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 21 April 2018

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News

Surgery for non-malignant colorectal polyps has increased

The most recent publication of Gastroenterology examines the increasing rates of surgery for patients with non-malignant colorectal polyps in the United States.

News image

Despite the availability of endoscopic therapy, many patients in the United States undergo surgical resection for nonmalignant colorectal polyps.

Dr Anne Peery and colleagues of North Carolina, United States aimed to quantify and examine trends in the use of surgery for nonmalignant colorectal polyps in a nationally representative sample.

The team of doctors analyzed data from the Healthcare Cost and Utilization Project National Inpatient Sample for 2000 through 2014.

The doctor's included all adult patients who underwent elective colectomy or proctectomy and had a diagnosis of either nonmalignant colorectal polyp or colorectal cancer.

The team compared trends in surgery for nonmalignant colorectal polyps with surgery for colorectal cancer and calculated age, sex, race, region, and teaching status/bed-size–specific incidence rates of surgery for nonmalignant colorectal polyps.

The incidence of surgery for nonmalignant colorectal polyps has increased from 5.9 in 2000 to 9.4 in 2014 per 100,000 adults
Gastroenterology


From 2000 through 2014, there were 1,230,458 surgeries for nonmalignant colorectal polyps and colorectal cancer in the United States.

Among those surgeries, the team found that 25% were performed for nonmalignant colorectal polyps.

The incidence of surgery for nonmalignant colorectal polyps has increased from 5.9 in 2000 to 9.4 in 2014 per 100,000 adults, while the incidence of surgery for colorectal cancer has significantly decreased, from 31.5 to 24.7 surgeries per 100,000 adults.

The research team noted that the incidence of surgery for nonmalignant colorectal polyps has been increasing among individuals age 20 to 79, in men and women and including all races and ethnicities.

Dr Peery's team concludes, "In an analysis of a large, nationally representative sample, we found that surgery for nonmalignant colorectal polyps is common and has significantly increased over the past 14 years."

Gastroenterology 2018: 154 (5) 1352-1360.e3
16 April 2018

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