主要语言对早期复杂查,结肠镜检查的影响
Anthony Kerbage1, Sara F Haddad1, Danah Al Deiri1
1Department of Internal Medicine, Cleveland Clinic.
Journal of clinical gastroenterology
|September 17, 2025
概括
主要语言不是英语 (NEPL) 的患者更有可能在一年内需要重复结肠镜检查. 这可能表明NEPL患者的结直肠癌 (CRC) 检测风险更高,这表明需要针对语言量身定制的干预措施.
科学领域:
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 在肠道准备不足后,建议重复结肠镜检查,以防止错过的晚期瘤.
- 主要语言对早期重复结肠镜检查风险的影响尚不清楚.
- 研究语言作为结肠镜检查后续的因素对于公平的医疗保健至关重要.
研究的目的:
- 为了比较在一年内重复结肠镜检查的患者,其主要语言不是英语 (NEPL) 和英语患者 (EPL) 的比例.
- 评估初级语言与重复结肠镜检测结肠直肠多和癌症之间的关联.
主要方法:
- 利用TrinetX研究网络数据库分析查结肠镜数据.
- 员工倾向分数匹配 (PSM) 控制与排便准备质量相关的混因素.
- 使用95%置信区间 (CI) 计算的几率比率 (OR) 来比较NEPL和EPL队列之间的结果.
主要成果:
- 与英语主要语言患者 (EPL) 相比,非英语主要语言患者 (NEPL) 在一年内接受重复结肠镜检查的几率更高 (OR:1.49).
- 在重复结肠镜检测的多体检测率在两组之间是相似的.
- 在重复结肠镜检查时,NEPL患者的结肠直肠癌 (CRC) 检测几率明显更高 (OR: 1.4).
结论:
- 除英语以外的主要语言的患者更有可能需要早期重复结肠镜检查.
- 虽然不常见,但NEPL组的结直肠癌检测率更高,突出了潜在的差异.
- 专注于改善肠道准备的语言定制干预措施可以减少重复程序,并提高CRC查对不同人群的有效性.
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