挪威西部四个内镜中心结肠镜检查表现的差异:病例组合的影响
Tom Andre Pedersen1,2,3, Trond Engjom1,4, Georg Gjorgji Dimcevski1,5
1Department of Medicine, Haukeland University Hospital, Bergen, Norway.
Endoscopy international open
|April 15, 2025
概括
患者的年龄和性别等因素显著影响结肠镜检查结果,包括多体检测和疼痛水平. 了解这种病例组合对于准确评估不同中心的结肠镜检查性能至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 临床研究 临床研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 无法修改的患者因素,称为病例组合 (年龄,性别,指示),可以影响结肠镜的性能.
- 评估结肠镜检查的质量需要考虑不同医疗中心患者群体的差异.
研究的目的:
- 调查患者病例组合如何影响结肠镜检查的关键性能指标.
- 分析病例组合对多体检测,管输管率和患者报告的中心水平疼痛的影响.
主要方法:
- 一项横截面研究分析了挪威西部四个中心 (2020-2021) 的14765次第一次结肠镜检查的数据.
- 绩效指标包括聚合物检测率 (PDR-5) 和阴茎输管率 (CIR).
- 分析的解释性变量是患者人口统计学,指示,肠道准备,禁食时间和镇静/止痛.
主要成果:
- 病例组合显著影响了结肠镜性能指标.
- 较高的息肉检测率 (PDR-5) 与年龄较大和男性性别有关.
- 阴茎输管率 (CIR) 随着年龄的增长而下降,男性报告疼痛减少.
结论:
- 患者病例组合是影响结肠镜检查性能指标的重要因素.
- 即使调整了案例组合和其他已知的因素后,中心水平的性能变化仍然存在.
- 考虑患者病例组合对于公平准确地评估结肠镜检查质量至关重要.
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