图像的最佳数量和2年间隔在查食道胃道透镜中影响癌症检测:一项观察性研究
Kazuhiro Ksahiwagi1,2, Toshifumi Yoshida1, Kayoko Fukuhara1
1Center for Preventive Medicine, Keio University, Tokyo, Japan.
Medicine
|June 28, 2024
概括
更短的食管胃管腺镜检查时间和更少的图像可能会减少上胃肠道癌症的检测. 最佳的图像计数和2年查间隔是检测UGI癌症的关键质量指标.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 改善医疗质量 改善医疗质量
背景情况:
- 上部胃肠道 (UGI) 癌症的检测在很大程度上依赖于食道胃管腺镜 (EGD) 的质量.
- 确定EGD可靠的质量指标对于提高癌症检测率至关重要.
研究的目的:
- 为了确定食道胃管腺镜 (EGD) 检测上部胃肠道 (UGI) 癌症的质量指标.
- 分析EGD检查时间,图像数量和UGI癌症检测率之间的关联.
主要方法:
- 由12名经验丰富的内镜师进行的42,387次EGD检查的回顾性分析.
- 内镜医生分为快速/缓慢 (检查时间) 和小/大 (图像数) 组.
- 多变量分析,以评估检查时间和图像数量对UGI癌症检测的影响.
主要成果:
- 检查时间较短或图像较少的内镜患者的UGI癌症检测率较低 (P < .05).
- 重复内镜检查的2年间隔显示,癌症检测率高于更长的间隔.
- 不到35张胃图像与下胃癌检测相关 (P < .001).
结论:
- 检查时间和图像数量是EGD在UGI癌症查中的重要质量指标.
- 建议进行最佳的图像计数 (例如,总计50张,胃35张) 和两年查间隔.
- 标准化EGD质量指标可以提高UGI早期癌症检测.
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