Roel Bogie

Optical diagnosis of diminutive polyps in the Dutch bowel cancer screening program: Are we ready to start?

Table 8.6: Surveillance intervals based on optical diagnosis vs histology, according to: A) the Dutch surveillance guideline (2012); B) the ESGE (European) surveillance guideline (2013); C) the AGA (American) surveillance guideline (2012); applying the "resect and discard” strategy. For this strategy optical diagnosis was used for polyps ≤5 mm in the entire colon while for all other polyps, histological evaluation was used to determine surveillance intervals.

A)

Surveillance intervals based on histology

Surveillance intervals based on optical diagnosis

3-year

5-year

10-year

No surveillance

Total

3-year 5-year

584

38

16 39

0

638 679 447 566

9 9 0

612

19 32

10-year

22 19

384

No surveillance

17

530

Total

602

691

456

581

2330

B)

Surveillance intervals based on histology

Surveillance intervals based on optical diagnosis

3-year

10-year

No surveillance

Total

3-year

903

81

2

986 769 575

10-year

31

684

54

8

No surveillance

3

33

539

Total

937

798

595

2330

C)

Surveillance intervals based on histology

Surveillance intervals based on optical diagnosis

3-year 5-year 5- to 10- year

10-year No

Total

surveillance

3-year 5-year

1175 35

39

1 0

0 0

1250

5

27

2

34

5- to 10-year 16

3 5 0

408

35 65

17 16

479 119 448

10-year

5 1

28

No surveillance

2

1

444

Total

1202 70

479

102

477

2330

163

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