作为查效率的替代措施的整体息肉检测率独立于组织病理学:来自国家内镜数据库的证据
Mark Aloysius1, Hemant Goyal2, Tejas Nikumbh3
1Division of Gastroenterology, Department of Internal Medicine, SUNY Upstate Medical University, Syracuse, NY 13210, USA.
Life (Basel, Switzerland)
|June 27, 2024
概括
全息肉检测率 (PDR) 是查PDR的可靠替代品. 这项研究发现,整体PDR与查PDR可比,为结肠镜检查提供了务实的实时质量测量方法.
科学领域:
- 胃肠病学 胃肠病学
- 内镜质量指标 内镜质量指标
- 结肠直肠癌查 结肠直肠癌查
背景情况:
- 腺瘤检测率 (ADR) 的测量受到病理学报告依赖的阻碍.
- 断片检测率 (PDR) 被提议作为结肠镜质量的替代指标.
- 缺乏对整体PDR与仅查PDR的大规模比较.
研究的目的:
- 将查,监测和诊断结肠镜的PDR与整体PDR进行比较.
- 根据指示评估个人内镜师PDR之间的相关性.
- 确定整体PDR是否可以作为查PDR的替代品.
主要方法:
- 对前性收集的国家内镜数据库 (2009-2014) 的分析.
- 包括298,920次结肠镜 (110,794次查,83,556次监测,104,770次诊断) 在内.
- 对PDR中位数值的比较和指示与整体PDR之间的相关性分析.
主要成果:
- 查中位数PDR (25.45%) 与总体PDR中位数 (24.01%,p=0.21) 相似.
- 监测PDR (33.73%) 和诊断PDR (19.35%) 的中位数与整体PDR (p<0.01) 有显著差异.
- 在总体PDR和PDR之间观察到非常好的一致性 (r>0.85,p<0.01).
结论:
- 总体而言,PDR是查PDR的可靠和务实的替代品.
- 总体PDR可以实时测量,无论结肠镜的指示.
- 这一指标有助于实时评估内镜的质量.
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