对患有炎性肠病的患者遵守内镜监测指南:澳大利亚队列研究
Sherman Picardo1,2, Kannan Venugopal1, Wendy Cheng1,2
1Department of Gastroenterology and Hepatology, Royal Perth Hospital, Perth, Western Australia, Australia.
对于炎症性肠道疾病患者,对结直肠癌监测指南的遵守情况不佳,及时进行结直肠镜检查和使用染色内镜检查的比例较低. 建议改善临床医师的教育和培训.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 与普通人群相比,患有炎症性肠病 (IBD) 的患者面临着更高的结直肠癌 (CRC) 风险.
- 临床指南建议对IBD患者进行内镜监测,以早期检测IBD患者的硬质变化.
- 目前关于在临床实践中遵守这些监测指南的数据有限.
研究的目的:
- 评估在患有炎症性肠道疾病的患者中对结直肠癌遵守澳大利亚内镜监测指南.
- 评估监控程序的时间和使用先进技术,如染色内镜等.
主要方法:
- 一项对澳大利亚医院在2005年至2014年期间诊断出新的IBD患者的纵向初始队列研究.
- 持续跟踪至2022年12月,包括对遵守澳大利亚监控指南的评估.
- 对监督程序的时间建议和技术/质量措施的遵守情况的分析.
主要成果:
- 在136名IBD患者中,70%的患者在推时间内接受了首次监测结肠镜检查.
- 只有37%的患者完全遵守了有关手术时间的所有指导方针建议.
- 发育不良的检测率为10%,只有16%的监测程序使用了染色内镜.
结论:
- 遵守IBD患者的内镜监测指南,特别是关于手术时间和染色内镜的使用,是不理想的.
- 需要加强临床医生的教育和推广指南.
- 将染色内镜培训整合到国家结肠镜检查计划中,可以提高结肠镜检查的依从性.
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