Test After Subsequent Colonoscopy New X/TwitterThis field is for validation purposes and should be left unchanged.DECISION SUPPORT TOOL FOR POLYP SURVEILLANCE AFTER SURVEILLANCE COLONOSCOPY (I.e. AT 2ND+ COLONOSCOPY)Although there are no specific recommendations for follow-up after 3rd and later colonoscopy this tool can be used along with clinical judgement.Question 1At PREVIOUS colonoscopy. Answer yes or no to the questions below to determine if the polyp(s) at first colonoscopy were high or low risk.High Risk CharacteristicsVillous (1) Yes No High Grade Dysplasia (1) Yes No ≥10mm (1) Yes No ≥3 adenomas (1) Yes No Low Risk Characteristics1-2 Tubular Adenomas each <10mm in size (1) Yes No Risk LevelIf no polyps were found on prior colonoscopy this is the incorrect tool, please use step 1 (first colonoscopy) to determine next colonoscopy.Risk LevelLow RiskRisk LevelHigh Risk(1)Question 2At CURRENT colonoscopy. Answer yes or no to the questions below to determine the risk level of polyps.Villous (2) Yes No High Grade Dysplasia (2) Yes No ≥10mm (2) Yes No ≥3 adenomas (2) Yes No Low Risk Characteristics1-2 Tubular Adenomas each <10mm in size (2) Yes No Risk LevelLow Risk (2)Risk LevelNo adenomaRisk levelHigh Risk (2)Question 3Family HistoryDoes the patient have a family history of colorectal cancer/advanced adenoma (Two 1st degree relatives with colorectal cancer/advanced adenoma OR one 1st degree relative <60 at time of diagnosis of colorectal cancer/advanced adenoma)? - Advanced adenoma being any polyp either ≥10mm, villous, or high-grade dysplasia Yes No Recommendation10 years (Question 1 - low risk, Question 2 - low risk/no adenoma Question 3 - no) Recommendation5-10 years (Question 1 - Low risk, Question 2 - low risk/yes adenoma Question 3 - no)Recommendation5years (Question 1 - high risk, Question 2 - low risk/yes adenoma, Question 3 - no) Recommendation5 years (Question 1 -high risk, Question 2 - low risk/No adenoma Question 3 - no)Recommendation5 years (Question 1 - low risk, Question 2 - low risk/no adenoma Question 3 - Yes) Recommendation5 years (Question 1 - Low risk, Question 2 - low risk/yes adenoma Question 3 - yes)Recommendation5 years (Question 1 -high risk, Question 2 - low risk/No adenoma Question 3 - yes)Recommendation5years (Question 1 - high risk, Question 2 - low risk/yes adenoma, Question 3 - Yes) RecommendationQuestion 1 - low risk Question 2 - high risk/no adenoma (has no affect when high risk) Question 3 - no 3 years RecommendationQuestion 1 - low risk Question 2 - high risk/yes adenoma (has no affect when high risk) Question 3 - no 3 yearsRecommendationQuestion 1 - high risk Question 2 - high risk/no adenoma (has no affect when high risk) Question 3 - no 3 yearsRecommendationQuestion 1 - high risk Question 2 - high risk/yes adenoma (has no affect when high risk) Question 3 - no 3 years Recommendation3 years Question 1 - low risk Question 2 - high risk/no adenoma (has no affect when high risk) Question 3 - yes Recommendation3 years Question 1 - low risk Question 2 - high risk/yes adenoma (has no affect when high risk) Question 3 - yesRecommendation3 years Question 1 - high risk Question 2 - high risk/no adenoma (has no affect when high risk) Question 3 - yesRecommendation3 years Question 1 - high risk Question 2 - high risk/yes adenoma (has no affect when high risk) Question 3 - yes