提供者遵守2020年美国多社会工作组指南,以监测经过结肠镜检查后的多重切除术
Benjamin E Cassell1, Katherine Scholand1, Wyatt Tarter2
1Division of Gastroenterology and Hepatology - The University of Colorado School of Medicine; Aurora, Colorado.
在切除多胞胎后遵守2020年结肠直肠癌监测指南的比例为85%. 诸如多体大小和类型等因素影响了坚持,在2020年9月潜在的准则采用转变点.
科学领域:
- 胃肠病学 胃肠病学
- 临床医学 临床医学
- 公共卫生 公共卫生
背景情况:
- 2020年美国结肠直肠癌指导方针的多社会工作组更新了多角切除术后的监测间隔.
- 评估遵守这些新指南对于有效预防结直肠癌至关重要.
研究的目的:
- 在一个学术医疗中心评估2020年结肠直肠癌监测指南的遵守率.
- 为了确定患者和程序相关的不遵守更新的指南的预测因素.
主要方法:
- 在2020年1月至2021年6月期间,回顾性分析了2020年1月至2021年6月期间的多角切除 (1-4个小息肉<10毫米) 的平均风险查结肠镜检查.
- 用多变量逻辑回归和贝叶斯变化点分析来确定依从性变化的预测因素和时间.
- 多项逻辑回归检查了指导方针建议内的变异性预测因素.
主要成果:
- 在分析的1026个程序中,对2020年指南的总体遵守率为85%.
- 不粘附与增加的多体大小,混合的多体组织学 (管状腺瘤和超塑性),患者年龄和多体数量有关.
- 贝叶斯变化点分析表明,在2020年9月2日左右,坚持度可能会发生转变.
结论:
- 遵守2020年结直肠癌监测指南的程度很高,但受到特定临床因素的影响.
- 了解不遵守的预测因素可以帮助优化指导方针的实施并改善患者的治疗结果.
- 坚持的潜在转变点表明了准则采用和调整的时期.
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