Colon polyps in the elderly: appropriate primary care follow-up

The presence of adenomatous polyps in the colon identifies patients at increased risk of colon cancer. Removal of such polyps and undertaking repeated future examinations is proven to diminish subsequent development of the disease. Discussing with the patient, at the time of index colonoscopy, the need for repeat examination and including a note in the patient's medical record are not by themselves adequate measures of obtaining follow-up. A reminder letter mailed directly to the patient shortly before the desired appointment is a highly effective method of obtaining follow-up, when accompanied by information on the importance of repeat colonoscopy.