When should ulcerative colitis patients undergo colectomy for dysplasia? Mismatch between patient preferences and physician recommendations

✍ Scribed by Corey A. Siegel; Lisa M. Schwartz; Steven Woloshin; Elisabeth B. Cole; David T. Rubin; Tegan Vay; Judith Baars; Bruce E. Sands

• Book ID: 102267121
• Publisher: John Wiley and Sons
• Year: 2010
• Tongue: English
• Weight: 103 KB
• Volume: 16
• Category: Article
• ISSN: 1078-0998
• DOI: 10.1002/ibd.21233

✦ Synopsis

Background: If dysplasia is found on biopsies during surveillance colonoscopy for ulcerative colitis (UC), many experts recommend colectomy given the substantial risk of synchronous colon cancer. The objective was to learn if UC patients' perceptions of their colon cancer risk and if their preferences for elective colectomy match with physicians' recommendations if dysplasia was found.

Methods: A self-administered written survey included 199 patients with UC for at least 8 years (mean age 49 years, 52% female) who were recruited from Dartmouth-Hitchcock (n ¼ 104) and the University of Chicago (n ¼ 95). The main outcome was the proportion of patients who disagree with physicians' recommendations for colectomy because of dysplasia.