RT Journal Article
SR Electronic
T1 Physician Perceptions of Surveillance Follow-up Colonoscopy in Older Adults
JF The Journal of the American Board of Family
                Medicine
JO J Am Board Fam Med
FD American Board of Family Medicine
SP 371
OP 373
DO 10.3122/jabfm.2017.03.160386
VO 30
IS 3
A1 Le, Stephanie T.
A1 Lash, Brenna R.
A1 Schroy, Paul C.
A1 Calderwood, Audrey H.
YR 2017
UL http://www.jabfm.org/content/30/3/371.abstract
AB Background: Few data exist regarding when to stop surveillance colonoscopy among older adults with a history of adenomatous colorectal polyps. Our goal was to understand decision making around surveillance colonoscopy among primary care providers (PCPs) and gastroenterologists.Methods: We designed a 15-item survey for PCPs and gastroenterologists that evaluated factors important in decision making about surveillance colonoscopy in older adults.Results: In October 2015, 88 PCPs and 30 gastroenterologists completed the survey. Life expectancy (40%), gastroenterology recommendation (8%), and patient preference (12%) were the most important factors for PCPs. Findings on prior colonoscopy were most important among gastroenterologists. Regardless of specialty, respondents felt that the existing literature on surveillance colonoscopy in older adults is inadequate.Conclusions: More data surrounding the benefits and risk of surveillance colonoscopy are needed to inform when to stop surveillance colonoscopy among older adults with a positive screening history.