胃肠科医生临床实践的重点影响了查结肠镜检查中的腺瘤检测
Hadie Razjouyan1, Myunghoon Kim, John Levenick
1Division of Gastroenterology and Hepatology, Penn State University, 500 University Drive, Hershey, PA.
胃肠病学子专业重点显著影响结肠镜检查的质量,在炎症性肠病和干预性内镜专家中观察到更高的腺瘤检测率. 患者的性别和戒烟时间也会影响检测率,这凸显了专业实践的重要性.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 癌症查 癌症查
背景情况:
- 结肠镜质量指标,特别是腺瘤检测 (AD),对于有效的结肠直肠癌查至关重要.
- 胃肠科医生子专业专注于这些质量指标的影响仍然是一个需要进一步研究的领域.
研究的目的:
- 评估胃肠病学家的临床子专业重点是否影响腺瘤检测 (AD) 和腺瘤/状多 (SSP) 在查结肠镜检测期间的检测率.
主要方法:
- 在2010年至2020年期间,对5271次查结肠镜进行了回顾性分析.
- 胃肠科医生按子专业分类:一般/运动性,肝病学,炎症性肠病 (IBD) 和干预性内镜.
- 使用回归分析,跨专业的腺瘤检测 (AD) 和联合腺瘤/SSP检测 (AD+SSP) 率进行了比较.
主要成果:
- 在炎症性肠病 (IBD) 和干预性内镜专家中,与一般/机动性和肝病学专家相比,观察到较高的AD和AD+SSP率.
- 改善AD的独立预测因素包括男性患者的性别,更长的戒断时间和子专业重点 (肝病学,IBD,干预内镜).
- 与改善AD+SSP检测相关的因素包括男性患者的性别,可接受的肠道准备,更长的禁食时间和子专业重点 (肝病学,IBD,干预内镜).
结论:
- 胃肠科医生子专业重点是影响瘤检测率在查结肠镜检查期间的一个重要因素.
- 临床实践的重点,以及患者的男性性别,肠道准备质量和退出时间,是结肠镜质量的重要决定因素.
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