退伍军人的内镜粘膜切除后没有显示的预测因素:回顾性分析
Mahmoud Y Madi1, Yassine Kilani2, Hayden Rotramel2
1Gastroenterology, Saint Louis University School of Medicine, Saint Louis, USA.
Cureus
|January 27, 2025
概括
对于结直肠多瘤的内镜粘膜切除 (EMR) 后错过随访的患者往往有以前的不出现,精神问题或物质使用史. 识别这些高风险患者可以改善对关键监视预约的遵守.
科学领域:
- 胃肠病学 胃肠病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 内镜粘膜切除 (EMR) 对于大结肠直肠多的管理至关重要.
- 术后监测对于检测复发至关重要,但在患者的坚持方面面临挑战.
研究的目的:
- 确定EMR后错过的随访预约的人口,临床和社会经济预测因素.
- 为改善患者遵守监测协议的有针对性的策略提供信息.
主要方法:
- 针对结直肠多体进行EMR的患者的一项回顾性单中心研究 (2019年1月 - 2022年12月).
- 对预定内镜后续预约的不出现率的分析.
- 构建一个预测模型,以识别违规风险因素.
主要成果:
- 69名患者中有10名 (14.5%) 没有参加随访.
- 没有显示的关键预测因素包括先前没有显示的病史 (OR 3.8),随访间隔>6个月 (OR 3.5),精神病并发症 (OR 2.8) 和药物使用史 (OR 2.7).
结论:
- 以前的不显示,物质使用障碍和精神伴随性疾病是EMR后后续不遵守的重要风险因素.
- 针对高风险患者的有针对性的干预措施可以加强对基本监测的遵守.
- 较长的随访间隔 (>6个月) 与较高的无病率有关,因此需要进一步调查最佳监测计划.
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