在日本使用大规模健康声明数据的结肠镜的患病率与食管胃管腺镜相比较
Naohisa Yoshida1, Ayako Maeda-Minami2, Hideki Ishikawa3
1Department of Molecular Gastroenterology and Hepatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-Cho, Kawaramachi-Hirokoji, Kamigyo-Ku, Kyoto, 602-8566, Japan. naohisa@koto.kpu-m.ac.jp.
Journal of gastroenterology
|March 11, 2024
概括
在日本,结肠镜检查 (CS) 的患病率正在上升,而食管胃肠镜检查 (EGD) 的患病率保持稳定. 这项研究比较了大量日本人群中CS和EGD的使用情况,突出了内镜手术的趋势.
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) 查和预防是重要的公共卫生倡议.
- 结肠镜 (CS) 是对抗CRC的关键对策,需要了解其患病率.
- 消化管胃管腺镜 (EGD) 是另一种常见的内镜手术,可能有重叠的指示或患者群体.
研究的目的:
- 为了比较大肠镜检查 (CS) 与食管胃肠镜检查 (EGD) 在日本的患病率和趋势.
- 分析大规模数据以了解这些内镜手术的利用模式.
- 为了解日本医疗保健领域中CS和EGD的现状提供见解.
主要方法:
- 一项回顾性描述性研究,利用来自日本医疗保险公司 (JMDC, Inc.) 的大规模,商业化匿名患者数据.
- 数据包括保险登记,收据 (住院,门诊,处方) 和2012年1月至2019年12月的健康检查记录.
- 分析的重点是2,760,048个50-75岁的个人,计算了CS和EGD的年率,流行率和重复率.
主要成果:
- 年度CS利率从2012年的3.4%逐步增加到2019年的5.3%,而EGD利率保持相对稳定 (7.0%至7.4%).
- 在8年内,CS的患病率为25.3%,而EGD的患病率为36.2%,在137246名参与者中.
- 两种手术的患病率随着年龄的增长而增加,CS显示男性接受手术的比例高于女性,而EGD的性别分布更为平衡. 在这两种程序中,重复率相似 (40.3%用于CS,44.8%用于EGD).
结论:
- 在日本,结肠镜的患病率正在增加,这表明对CRC查和预防的采用越来越多.
- 消化管胃管透镜的使用仍然相对稳定,这表明在临床实践中具有不同的或确定的作用.
- 这项大规模研究提供了对日本内镜手术现状的全面概述,为公共卫生战略和临床指南提供了信息.
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