대한소화기학회로고
 
 
 
Author Seong-Eun Kim1, Sung Pil Hong2, Hyun-Soo Kim3, Bo In Lee4, Se Hyung Kim5, Sung Noh Hong6, Dong-Hoon Yang7, Suck Ho Lee8, Sung Jae Shin9, Dong Il Park10, Young-Ho Kim11, Suk-Kyun Yang7, Hyo Jong Kim12; Multi-Society Task Force for Development of Guidelines for Colorectal Polyp Screening, Surveillance and Management
Place of duty Department of Internal Medicine, Ewha Womans University School of Medicine1, Yonsei University College of Medicine2, Yonsei University Wonju College of Medicine3, The Catholic University of Korea, College of Medicine4, Department of Radiology, Seoul National University College of Medicine5, Department of Internal Medicine, Konkuk University School of Medicine6, Department of Gastroenterology, Ulsan University College of Medicine7, Department of Internal Medicine, Soon Chun Hyang University College of Medicine8, Department of Gastroenterology, Ajou University School of Medicine9, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine10, Samsung Medical Center, Sungkyunkwan University School of Medicine11, Kyunghee University College of Medicine12, Seoul, Korea
Title A Korean National Survey for Colorectal Cancer Screening and Polyp Diagnosis Methods Using Web-based Survey
Publicationinfo The Korean Journal of Gastroenterology 2012 Jul; 060(01): 26-35.
Key_word Colorectal cancer; Colorectal neoplasms; Screening; Diagnosis; Colonoscopy
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Abstract Background/Aims: There is a paucity of national guideline for colorectal cancer screening and polyp diagnosis in Korea. Thus, we investigated the present state of colorectal cancer screening and polyp diagnosis methods using web-based survey to use as reference data for developing a guideline. Methods: A multiple choice questionnaires of screening recommendations was sent via e-mail to members of the Korean Association for the Study of Intestinal Diseases and primary care physicians who participated in the national colonoscopy surveillance program. Among 425 colonoscopists, a total 263 colonoscopists replied (response rate, 61.9%). Results: The most commonly recommended starting age for colorectal cancer screening and polyp diagnosis was 50 years old in the average risk group, and 40 years old in groups who had a family history of colon cancer (64.3% and 65.0% respectively). Surgeons had a tendency to recommend screening in younger people than internist do. Ninety-eight percent of physicians recommended screening colonoscopy to asymptomatic, average-risk patients as a first choice. Only 2% of physicians chose sigmoidoscopy as a screening tool. When the initial colonoscopy showed a negative finding, over 60% of internists repeated the exam 5 years later, whereas 62% of surgeons did so within 3 years. Conclusions: The starting age of colorectal cancer screening and the interval of the colorectal polyp examination are not uniform in various medical environments, and there is a discrepancy between the practical recommendations and western guidelines. Thus, a new evidence-based national practice guideline for colorectal cancer screening and polyp diagnosis should be developed. (Korean J Gastroenterol 2012;60:26-35)
제 목 웹 기반 설문 조사에 의한 대장암 선별 및 대장폴립 진단검사의 국내 현황
출판정보 Korean J Gastroenterol 2012 Jul; 060(01): 26-35.
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