与丹麦结肠直肠癌查计划的便免疫化学测试阳性参与者的阴性结肠镜相关的因素 - - 一项基于人口的研究
Lea Østergaard Hansen1, Mathias Benjamin Fürst1, Thomas Bjørsum-Meyer1,2
1Department of Surgery, Odense University Hospital, Odense, Denmark.
概括
在FIT阳性个体中,阴性结肠镜的预测因素包括胃肠道出血情况,较低的便免疫化学测试 (FIT) 度和女性性别. 这些因素可能会为个性化结肠直肠癌查方法提供信息.
科学领域:
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
- 癌症查 癌症查
背景情况:
- 丹麦结肠直肠癌查计划 (DCCSP) 的参与者中有37%的便免疫化学测试 (FIT) 结果为阳性,结肠镜检查结果为阴性.
- 识别阴性结肠镜检查的预测因素可以优化查方案.
研究的目的:
- 在丹麦结肠直肠癌查计划 (DCCSP) 的参与者中确定阴性结肠镜检查的预测因子,这些参与者有阳性便免疫化学测试 (FIT).
主要方法:
- 来自丹麦结肠直肠癌查数据库的73,655名FIT阳性参与者的分析.
- 将查结果与国家卫生登记处联系起来.
- 多变量逻辑回归分析以识别预测因素并报告赔率比率 (OR).
主要成果:
- 与胃肠道出血相关的疾病 (如裂,,IBD) 显著增加了阴性结肠镜检查的可能性 [OR 2.77].
- 较低的FIT度与更高的阴性结肠镜的概率有关,随着度的增加,ORs会减少.
- 与男性相比,女性的阴性结肠镜检查的概率是男性的1.64倍.
结论:
- 基线胃肠道出血情况,低FIT度和女性性别与DCCSP的阴性结肠镜有关.
- 这些发现表明了个性化查方法的潜力,根据个体风险因素区分诊断方式.
- 纳入这些预测因素可以提高参与者的体验,提高医疗保健系统的效率.
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