在澳大利亚的新的初级HPV查中,结肠镜检查的性能:如何确定结肠镜检查能力?
Jeffrey H J Tan1,2, Deborah Neesham1, Rebecca A Szabo1,2
1Department of Oncology & Dysplasia, The Royal Women's Hospital, Melbourne, Victoria, Australia.
概括
在六个月内早期检测CIN2+是澳大利亚新的HPV宫查程序中,对结肠镜能力的关键指标. 该指标有助于评估有效识别高风险病变的表现.
科学领域:
- 妇科 妇科医生 妇科
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 澳大利亚的主要子宫部查计划现在使用人类乳头瘤病毒 (HPV) 测试.
- 评估结肠镜的性能对于确保方案的有效性和患者安全至关重要.
研究的目的:
- 在新的澳大利亚HPV宫部查计划中评估结肠镜的性能.
- 为了确定可靠的指标,科尔波斯科普能力.
主要方法:
- 在4542名女性的回顾性观察研究中,在高风险HPV测试后接受了结肠镜检查.
- 2017年12月至2020年7月期间从皇家妇女医院大肠镜诊所收集的数据.
主要成果:
- 组织学CIN2+在两年内检测到25.1%的女性,在六个月内诊断出86.7%.
- 结肠镜检查的准确率为84.5%,但高等级印记的积极预测值平均为66.4%.
- 六个月内早期检测率与能力相关,与活检率或整体准确性不同.
结论:
- 在六个月内早期检测到CIN2+的率是对科尔波斯科比能力的一个有价值的衡量标准.
- 美国国家癌症查注册应该考虑这个指标来评估镜师.
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