在欧洲对结肠囊使用的评估-CAPTURE欧盟调查结果
Ian Io Lei1, Alexander Robertson2, Anastasios Koulaouzidis3,4,5,6
1Institute of Precision Diagnostics & Translational Medicine, University Hospital of Coventry and Warwickshire, Clifford Bridge Rd, Coventry CV2 2DX, UK.
Journal of clinical medicine
|January 11, 2025
概括
结肠囊内镜 (CCE) 的采用在欧洲有很大差异,尽管患者需要,但指导方针的包含和访问有限. 了解迹象和障碍对于未来的CCE开发至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 医疗技术 医疗技术 医学技术
- 手术创新 在外科创新.
背景情况:
- 结肠囊内镜 (CCE) 提供了一种非侵入性的结肠可视化方法.
- 临床采用CCE的速度很慢,欧洲的做法各不相同.
- 随着COVID-19大流行,人们对CCE的兴趣增加了,但其在标准GI调查中的作用仍然未被定义.
研究的目的:
- 调查欧洲胃肠外科医生和结肠直肠外科医生关于CCE的使用.
- 了解CCE在欧洲的应用和影响因素.
- 在临床实践中确定CCE在临床实践中采用的障碍物和促进因素.
主要方法:
- 通过iCARE集团向欧洲专家分发了一份基于网络的调查.
- 数据收集发生在2024年1月至7月.
- 该调查针对的是对囊内镜感兴趣的胃肠外科医生和结肠直肠外科医生.
主要成果:
- 从19个欧洲国家收到了38个有效的答案.
- 虽然88%的人有CCE访问权限,但只有45%的人有本地服务,7%的人在国家指南中.
- 常见的适应症包括衰退/不耐受结肠镜的患者 (30%); 77%的人更喜欢适合患者的CCE. 障碍:缺乏补偿,知识差距,研究使用有限. 专家的看法在很大程度上是负面的 (57%).
结论:
- 欧洲的CCE实践和采用因素存在显著差异.
- 确定常见的适应症和患者个人资料对于CCE的未来至关重要.
- 人工智能和远程医疗的进步可能会增强CCE在全面消化道可视化方面的潜力.
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