Imperial College London
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DrKevinMonahan

Faculty of Medicine, Department of Surgery & Cancer

Honorary Clinical Senior Lecturer
 
 
 
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Contact

 

k.monahan Website

 
 
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Location

 

CRUKSt Marks HospitalNorthwick Park and St Marks Site

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Summary

 

Publications

Citation

BibTex format

@article{Adams:2019:10.1111/codi.14622,
author = {Adams, LK and Qiu, S and Hunt, AK and Monahan, KJ},
doi = {10.1111/codi.14622},
journal = {Colorectal Disease},
pages = {879--885},
title = {A dedicated highquality service for the management of patients with an inherited risk of colorectal cancer},
url = {http://dx.doi.org/10.1111/codi.14622},
volume = {21},
year = {2019}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Aim To demonstrate the quality improvement associated with the implementation of a specialist Family History of Bowel Cancer Service in secondary care. Method Outcomes assessed: 1. Adherence to the BSG Guidelines for colonoscopic surveillance of individuals with a family history of colorectal cancer; 2. Adherence to the Revised Bethesda Criteria for the identification of colorectal cancer patients with suspected Lynch Syndrome; 3. Identification of inherited colorectal cancer risk syndromes; 4. Colonoscopic Adenoma Detection Rate. Data was collected for a 21-month period prior and subsequent to the establishment of this service, for all patients who underwent colonoscopic surveillance for a family history of colorectal cancer and all patients newly diagnosed with colorectal cancer. Analysis compared the number of colonoscopies performed, not indicated by BSG guidelines; the average number of years patients were screened early; the adenoma detection rate; and the rate of MMR tumour testing, before and after the implementation of the service. Results Following the establishment of the service there was a reduction in number of colonoscopies not indicated by BSG guidelines, (39.6% vs 5.8%, p<0.001, chi squared test); surveillance colonoscopy took place at a more appropriate age (10.6 vs 5.9 years too early, p=0.01, t-test). There was an increased adenoma detection rate (17% vs 31.9%, p<0.01, chi-squared test), and increased tumour MMR testing (3.4% vs 91.8%, P<0.01, Chi squared test). Conclusion The introduction of a Family History of Bowel Cancer Service results in improved patient care through improved guideline adherence for colonoscopic surveillance and increased cancer detection rates.
AU  - Adams,LK
AU  - Qiu,S
AU  - Hunt,AK
AU  - Monahan,KJ
DO  - 10.1111/codi.14622
EP  - 885
PY  - 2019///
SN  - 1462-8910
SP  - 879
TI  - A dedicated highquality service for the management of patients with an inherited risk of colorectal cancer
T2  - Colorectal Disease
UR  - http://dx.doi.org/10.1111/codi.14622
UR  - https://www.ncbi.nlm.nih.gov/pubmed/30903731
UR  - http://hdl.handle.net/10044/1/68690
VL  - 21
ER  -
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