Reasonable Hypothesis SOP [1] | 15 of 2022 |
Balance of Probabilities SOP [2] | 16 of 2022 |
SOP Bulletin 228 [3]
This SOP covers benign adenomatous polyps of the large intestine (colon and rectum). An intestinal polyp is a protuberance of the mucosa (lining) of the intestine into the lumen. There are other types of intestinal polyps that are not covered. See the lists below.
Diagnosis is based on histology of removed polyps excised via colonoscopy, sigmoidoscopy or surgery.
The relevant medical specialist is a gastroenterologist, or a general or colorectal surgeon.
* another SOP applies
# non-SOP condition
In most cases the condition will be asymptomatic and clinical onset will be the same as date of diagnosis.
The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate management includes removal of polyps and ongoing surveillance.
Place holder node for Rulebase for colorectal adenoma
Colorectal adenoma - Alcohol consumption Factor
Last reviewed for CCPS 30 September 2002.
Investigative Documents
Claimant Report - Alcohol Consumption [CRD904] [6] Claimant Report - Alcohol Consumption [CRV904] [7] Medical Report - Alcohol Consumption [MR9244] Preliminary questions [32288] 32312 — the veteran has established the causal connection between the alcohol consumption and VEA service for the clinical onset of colorectal adenoma. 32313 — the veteran has established the causal connection between the alcohol consumption and operational service for the clinical onset of colorectal adenoma. or 32314 — the veteran has established the causal connection between the alcohol consumption and eligible service for the clinical onset of colorectal adenoma. Clinical onset and operational service [32313] Clinical onset and eligible service [32314]
Colorectal adenoma - Being obese Factor
Last reviewed for CCPS 30 September 2002.
Investigative Documents
Claimant Report - Obesity [CR9230] [15] Medical Report - Obesity [MR9305] Preliminary questions [32310]
587 [16] the veteran has a history of obesity. the veteran has been obese for a period of at least 15 years at some time. 33242 — the veteran satisfies the occurrence provisions for being obese and VEA service for the clinical onset of colorectal adenoma. or 32323 — the veteran has established the causal connection between being obese and VEA service for the clinical onset of colorectal adenoma. 32325 — the veteran has established the causal connection between being obese and operational service for the clinical onset of colorectal adenoma. or 32324 — the veteran has established the causal connection between being obese and eligible service for the clinical onset of colorectal adenoma. Clinical onset and operational service [32325] or
9005 — the morbid obesity is causally related to operational service. [23] Clinical onset and eligible service [32324] or
9006 — the morbid obesity is causally related to eligible service. [27] [28]
Colorectal adenoma - Cigar smoking Factor
Last reviewed for CCPS 30 September 2002.
Investigative Documents
Claimant Report - Smoking [CRD905] [29] Claimant Report - Smoking [CRV905] Preliminary questions [32286]
4915 [31] the veteran has ever smoked cigars. 32297 — the veteran has established the causal connection between the cigar smoking and VEA service for the clinical onset of colorectal adenoma. 32298 — the veteran has established the causal connection between the cigar smoking and operational service for the clinical onset of colorectal adenoma. or 32299 — the veteran has established the causal connection between the cigar smoking and eligible service for the clinical onset of colorectal adenoma. Clinical onset and operational service [32298] 4921 — the veteran has some period or periods of cigar smoking that are causally related to operational service. [34] Clinical onset and eligible service [32299]
4922 — the veteran has some period or periods of cigar smoking that are causally related to eligible service. [38]
Colorectal adenoma - Cigarette smoking Factor
Last reviewed for CCPS 30 September 2002.
Investigative Documents
Claimant Report - Smoking [CRD905] [29] Claimant Report - Smoking [CRV905] Preliminary questions [32285] 32291 — the veteran has established the causal connection between the cigarette smoking and VEA service for the clinical onset of colorectal adenoma. 32292 — the veteran has established the causal connection between the cigarette smoking and operational service for the clinical onset of colorectal adenoma. or 32293 — the veteran has established the causal connection between the cigarette smoking and eligible service for the clinical onset of colorectal adenoma. Clinical onset and operational service [32292] 3116 — the veteran has some period or periods of cigarette smoking that are causally related to operational service. [42] Clinical onset and eligible service [32293]
3521 — the veteran has some period or periods of cigarette smoking that are causally related to eligible service. [45]
Colorectal adenoma - Inability to obtain appropriate clinical management for colorectal adenoma Factor
Last reviewed for CCPS 30 September 2002.
Investigative Documents
Medical Report - Inability to Obtain Appropriate Clinical Management - [GQACM] Preliminary questions [32290] 11109 — the condition under consideration has been accepted on the basis of inability to obtain appropriate clinical management for the condition under consideration.
