估计与美国查结肠镜过度使用相关的可预防危害
Shannon Brownlee1, Alison N Huffstetler2, Joseph Fraiman3
1Milken School of Public Health, The George Washington University, Washington, District of Columbia.
在美国,每年有数以百万计的查结肠镜检查不必要地进行,导致了可预防的重大伤害. 遵守指导方针可以减少这些低价值的程序和相关风险.
科学领域:
- 胃肠病学 胃肠病学
- 预防医学 预防医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 查结肠镜过度使用发生在建议的年龄或间隔指南之外进行时.
- 美国过度使用查结肠镜的每年伤害发生率尚不清楚.
- 这项研究量化了低价值查结肠镜和相关的可预防的危害.
研究的目的:
- 估计美国低价值查结肠镜的年度发病率.
- 确定这些不必要的程序导致的可预防的严重和轻微伤害的数量.
主要方法:
- 利用2018年国家健康访谈调查估计年度查结肠镜检查.
- 从三个系统性审查中提取了结肠镜过度使用和危害的比率.
- 低价值手术和相关危害的计算发生率.
主要成果:
- 2018年,美国约有1240万次查结肠镜检查.
- 据估计,每年有210万到320万次低价值查结肠镜检查.
- 每年可预防的严重伤害从9055到11874,轻微伤害从359579到1566846不等.
结论:
- 在美国,查结肠镜检查经常在国家指导方针之外进行.
- 这种过度使用导致了大量不必要的严重和轻微伤害.
- 更好地遵守指南可以防止大量的不良事件.
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