内镜医生对结肠镜检查插入阶段的满意度是检测结肠直肠息肉的潜在质量指标:倾向性得分匹配研究
Fumiaki Ishibashi1,2, Sho Suzuki1, Kentaro Mochida1
1Department of Gastroenterology, International University of Health and Welfare Ichikawa Hospital, Chiba, Japan.
结肠镜镜镜片插入期间内镜师的满意度与更好的多检测有关. 较高的满意度得分预测了多检测率 (PDR) 和腺瘤检测率 (ADR) 的增加.
科学领域:
- 胃肠病学 胃肠病学
- 改善医疗质量 改善医疗质量
背景情况:
- 内镜师的疲劳和难以插入视野镜会对结肠镜质量产生负面影响.
- 在结肠镜插入阶段探索质量指标至关重要.
研究的目的:
- 调查结肠镜镜片插入期间内镜师满意度与多检测率 (PDR) 之间的关系.
主要方法:
- 在2019年4月至2022年12月的结肠镜数据上使用倾向分数匹配 (PSM) 的比较研究.
- 在插入过程中记录了内镜师的满意度 (高与低);在PSM后比较了PDR和腺瘤检测率 (ADR).
主要成果:
- 插入过程中的高内镜师满意度是多体检测的独立预测因子 (OR 1.79).
- 在PSM之后,高满意度组与低满意度组相比,显著更高的PDR (49.5%对36.6%) 和ADR (35.1%对27.1%) 和ADR (35.1%对27.1%).
结论:
- 在结肠镜插入阶段内镜师的满意度是检测多的重要预测因素.
- 改善插入体验可能会提高查结肠镜检查的质量.
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