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Showing content from https://pubmed.ncbi.nlm.nih.gov/24700155/ below:

Whites and blacks have similar risk of metachronous advanced colorectal neoplasia

Affiliations

• ¹ Division of Gastroenterology, Montefiore Medical Center, 111 East 210th Street, Bronx, NY, 10467, USA, jokwah@montefiore.org.

• PMID: 24700155
• DOI: 10.1007/s10620-014-3132-4

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Joann Kwah et al. Dig Dis Sci. 2014 Sep.

• ¹ Division of Gastroenterology, Montefiore Medical Center, 111 East 210th Street, Bronx, NY, 10467, USA, jokwah@montefiore.org.

• PMID: 24700155
• DOI: 10.1007/s10620-014-3132-4

Item in Clipboard

• Dig Dis Sci. 2014 Oct;59(10):2604

Background: Current guidelines for surveillance of colonic neoplasia are based on data from predominantly white populations, yet whether these recommendations are applicable to blacks is unknown.

Aim: To define the prevalence of advanced colorectal neoplasia (ACN) among whites and blacks undergoing surveillance colonoscopy.

Methods: This was a retrospective, cross-sectional analysis of asymptomatic, average-risk non-Hispanic white (N = 246) and non-Hispanic black (N = 203) patients with colorectal neoplasia who underwent baseline screening colonoscopy between January 1, 2000, and December 31, 2007, and a surveillance colonoscopy before December 31, 2010, at an academic safety-net hospital. The main outcome measure was the prevalence of ACN, defined as a tubular adenoma or sessile serrated adenoma (SSA) ≥ 10 mm, any adenoma with villous histology or high-grade dysplasia, any serrated lesion with dysplasia, or invasive cancer at surveillance.

Results: During a median follow-up of 4.3 years, the overall prevalence of ACN at surveillance was similar among blacks and whites (11.3 vs. 9.8 %; P = 0.59) with an odds ratio of 1.18 (95 % CI 0.65-2.16) [corrected]. Blacks and whites with non-advanced neoplasia had similar rates of ACN at the 1-3, 4-5, and >5 year follow-up intervals. Blacks with ACN or multiplicity at baseline had higher rates of ACN at the 1- to 3-year interval compared with whites, but the difference was non-significant (26.7 vs. 12.5 %; P = 0.32). No interval cancers were observed for either group.

Conclusions: The overall prevalence of ACN was similar between non-Hispanic blacks and non-Hispanic whites undergoing surveillance in a safety-net healthcare setting suggesting that current surveillance guidelines are appropriate for both blacks and whites.

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• Prevalence of Metachronous Advanced Colorectal Neoplasia in Black and White Patients at a Safety Net Hospital.

  Rebello D, Schroy PC 3rd, Leszcynski A, Colletta A, Rebello E, Mills J, Heeren T, Roy H. Rebello D, et al. Gastro Hep Adv. 2022 Feb 3;1(1):14-22. doi: 10.1016/j.gastha.2021.09.001. eCollection 2022. Gastro Hep Adv. 2022. PMID: 39129928 Free PMC article.

• Risk of colorectal adenomas and advanced neoplasia in Hispanic, black and white patients undergoing screening colonoscopy.

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• Prevalence of advanced colorectal neoplasia in white and black patients undergoing screening colonoscopy in a safety-net hospital.

  Schroy PC 3rd, Coe A, Chen CA, O'Brien MJ, Heeren TC. Schroy PC 3rd, et al. Ann Intern Med. 2013 Jul 2;159(1):13-20. doi: 10.7326/0003-4819-159-1-201307020-00004. Ann Intern Med. 2013. PMID: 23817700 Free PMC article.

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• Recommendations for Follow-Up After Colonoscopy and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer.

  Gupta S, Lieberman D, Anderson JC, Burke CA, Dominitz JA, Kaltenbach T, Robertson DJ, Shaukat A, Syngal S, Rex DK. Gupta S, et al. Am J Gastroenterol. 2020 Mar;115(3):415-434. doi: 10.14309/ajg.0000000000000544. Am J Gastroenterol. 2020. PMID: 32039982 Free PMC article. No abstract available.

• A Combination of Fecal Immunochemical Test Results and Iron Deficiency Anemia for Detection of Advanced Colorectal Neoplasia in Asymptomatic Men.

  Kim NH, Lee MY, Park JH, Park DI, Sohn CI, Choi K, Jung YS. Kim NH, et al. Yonsei Med J. 2017 Sep;58(5):910-917. doi: 10.3349/ymj.2017.58.5.910. Yonsei Med J. 2017. PMID: 28792133 Free PMC article.

• Prevalence of Metachronous Advanced Colorectal Neoplasia in Black and White Patients at a Safety Net Hospital.

  Rebello D, Schroy PC 3rd, Leszcynski A, Colletta A, Rebello E, Mills J, Heeren T, Roy H. Rebello D, et al. Gastro Hep Adv. 2022 Feb 3;1(1):14-22. doi: 10.1016/j.gastha.2021.09.001. eCollection 2022. Gastro Hep Adv. 2022. PMID: 39129928 Free PMC article.

• Derivation and Validation of a Scoring System to Stratify Risk for Advanced Colorectal Neoplasia in Asymptomatic Adults: A Cross-sectional Study.

  Imperiale TF, Monahan PO, Stump TE, Glowinski EA, Ransohoff DF. Imperiale TF, et al. Ann Intern Med. 2015 Sep 1;163(5):339-46. doi: 10.7326/M14-1720. Ann Intern Med. 2015. PMID: 26259154 Free PMC article.

• Recommendations for Follow-Up After Colonoscopy and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer.

  Gupta S, Lieberman D, Anderson JC, Burke CA, Dominitz JA, Kaltenbach T, Robertson DJ, Shaukat A, Syngal S, Rex DK. Gupta S, et al. Gastrointest Endosc. 2020 Mar;91(3):463-485.e5. doi: 10.1016/j.gie.2020.01.014. Epub 2020 Feb 7. Gastrointest Endosc. 2020. PMID: 32044106 Free PMC article. No abstract available.

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