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This may lead to adverse patient outcomes and excess endoscopic workload.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To assess the attitudes and practice of <jats:styled-content style=\"fixed-case\">IBD<\/jats:styled-content> specialists in a tertiary centre towards colonoscopic surveillance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>First, a questionnaire evaluating attitudes and approach to <jats:styled-content style=\"fixed-case\">CRC<\/jats:styled-content> surveillance was issued to 36 clinicians at one tertiary referral hospital. Second, a retrospective audit of <jats:styled-content style=\"fixed-case\">IBD<\/jats:styled-content> surveillance colonoscopy practice over a 2\u2010year period was performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Questionnaire response rate was 97%. Sixty\u2010nine per cent of respondents were aware of, and used, <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ustralian guidelines. Surveillance was undertaken by all clinicians in patients with extensive colitis, 83% in patients with left\u2010sided colitis and 51% in patients with proctitis. Seventy\u2010six per cent used chromoendoscopy, and 47% took 10 to 20 random biopsies. Colectomy was considered appropriate in 0% for unifocal low\u2010grade dysplasia, 35% for multifocal low\u2010grade dysplasia and 83% for high\u2010grade dysplasia. Sixty\u2010six per cent would remove elevated dysplastic lesions endoscopically. The audit identified 103 surveillance colonoscopies in 81 patients. Chromoendoscopy was used in 21% of cases, and the median number of random biopsies was 13. Sixty\u2010two per cent of colonoscopies were performed outside the guidelines in relation to colonoscopic frequency. Following colonoscopy, an appropriate recommendation for subsequent surveillance was documented in 40% of cases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Knowledge and practice of <jats:styled-content style=\"fixed-case\">CRC<\/jats:styled-content> surveillance in <jats:styled-content style=\"fixed-case\">IBD<\/jats:styled-content> vary among specialist clinicians and often deviate from guidelines. Many clinicians perform surveillance earlier and more frequently than recommended. These findings have implications for patient outcomes and workload.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.12285","type":"journal-article","created":{"date-parts":[[2013,9,11]],"date-time":"2013-09-11T06:23:26Z","timestamp":1378880606000},"page":"40-49","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Inflammatory bowel disease cancer surveillance in a tertiary referral hospital: attitudes and practice"],"prefix":"10.1111","volume":"44","author":[{"given":"E. C.","family":"Verschuren","sequence":"first","affiliation":[{"name":"Department of Gastroenterology St Vincent's Hospital  Melbourne Australia"},{"name":"Department of Gastroenterology Vu University Medical Centre  Amsterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D. 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