7334 [47] the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service. the condition under consideration permanently worsened. the veteran was unable to obtain appropriate clinical management for the condition under consideration at some time.
7379 [50] the inability to obtain appropriate clinical management for the condition under consideration contributed to the clinical worsening of the condition under consideration. 11234 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and VEA service for the clinical worsening of the condition under consideration. 11235 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and operational service for the clinical worsening of the condition under consideration. or 11236 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and eligible service for the clinical worsening of the condition under consideration. Clinical worsening and operational service [11235] or 7390 — the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related to operational service. [54] [55] Clinical worsening and eligible service [11236] or 7391 — the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related to eligible service. [54] [55]
Colorectal adenoma - Inability to undertake more than a mildly strenuous level of physical activity Factor
Last reviewed for CCPS 30 September 2002.
Investigative Documents
Claimant Report - Inability to Undertake Physical Activity [CR9213] [62] Medical Report - Inability to Undertake Physical Activity [MR9321] Preliminary questions [32289]
15457 [64] the veteran was unable to undertake more than a mildly strenuous level of physical activity for at least 10 years at some time. the veteran was unable to undertake more than a mildly strenuous level of physical activity for at least 10 years as a result of an illness or injury which is identifiable. 32315 — the veteran has established the causal connection between the inability to undertake more than a mildly strenuous level of physical activity and VEA service for the clinical onset of colorectal adenoma. 32318 — the veteran has established the causal connection between the inability to undertake more than a mildly strenuous level of physical activity and operational service for the clinical onset of colorectal adenoma. or 32317 — the veteran has established the causal connection between the inability to undertake more than a mildly strenuous level of physical activity and eligible service for the clinical onset of colorectal adenoma. Clinical onset and operational service [32318] 9863 — the identified illness or injury which caused the inability to undertake more than a mildly strenuous level of physical activity is causally related to operational service. [67] [68] Clinical onset and eligible service [32317]
14794 — the identified illness or injury which caused the inability to undertake more than a mildly strenuous level of physical activity is causally related to eligible service. [72] [68]
Colorectal adenoma - Pipe smoking Factor
Last reviewed for CCPS 30 September 2002.
Investigative Documents
Claimant Report - Smoking [CRD905] [29] Claimant Report - Smoking [CRV905] Preliminary questions [32287]
4880 [74] the veteran has ever smoked pipe tobacco. 32303 — the veteran has established the causal connection between the pipe smoking and VEA service for the clinical onset of colorectal adenoma. 32304 — the veteran has established the causal connection between the pipe smoking and operational service for the clinical onset of colorectal adenoma. or 32305 — the veteran has established the causal connection between the pipe smoking and eligible service for the clinical onset of colorectal adenoma. Clinical onset and operational service [32304] 4911 — the veteran has some period or periods of pipe smoking that are causally related to operational service. [77] Clinical onset and eligible service [32305]
4913 — the veteran has some period or periods of pipe smoking that are causally related to eligible service. [80]
Colorectal adenoma - Smoking tobacco products - material contribution Factor
Last reviewed for CCPS 30 September 2002.
Investigative Documents
