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[A Korean national survey for colorectal cancer screening and polyp diagnosis methods using web-based survey].
- [A Korean national survey for colorectal cancer screening and polyp diagnosis methods using web-based survey].
- Kim S.E.; Hong S.P.; Kim H.S.; Lee B.I.; Kim S.H.; Hong S.N.; Yang D.H.; Lee S.H.; Shin S.J.; Park D.I.; Kim Y.H.; Yang S.K.; Kim H.J.; Multi-Society Task Force for Development of Guidelines for; Colorectal Polyp Screening; Surveillance and Management
- Ewha Authors
- SCOPUS Author ID
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- The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi
- vol. 60, no. 1, pp. 26 - 35
- SCOPUS; KCI
- 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. 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%). 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. 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.
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