消化管细胞采集装置和生物标志物测试,以确定高风险的巴雷特病患者,需要内镜检查
Siobhan Chien1,2, Paul Glen3, Ian Penman4
1School of Cancer Sciences, University of Glasgow, Glasgow, UK.
The British journal of surgery
|May 13, 2024
概括
消化管细胞采集装置 (OCCD) 测试有效地识别了需要紧急内镜的高风险巴雷特消化管患者. 这种方法有助于对患者进行分组,确保那些潜在的癌变患者得到及时的调查.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 诊断技术 诊断技术 诊断技术
背景情况:
- 巴雷特的食道监测对于早期癌症检测至关重要,但会给内镜服务带来负担.
- 由于COVID-19大流行,苏格兰加速采用食道细胞采集装置 (OCCD) 测试,用于巴雷特的监测.
- 在CytoSCOT计划中,评估了OCCD测试在识别高风险患者中的作用.
研究的目的:
- 评估OCCD测试作为巴雷特食道监测的分类工具的有效性.
- 为了确定OCCD测试是否成功识别需要紧急内镜检查的高风险患者.
- 评估OCCD测试在国家医疗保健环境中的实际性能.
主要方法:
- 一项全国实用性回顾性研究分析了32个月内来自11个苏格兰卫生局的3745名患者的数据.
- 包括的患者在12个月内接受了OCCD测试和内镜检查.
- 患者根据OCCD结果 (非典型和/或p53阳性) 和内透视组织病理学风险分层.
主要成果:
- 在608名接受后续内镜检查的患者中,8.2% (50/608) 患有高度发育不良或癌症.
- 在这些高风险病例中,有92% (46/50) 通过OCCD测试正确识别,引发紧急内镜检查.
- 在低风险组中,在OCCD后12个月内没有诊断出癌症,这表明有效的负面预测.
结论:
- 在现实环境中,OCCD测试作为巴雷特食道监测的有效分类工具.
- 它成功地识别了具有高风险发现的患者,使得优先进行内镜检查.
- 该研究支持将OCCD测试纳入常规监测协议,以优化资源配置和患者管理.
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