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Should We Shorten or Lengthen Postpolypectomy Surveillance Intervals?
- Douglas K. Rex, MD; and
- Sidney J. Winawer, MD
- From Indiana University School of Medicine, Indianapolis, IN 46202, and Memorial Sloan-Kettering Cancer Center, New York, NY 10065.
TO THE EDITOR:
In their recent article, Laiyemo and colleagues (1) were critical of the discriminatory value of current postpolypectomy surveillance guidelines, including the joint guidelines of the U.S. Multi-Society Task Force on Colorectal Cancer and the American Cancer Society (USMSTF–ACS). In the past 15 years, usual postpolypectomy practice surveillance intervals have expanded, first from 1 to 3 years and then from 3 to 5 years, in the cohort considered to be at lowest risk. The rationale for interval expansion is that surveillance has risks, costs, and less value than baseline clearing examinations …
