腔输管率:来自新罕布什尔州结肠镜注册表的数据
Alexander Miller1, Nima Kamalpour1, Lynn F Butterly1,2,3
1Division of Gastroenterology and Hepatology, Department of Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA.
iGIE : innovation, investigation and insights
|October 14, 2024
概括
在老年,女性或瘦身患者中,结肠镜完成率较低. 胃肠科医生专业和较高的腺瘤检测率提高了腔输管成功率,特别是在高危人群中.
科学领域:
- 胃肠病学 胃肠病学
- 医学统计 医学统计
背景情况:
- 结肠镜检查是结肠直肠癌查和诊断的一个关键程序.
- 腔输管,即将结肠镜完全插入腔,是结肠镜检查质量的衡量标准.
- 影响腔输管率的因素对于优化结肠镜检查结果至关重要.
研究的目的:
- 为了检查患者和内镜医生与结肠镜检查腔输管率相关的因素.
- 分析随着时间的推移,结肠镜完成率的趋势.
- 在特定患者群体中确定不完整结肠镜检查的预测因素.
主要方法:
- 来自新罕布什尔州结肠镜注册局 (NHCR) 的数据分析,其中包括143,095名患者 (≥40岁) 具有足够的肠道准备.
- 结肠镜检查完成率的分层按性别,体重指数 (BMI) 和年龄划分.
- 多变量分析以评估患者人口统计学,BMI,年龄,内镜专业和腺瘤检测率 (ADRs) 对腔输管的影响.
主要成果:
- 较低的内输管率与BMI <25,肥胖 (BMI ≥30) 和年龄较大有关.
- 男性的完成率高于女性 (OR, 1.46).
- 胃肠病学专业 (OR,1.78) 和ADR≥25% (OR,2.01) 与内输管的可能性增加有关.
- 内镜学因素预测了瘦女性的腔输管.
- 在对男性和肥胖患者的右侧结肠检查中,不完整的检查更常见.
结论:
- 患者的年龄,性别和BMI等因素显著影响结肠镜完成率,即使在对内镜变量进行调整后也是如此.
- 胃肠科医生的表现和较高的副作用与改善的管输管有关.
- 可能需要有针对性的策略来改善老年,女性,体重不足或肥胖患者的结肠镜完整性.
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