Claimant Report - Smoking [CRD905] [29] Claimant Report - Smoking [CRV905] Preliminary questions [34918] 34919 — the veteran has established the causal connection between smoking tobacco products and VEA service for the clinical onset of colorectal adenoma. 34920 — the veteran has established the causal connection between smoking tobacco products and operational service for the clinical onset of colorectal adenoma. or 34921 — the veteran has established the causal connection between smoking tobacco products and eligible service for the clinical onset of colorectal adenoma. Clinical onset and operational service [34920] Clinical onset and eligible service [34921]
Links
[1] http://www.rma.gov.au/assets/SOP/2022/b3ed5f7cdb/015.pdf
[2] http://www.rma.gov.au/assets/SOP/2022/b8e098cbb1/016.pdf
[3] https://clik.dva.gov.au/system/files/media/SOP%20Bulletin%20228.pdf
[4] https://clik.dva.gov.au/sop-information
[5] https://clik.dva.gov.au/user/login?destination=comment/reply/63428%23comment-form
[6] https://clik.dva.gov.au/ccpsclaimant-21
[7] https://clik.dva.gov.au/ccpsmedical-19
[8] https://clik.dva.gov.au/10447-veteran-having-been-prisoner-war-japan
[9] clikpopup://CCPS/reject25686No
[10] clikpopup://CCPS/reject14812No
[11] clikpopup://CCPS/reject33897No
[12] clikpopup://CCPS/rejectwilful
[13] clikpopup://CCPS/reject14813No
[14] clikpopup://CCPS/reject33899No
[15] https://clik.dva.gov.au/ccpsclaimant-78
[16] https://clik.dva.gov.au/standard-commentary-199
[17] clikpopup://CCPS/reject587No
[18] clikpopup://CCPS/reject32328No
[19] clikpopup://CCPS/reject32316No
[20] clikpopup://CCPS/reject32326No
[21] clikpopup://CCPS/reject591No
[22] clikpopup://CCPS/reject9004No
[23] clikpopup://CCPS/reject9005No
[24] clikpopup://CCPS/Obese for at least thirty years within the 40 years before onset of colorectal adenoma
[25] clikpopup://CCPS/reject32327No
[26] clikpopup://CCPS/reject3407No
[27] clikpopup://CCPS/reject9006No
[28] clikpopup://CCPS/reject9005,9006No
[29] https://clik.dva.gov.au/ccpsclaimant-115
[30] clikpopup://CCPS/Cigar smoking
[31] clikpopup://CCPS/Ever smoked cigars
[32] clikpopup://CCPS/reject4915No
[33] clikpopup://CCPS/reject32300No
[34] clikpopup://CCPS/reject31972No
[35] https://clik.dva.gov.au/ccpsj008rc-3
[36] clikpopup://CCPS/reject32301No
[37] clikpopup://CCPS/reject32302No
[38] clikpopup://CCPS/reject4922No
[39] clikpopup://CCPS/Cigarette smoking
[40] clikpopup://CCPS/reject5803No
[41] https://clik.dva.gov.au/reasons-decision-247
[42] clikpopup://CCPS/reject22179No
[43] clikpopup://CCPS/reject32295No
[44] clikpopup://CCPS/reject32296No
[45] clikpopup://CCPS/reject3521No
[46] https://clik.dva.gov.au/ccpsother-31
[47] https://clik.dva.gov.au/node/72573
[48] clikpopup://CCPS/Reject/OnsetAfterService
[49] clikpopup://CCPS/Reject/NoPermanentWorsening
[50] clikpopup://CCPS/Colorectal adenoma/ACM %C2%96 contributed to worsening
[51] clikpopup://CCPS/ACM/NoContribution
[52] clikpopup://CCPS/ACM/NotOpService
[53] clikpopup://CCPS/ACM/NotOperDuties
[54] clikpopup://CCPS/ACM/NoIllness
[55] clikpopup://CCPS/reject7390,7391No
[56] clikpopup://CCPS/Colorectal adenoma/ACM %C2%96 onset prior to operational service
[57] clikpopup://CCPS/ACM/OnsetFailOper
[58] clikpopup://CCPS/ACM/NotEligService
[59] clikpopup://CCPS/ACM/NotEligDuties
[60] clikpopup://CCPS/Colorectal adenoma/ACM %C2%96 onset prior to eligible service
[61] clikpopup://CCPS/ACM/OnsetFailElig
[62] https://clik.dva.gov.au/ccpsclaimant-74
[63] https://clik.dva.gov.au/ccpsg006rc-7
[64] clikpopup://CCPS/Veteran was unable to undertake more than a mildly strenuous level of physical activity for 10 years
[65] clikpopup://CCPS/reject15457No
[66] clikpopup://CCPS/reject9861No
[67] clikpopup://CCPS/reject32320No
[68] clikpopup://CCPS/reject9863,14794No
[69] clikpopup://CCPS/Ill/inj materially contributed to inability to undertake more than a mildly strenuous level of physical activity for 20 years
[70] clikpopup://CCPS/reject32321No
[71] clikpopup://CCPS/reject32322No
[72] clikpopup://CCPS/reject14794No
[73] clikpopup://CCPS/Pipe smoking
[74] clikpopup://CCPS/Ever smoked pipe tobacco
[75] clikpopup://CCPS/reject4880No
[76] clikpopup://CCPS/reject32306No
[77] clikpopup://CCPS/reject32307No
[78] clikpopup://CCPS/reject32308No
[79] clikpopup://CCPS/reject32309No
[80] clikpopup://CCPS/reject4913No
[81] clikpopup://CCPS/Smoked cigarettes, pipe tobacco or cigars at some time
[82] clikpopup://CCPS/reject30303No
[83] clikpopup://CCPS/reject34922No
[84] clikpopup://CCPS/reject34924No
[85] clikpopup://CCPS/reject34926No
[86] clikpopup://CCPS/reject34923No
[87] clikpopup://CCPS/reject34925No
[88] clikpopup://CCPS/reject34927No