Home - News ( United States | United Kingdom | Italy | Germany ) - Football scores

Showing content from http://www.ncbi.nlm.nih.gov/pubmed/20463339 below:

Quality indicators for colonoscopy and the risk of interval cancer

Affiliations

• ¹ Department of Gastroenterology, Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland.

• PMID: 20463339
• DOI: 10.1056/NEJMoa0907667

Item in Clipboard

Michal F Kaminski et al. N Engl J Med. 2010.

• ¹ Department of Gastroenterology, Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland.

• PMID: 20463339
• DOI: 10.1056/NEJMoa0907667

Item in Clipboard

Background: Although rates of detection of adenomatous lesions (tumors or polyps) and cecal intubation are recommended for use as quality indicators for screening colonoscopy, these measurements have not been validated, and their importance remains uncertain.

Methods: We used a multivariate Cox proportional-hazards regression model to evaluate the influence of quality indicators for colonoscopy on the risk of interval cancer. Data were collected from 186 endoscopists who were involved in a colonoscopy-based colorectal-cancer screening program involving 45,026 subjects. Interval cancer was defined as colorectal adenocarcinoma that was diagnosed between the time of screening colonoscopy and the scheduled time of surveillance colonoscopy. We derived data on quality indicators for colonoscopy from the screening program's database and data on interval cancers from cancer registries. The primary aim of the study was to assess the association between quality indicators for colonoscopy and the risk of interval cancer.

Results: A total of 42 interval colorectal cancers were identified during a period of 188,788 person-years. The endoscopist's rate of detection of adenomas was significantly associated with the risk of interval colorectal cancer (P=0.008), whereas the rate of cecal intubation was not significantly associated with this risk (P=0.50). The hazard ratios for adenoma detection rates of less than 11.0%, 11.0 to 14.9%, and 15.0 to 19.9%, as compared with a rate of 20.0% or higher, were 10.94 (95% confidence interval [CI], 1.37 to 87.01), 10.75 (95% CI, 1.36 to 85.06), and 12.50 (95% CI, 1.51 to 103.43), respectively (P=0.02 for all comparisons).

Conclusions: The adenoma detection rate is an independent predictor of the risk of interval colorectal cancer after screening colonoscopy.

2010 Massachusetts Medical Society

PubMed Disclaimer

• Increased Rate of Adenoma Detection Associates With Reduced Risk of Colorectal Cancer and Death.

  Kaminski MF, Wieszczy P, Rupinski M, Wojciechowska U, Didkowska J, Kraszewska E, Kobiela J, Franczyk R, Rupinska M, Kocot B, Chaber-Ciopinska A, Pachlewski J, Polkowski M, Regula J. Kaminski MF, et al. Gastroenterology. 2017 Jul;153(1):98-105. doi: 10.1053/j.gastro.2017.04.006. Epub 2017 Apr 17. Gastroenterology. 2017. PMID: 28428142

• Adenoma detection rates in an opportunistic screening colonoscopy program in Iran, a country with rising colorectal cancer incidence.

  Delavari A, Bishehsari F, Salimzadeh H, Khosravi P, Delavari F, Nasseri-Moghaddam S, Merat S, Ansari R, Vahedi H, Shahbazkhani B, Saberifiroozi M, Sotoudeh M, Malekzadeh R. Delavari A, et al. BMC Gastroenterol. 2014 Nov 18;14:196. doi: 10.1186/s12876-014-0196-8. BMC Gastroenterol. 2014. PMID: 25404264 Free PMC article.

• High quality of screening colonoscopy in Austria is not dependent on endoscopist specialty or setting.

  Kozbial K, Reinhart K, Heinze G, Zwatz C, Bannert C, Salzl P, Waldmann E, Britto-Arias M, Ferlitsch A, Trauner M, Weiss W, Ferlitsch M. Kozbial K, et al. Endoscopy. 2015 Mar;47(3):207-16. doi: 10.1055/s-0034-1390910. Epub 2014 Nov 20. Endoscopy. 2015. PMID: 25412094

• Colonoscopy quality assessment.

  Fayad NF, Kahi CJ. Fayad NF, et al. Gastrointest Endosc Clin N Am. 2015 Apr;25(2):373-86. doi: 10.1016/j.giec.2014.11.008. Epub 2015 Jan 2. Gastrointest Endosc Clin N Am. 2015. PMID: 25839691 Review.

• [Interval colon cancer and possible causes].

  Bechtler M, Eickhoff A, Riemann JF. Bechtler M, et al. Dtsch Med Wochenschr. 2008 Nov;133(47):2458-62. doi: 10.1055/s-0028-1100939. Epub 2008 Nov 12. Dtsch Med Wochenschr. 2008. PMID: 19006045 Review. German.

• Implementing visual cues to improve the efficacy of screening colonoscopy: exploiting the Hawthorne effect.

  Then EO, Brana C, Dadana S, Maddika S, Ofosu A, Brana S, Wexler T, Sunkara T, Culliford A, Gaduputi V. Then EO, et al. Ann Gastroenterol. 2020 Jul-Aug;33(4):374-378. doi: 10.20524/aog.2020.0491. Epub 2020 May 10. Ann Gastroenterol. 2020. PMID: 32624657 Free PMC article.

• Endoscopist's Satisfaction with the Insertion Phase of Colonoscopy Is a Potential Quality Indicator for Colorectal Polyp Detection: A Propensity Score Matching Study.

  Ishibashi F, Suzuki S, Mochida K, Nagai M, Kobayashi K, Kawakami T, Morishita T. Ishibashi F, et al. Turk J Gastroenterol. 2024 Mar 12;35(6):488-496. doi: 10.5152/tjg.2024.23508. Turk J Gastroenterol. 2024. PMID: 39114910 Free PMC article.

• Faecal immunochemical test after negative colonoscopy may reduce the risk of incident colorectal cancer in a population-based screening programme.

  Peng SM, Hsu WF, Wang YW, Lin LJ, Yen AM, Chen LS, Lee YC, Wu MS, Chen TH, Chiu HM. Peng SM, et al. Gut. 2021 Jul;70(7):1318-1324. doi: 10.1136/gutjnl-2020-320761. Epub 2020 Sep 28. Gut. 2021. PMID: 32989019 Free PMC article.

• Trends in Detection of Adenoma and Sessile Serrated Lesions Over a Decade in a Community-Based Healthcare System.

  Liang SY, Oscarson B, Kenkare P, Yan SX, Mudiganti S, Martinez MC, Huang ES. Liang SY, et al. Clin Transl Gastroenterol. 2024 Mar 1;15(3):e00683. doi: 10.14309/ctg.0000000000000683. Clin Transl Gastroenterol. 2024. PMID: 38270213 Free PMC article.

• HyperKvasir, a comprehensive multi-class image and video dataset for gastrointestinal endoscopy.

  Borgli H, Thambawita V, Smedsrud PH, Hicks S, Jha D, Eskeland SL, Randel KR, Pogorelov K, Lux M, Nguyen DTD, Johansen D, Griwodz C, Stensland HK, Garcia-Ceja E, Schmidt PT, Hammer HL, Riegler MA, Halvorsen P, de Lange T. Borgli H, et al. Sci Data. 2020 Aug 28;7(1):283. doi: 10.1038/s41597-020-00622-y. Sci Data. 2020. PMID: 32859981 Free PMC article.

RetroSearch is an open source project built by @garambo | Open a GitHub Issue

Search and Browse the WWW like it's 1997 | Search results from DuckDuckGo

HTML: 3.2 | Encoding: UTF-8 | Version: 0.7.3