强度内镜负担与食道癌检测的关联:全国性的队列研究
Yeunji Lee1,2, Eunyoung Lee3, Bumhee Park4
1Department of Medical Sciences, Graduate School of Ajou University, Suwon, Korea.
Gut and liver
|September 27, 2024
概括
在年底前,食道癌 (EC) 的内镜查增加与较低的检测率相关. 更高的内镜师工作量可能会影响早期EC诊断,突出需要有效管理查时间表.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
背景情况:
- 早期诊断食道癌 (EC) 是至关重要的,但具有挑战性.
- 全球内镜查频率正在上升,这可能会影响诊断性能.
- 本研究研究了查量与EC检测率之间的联系.
研究的目的:
- 评估内镜检查数量与食道癌检测率之间的关联.
- 分析年度不同时期EC检测的趋势.
主要方法:
- 使用韩国国家癌症查计划数据 (2015-2019) 进行了以人口为基础的回顾性研究.
- 包括超过3200万名40岁以上的参与者.
- 使用了负二项式回归和最小平方平均值的评估.
主要成果:
- 与Q1 (Jan-Mar) 相比,在Q4 (Oct-Dec) 观察到内镜显著增加.
- 与第一季度相比,食道癌检测率在第四季度下降了一半.
- 检测率在年底下降,最低的几率在11月.
结论:
- 由于年底的查数量增加,内镜师的工作量增加与EC检测减少有关.
- 这表明,查时间表管理可能是必要的,以保持诊断疗效.
- 优化查量可以改善食道癌的早期检测.
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