Status and influencing factors of surveillance in colorectal post-polypectomy patients
10.3760/cma.j.cn321463-20240724-00208
- VernacularTitle:结直肠息肉切除术后患者复查情况及影响因素研究
- Author:
Ting YANG
1
;
Jia LI
1
;
Lianlian WU
1
;
Conghui SHI
1
;
Jun LIU
1
;
Honggang YU
1
Author Information
1. 武汉大学人民医院消化内科，武汉 430060
- Publication Type:Journal Article
- Keywords:
Colonic polyps;
Rectal polyps;
Colorectal post-polypectomy;
Surveillance;
Influencing factors
- From:
Chinese Journal of Digestive Endoscopy
2025;42(3):212-216
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore status and influencing factors of surveillance in colorectal post-polypectomy patients.Methods:Patients who underwent colorectal polypectomy in Renmin Hospital of Wuhan University between April 1, 2019 and June 30, 2019 were retrospectively studied. The surveillance information was obtained through electronic health record and telephone call. Status and influencing factors of surveillance in colorectal post-polypectomy patients were evaluated. Logistic regression model was used for multivariate analysis to determine independent risk factors influencing surveillance.Results:A total of 268 colorectal post-polypectomy patients and their surveillance information were reviewed, of whom 153 (57.09%) patients received surveillance colonoscopy, and 115 (42.91%) patients did not. Univariate analysis showed that the source of patients (outpatients VS inpatients, χ 2=5.68, P=0.017), department (others VS department of gastroenterology, χ 2=6.64, P=0.010), and the number of polyps (1/(2~4)/≥5, χ2=7.32, P=0.026) influenced the outcome of surveillance. Logistic regression model indicated that department of gastroenterology ( P=0.039, OR=2.12, 95% CI:1.04-4.34), risk level 3 ( P=0.040, OR=1.92, 95% CI:1.03-3.58) and the number of polyps ≥5 ( P=0.016, OR=2.89, 95% CI:1.22-6.83) were independent risk factors influencing surveillance. Conclusion:Patients visit the department of gastroenterology or had a risk level 3 or ≥5 polyps are more likely to opt for surveillance following the procedure.
