胃肠道转化症的内镜监测:一个回顾性队列研究
Ji Yoon Yoon1, Erik Katcher2, Ella Cohen3
1Departments of Gastroenterology.
Journal of clinical gastroenterology
|July 23, 2024
概括
胃肠转化症 (GIM) 管理显示风险分层和差异较差. 西班牙裔患者的随访内镜的几率较高,而非西班牙裔黑人患者的几率较低.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 临床实践研究 临床实践研究
背景情况:
- 胃肠转化症 (GIM) 是一种已知的癌前疾病.
- 目前现实世界的临床实践遵守GIM指南并没有得到充分记录.
研究的目的:
- 评估遵守GIM风险分层协议的情况.
- 确定影响后续内镜推的因素.
主要方法:
- 在第三级医疗中心确认GIM的患者的回顾性图表审查.
- 收集的数据包括人口统计,H. pylori状态,活检细节和内镜随访.
- 多变量后勤回归分析了与随访内镜相关的因素.
主要成果:
- 在253名患者中,GIM数据 (范围,亚型) 经常缺失.
- 身体扩展的GIM与更高的随访内镜的几率有关.
- 与非西班牙裔白人患者相比,西班牙裔患者的机会增加了,而非西班牙裔黑人患者的随访内镜的机会减少了.
结论:
- 观察到GIM.的低于最佳风险分层.
- 在内镜监测实践中存在显著的种族和民族差异.
- 有针对性的干预措施是必要的,以提高GIM管理和减少差异.
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