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Non-compliance in surveillance for patients with previous resection of large (≥ 1 cm) colorectal adenomas

World Journal of Gastroenterology 2006年第45期12卷 7313-7318页

作者： Wolfgang M Brueckl Berit Fritsche Brigitte Seifert frankboxberger Heinz Albrecht Roland S Croner Axel Wein Eckhart G Hahn Department of Medicine 1 University Hospital of Erlangen91054 Erlangen Germany Department of Surgery University Hospital ofErlangen 91054 Erlangen Germany

AIM: To assess the extent and reasons of non- compliance in surveillance for patients undergoing polypectomy of large (≥ 1 cm) colorectal adenomas. METHODS: Between 1995 and 2002, colorectal adenomas ≥ 1 cm were diagnosed in 210 patients and subsequently documented at the Erlangen Registry of Colorectal Polyps. One hundred and fi fty-eight patients (75.2%) could be contacted by telephone and agreed to be interviewed. Additionally, records were obtained from the treating physicians. RESULTS: Fifty-four out of 158 patients (34.2%) neglected any surveillance. Reasons for non-compliance included lack of knowledge concerning surveillance intervals (45.8%), no symptoms (29.2%), fear of examination (18.8%) or old age/severe illness (6.3%). In a multivariate analysis, the factors including female gender (P = 0.036) and age > 62 years (P = 0.016) proved to be signif icantly associated with non-compliance in surveillance. CONCLUSION: Efforts to increase compliance in surveillance are of utmost importance. This applies particularly to women’s compliance. Effective strategies for avoiding metachronous colorectal adenoma and cancer should focus on both the improvement in awareness and knowledge of patients and information about physicians for surveillance.

关键词：直肠腺瘤直肠癌结肠镜检查顺应性

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