在结肠镜检查期间影响腺瘤检测的内镜相关因素:来自J-SCOUT研究的数据
Takuji Kawamura1, Masau Sekiguchi2,3, Hiroyuki Takamaru2
1Department of Gastroenterology, Kyoto Second Red Cross Hospital, Kyoto, Japan.
结肠镜插入时间,而不仅仅是退出时间,与腺瘤检测率 (ADR) 有关. 更长的插入时间与较低的ADR相关,这表明它是一个关键的质量指标.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 提高质量 提高质量
背景情况:
- 结肠镜抽取时间是腺瘤检测率 (ADR) 的公认基准.
- 结肠镜插入时间对ADR的影响不太清楚.
- 优化程序指标对于提高结肠癌查效率至关重要.
研究的目的:
- 调查内镜师特定的结肠镜插入和抽出时间和腺瘤检测率 (ADR) 之间的关联.
- 为了确定影响ADR的内镜相关因素.
- 评估插入时间作为结肠镜检查中的质量指标的潜力.
主要方法:
- 使用日本机构的结肠镜数据库进行的观察性研究.
- 分析了由189名内镜师进行的47705次结肠镜检查.
- 用于计算内镜医生相关因素和ADR的几率比率 (OR) 的通用线性混合模型.
主要成果:
- 总体而言,ADR为38.3%.
- 增加的平均切卡插入时间 (5-9分钟,10-14分钟,≥15分钟) 与明显较低的副作用相关 (OR分别为0.84,0.68,0.45).
- 增加的平均戒断时间 (6-9分钟,10-14分钟,≥15分钟) 与显著更高的副作用相关 (OR分别为1.38,1.48,1.68).
结论:
- 个人平均结肠镜插入时间与ADR显著相关.
- 插入和抽出时间都应被视为结肠镜检查的质量指标.
- 进一步的研究可能会完善插入时间在质量评估中的作用.
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