结肠镜符合性和诊断收益率在一个基于大量人口的结肠直肠癌查计划中的结肠镜
Xinzhu Zhao1,2, Shuyuan Wang2, Zhen Yuan2
1Department of Colorectal Surgery, Tianjin Union Medical Center, Tianjin, China.
International journal of colorectal disease
|September 12, 2023
概括
结肠镜检查对预防结肠直肠癌至关重要. 血,慢性腹和高等教育等因素影响参与CRC查计划.
科学领域:
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 结肠直肠癌 (CRC) 查对于二次预防至关重要.
- 了解影响结肠镜检查和先进腺瘤 (AA) 检测的因素对于优化查计划至关重要.
研究的目的:
- 在一个大规模的CRC查计划中调查与结肠镜合规性相关的因素.
- 在参与者中确定先进腺瘤 (AA) 存在的预测因素.
主要方法:
- 在40至75岁 (2012-2019) 的天津居民中进行了大规模的CRC查.
- 参与者填写了高风险因素问卷 (HRFQ),并接受了便免疫化学测试 (FIT).
- 建议进行结肠镜检查,以确定FIT的阳性结果,并使用后勤回归分析数据.
主要成果:
- 超过560万参与者接受了查,其中27.1%接受了结肠镜检查.
- 粘液含血的便,慢性腹和高等教育显著增加了结肠镜检查的遵守性.
- 先进的腺瘤与年龄较大 (70-75岁) 和积极的FIT结果有关.
结论:
- 迫切需要在以人口为基础的查中提高结肠镜合规率.
- 结果可以指导开发更有效的CRC查策略和干预措施.
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