2012年至2018年,苏格兰的结肠镜后癌症率:基于人口的队列研究
Jack Winter1, Gavin Clark2, Robert Steele3
1Department of Gastroenterology, Glasgow Royal Infirmary, Glasgow, UK.
概括
苏格兰的结肠镜后结肠直肠癌 (PCCRC) 率在2012-2018年期间保持不变. 肠道查结肠镜的PCCRC率较低,但落后于英国,表明需要提高质量.
科学领域:
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
- 在瘤学瘤学.
背景情况:
- 结肠镜后结肠直肠癌 (PCCRC) 是评估结肠镜有效性的关键指标.
- 在国家医疗保健系统中评估PCCRC率对于质量改善和患者安全至关重要.
研究的目的:
- 为了量化2012-2018年NHS苏格兰的PCCRC率.
- 为了比较PCCRC发病率在不同的健康委员会和转诊流.
- 将苏格兰的PCCRC率与国际数据进行比较.
主要方法:
- 使用NHS苏格兰数据 (2012-2018) 进行基于人口的队列研究.
- 包括在结肠镜检查后3年内被诊断患有结肠直肠癌的个人.
- 分析了国家趋势,查与非查路线以及区域差异.
主要成果:
- 整体未经调整的3年PCCRC率为7.9%,没有显著的年度变化.
- 在苏格兰肠癌查计划中,PCCRC的发病率较低 (6.7%),而非查 (8.3%).
- 卫生委员会之间存在显著的差异;女性,老年患者和IBD或分节性疾病患者的发病率更高.
结论:
- 在2012-2018年期间,在苏格兰没有观察到PCCRC率的改善.
- 虽然查结肠镜显示出更好的结果,但它们与英格兰NHS相比不利,这表明在培训和选择方面存在潜在问题.
- 质量改善举措对于提高结肠镜检查结果和确保全国范围内的公平获取至关重要.
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