Clinical Edge

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Cochrane on Detecting CRC in Patients with IBD

Cochrane; 2017 Sep 18; Bye, Nguyen, Parker, et al

Colonoscopic surveillance in patients with inflammatory bowel disease (IBD) may lower the risk of developing colorectal cancer (CRC) and death associated with it, according to a Cochrane review of 5 trials involving nearly 7,200 individuals. Among the findings, based on very low-quality evidence:

  • The surveillance group had lower cancer rates; odds were reduced by 42%.
  • The surveillance group had lower rates of CRC-related death; odds were reduced by 64%.
  • The surveillance group had more early state disease detected.

Citation:

Bye W, Nguyen T, Parker C, Jairath V, East J. Strategies for detecting colon cancer in patients with inflammatory bowel disease. Cochrane Database of Syst Rev. 2017, Issue 9. Art. No.: CD000279. doi:10.1002/14651858.CD000279.pub4.