在食道状细胞癌的内镜诊断中,评估基于证据和社区标准实践之间的差异:一项调查研究
Ryu Ishihara1, Takuto Hikichi2, Yugo Iwaya3
1Department of Gastrointestinal Oncology, Osaka International Cancer Institute, 3-1-69 Otemae, Chuo-ku, Osaka City, Osaka, 541-8567, Japan. ryu1486@gmail.com.
Esophagus : official journal of the Japan Esophageal Society
|September 23, 2024
概括
内镜医生在诊断食道状细胞癌 (ESCC) 方面表现出多样化的做法,基于证据的指导方针和现实世界的应用之间存在重大差距. 解决这些差异对于改善患者护理至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 医学实践分析 医学实践分析
背景情况:
- 食道状细胞癌 (ESCC) 的内镜诊断往往偏离基于证据的标准.
- 导致这些差异的因素包括证据传播不良和上下文不匹配.
研究的目的:
- 识别和量化基于证据的和社区标准实践之间的差异ESCC诊断在内镜医生之间.
主要方法:
- 一项在线调查分发给每周进行上部胃肠内镜的内镜医生.
- 该调查包括关于ESCC诊断实践的20个问题.
- 用描述性统计和物流回归分析了数据.
主要成果:
- 分析了819名内镜师的数据,揭示了窄带成像/蓝色激光成像与染的多样化使用.
- 大多数内镜 (64.0%) 使用1%或更少的溶液; 96.5%观察高风险患者的口腔/喉.
- 甲时性ESCC和转移性复发的常见监测间隔为6个月或12个月.
结论:
- 在内镜ESCC诊断中,基于证据的和社区标准的实践之间存在显著的差距.
- 需要更好地传播基于证据的指导方针.
- 必须考虑现实世界的临床背景,以弥合实践差距并提高患者护理.
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