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Accuracy of self-reported colonic polyps: Results from the Prostate, Lung, Colorectal, and Ovarian Screening Trial Study of Colonoscopy Utilization

Cancer Epidemiology, Biomarkers & Prevention Feb 21, 2020

Wiseman KP, Silver MI, Klabunde CN, et al. - Given the dependence of colonoscopy follow-up recommendations on the presence or absence of polyps, and if found, their number, size, and histology and the significance of patient in conveyance of results between primary and specialty care or providing medical information to family members, researchers here examined the accuracy of self-reported colonoscopy findings. From the Study of Colonoscopy Utilization, an ancillary study nested within the Prostate, Lung, Colorectal, and Ovarian Screening Trial, they assessed 3,986 participants. Self-reported findings for polyp had the sensitivity and specificity of 87% and 85%, respectively, and for adenoma 12% and 99%, respectively. Observations suggest reasonable accuracy of the participants' recalls concerning whether they had a prior polyp; however, much less accuracy was evident for recall of histology, specifically adenoma. This emphasizes the necessity for identification of strategies to increase accurate self-report of colonic polyps, especially for patient-provider communications and patient reporting of results to family members.
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