Effect of implementing a regional referral network on surgical referral rate of benign polyps found during a colorectal cancer screening program: A population-based study
Introduction: Surgical management is too often performed as the first-line treatment for large, benign colorectal polyps. We report the management of benign lesions detected by organised colorectal cancer (CRC) screening. Methods: Population-based study in 2012, 2016, and 2017, analyzing the evolution of surgical management of benign polyps of >= 2 cm diameter discovered in the context of organised CRC screening after the implementation of a regional referral network for the management of superficial colorectal lesions. Results: A total of 1571 patients underwent colonoscopy following a positive test during the study period, among which 981 colonoscopies yielded at least one lesion. The adenoma detection rate was lower in 2012 (Guaiac test) than in 2016 and 2017 (fecal immunochemical test) (40 vs. 60 vs. 57, P20mm (OR=17.39, P2cm was 20.4 at 1 month and its cost was sixfold higher than that of endoscopy.
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机译：简介：手术治疗经常作为大的良性结直肠息肉的一线治疗。我们报告了通过组织性结直肠癌（CRC）筛查发现的良性病变的处理。方法：2012 年、2016 年和 2017 年的人群研究，分析在实施浅表性结直肠病变管理的区域转诊网络后，在有组织的 CRC 筛查背景下发现的直径为 > = 2 cm 的良性息肉手术治疗的演变。结果：研究期间共有1571例患者经结肠镜检查呈阳性，其中981例结肠镜检查发现至少1个病灶。2012年（愈创木脂试验）的腺瘤检出率低于2016年和2017年（粪便免疫化学试验）（40% vs. 60% vs. 57%，P20mm（OR=17.39，P2cm手术1个月的发生率为20.4%，费用是内镜检查的6倍。
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