结肠镜癌症检测率:一种新的绩效指标 - - 它是否符合目的?
Khalid Bashir1, Iosif Beintaris2, Linda Sharp3
1University Hospital of North Tees, Stockton-on-Tees, UK.
Frontline gastroenterology
|April 26, 2024
概括
实施便免疫化学测试 (FIT) 途径显著增加了结肠直肠癌 (CRC) 检测率,并减少了不必要的结肠镜检查. 这种基于FIT的方法改善了诊断结肠镜的性能和CRC查的资源利用.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 胃肠道症状与癌症诊断的相关性很差.
- 便免疫化学测试 (FIT) 为结直肠癌 (CRC) 检测提供了高灵敏度和负预测值.
- 基于FIT的诊断途径可以优化资源利用.
研究的目的:
- 利用国家内镜数据库 (NED) 数据,开发一种新的结肠镜检测性能指标,癌症检测率 (CDR).
- 评估基于FIT的转诊途径对CDR和结肠镜质量的影响.
主要方法:
- 分析了2019年 (路径前修订) 和2021年 (路径后修订) 的1,123,624次NED诊断结肠镜.
- 与同一时期的国家CDR基准相比,本地CDR的比较.
- 评估CRC检测和结肠镜检测量的变化.
主要成果:
- 当地CDR从3.01%显著增加到4.32% (p=0.003) 在FIT后的途径实施.
- 这一增长是由于CRC检测量增加了10%,结肠镜检查减少了25%.
- 国家CDR也增加了,但当地改善率明显更高.
结论:
- 一个经过审查的基于FIT的算法有效地增加了结肠镜CDR.
- CDR是一种有意义的绩效指标,用于监测转介和审查途径质量.
- 基于FIT的途径增强了对结肠镜检查的目标人群的识别.
关键词:
结肠直肠癌是什么意思相关概念视频
Endoscopic Procedures II: Colonoscopy
90
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
90
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
83
This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
83
Serum Laboratory Studies, Stool Test, Breath Test
342
Gastrointestinal (GI) diagnostic studies are pivotal in confirming, ruling out, diagnosing, or staging various diseases, including cancers. Following diagnosis, allocating time for discussions with the patient and providing informational resources is crucial. Diagnostic assessments of the GI tract often occur in outpatient settings like endoscopy suites or GI labs. Preparation for these tests may include dietary restrictions, fasting, liquid bowel preparations, laxatives, enemas, and the...
342
Assessment of the Rectum and Anus
205
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
205


