for outcomes. The recommendations aim to optimize CRC prevention and detection but are based on low to moderate quality evidence and may change with new research.

Keywords

US Multi-Society Task Force

post-colonoscopy follow-up

colorectal cancer (CRC)

repeat screening

normal colonoscopy

tubular adenomas

high-risk individuals

high-quality exam

surveillance strategies

serrated polyps