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Routine Polypectomy Practices Vary Widely Among US Endoscopists and Commonly Deviate From Guidelines: An Analysis of
Seth D Crockett1, Jennifer Holub2, Audrey H Calderwood3
1Division of Gastroenterology & Hepatology, Oregon Health & Science University and Portland VA Medical Center, Portland, Oregon, USA.
Introduction:
Best practices for removal of <1 cm colon polyps exist, but adherence to this guidance is uncertain.
Methods:
Using Gastroenterology Quality Improvement Consortium Registry (GIQuIC) data, colonoscopies with polyps <1 cm were analyzed for polypectomy technique used and differences in practices according to patient, procedure, and provider characteristics.
Results:
Among 1,830,067 colonoscopies, cold forceps, cold snare, and hot snare polypectomy techniques were used in 35%, 58%, and 11% of cases, respectively. Technique varied by polyp type, geographic region, and provider specialty. Gastroenterologists' practices aligned with guidelines more closely than non-GI endoscopists.
Discussion:
Polypectomy technique varies widely among US endoscopists and may not follow best practices.
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