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

Showing content from http://www.ncbi.nlm.nih.gov/pubmed/28428142 below:

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

Affiliations

• ¹ Department of Gastroenterological Oncology, Maria-Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland; Department of Gastroenterology, Hepatology and Oncology, Medical Center for Postgraduate Education, Warsaw, Poland; Institute of Health and Society, University of Oslo, Oslo, Norway; Department of Cancer Prevention, Maria-Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland. Electronic address: mfkaminski@coi.waw.pl.
• ² Department of Gastroenterological Oncology, Maria-Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland; Department of Gastroenterology, Hepatology and Oncology, Medical Center for Postgraduate Education, Warsaw, Poland; Department of Cancer Prevention, Maria-Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland.
• ³ Department of Gastroenterological Oncology, Maria-Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland; Department of Gastroenterology, Hepatology and Oncology, Medical Center for Postgraduate Education, Warsaw, Poland.
• ⁴ National Cancer Registry of Poland, Maria-Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland.
• ⁵ Department of Cancer Prevention, Maria-Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland.
• ⁶ Department of Gastroenterology, Hepatology and Oncology, Medical Center for Postgraduate Education, Warsaw, Poland.
• ⁷ Department of Gastroenterology, Hepatology and Oncology, Medical Center for Postgraduate Education, Warsaw, Poland; Department of General, Endocrine and Transplant Surgery, Medical University of Gdansk-Invasive Medicine Centre, Gdansk, Poland.
• ⁸ Department of Gastroenterological Oncology, Maria-Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland.

• PMID: 28428142
• DOI: 10.1053/j.gastro.2017.04.006

Item in Clipboard

Michal F Kaminski et al. Gastroenterology. 2017 Jul.

• ¹ Department of Gastroenterological Oncology, Maria-Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland; Department of Gastroenterology, Hepatology and Oncology, Medical Center for Postgraduate Education, Warsaw, Poland; Institute of Health and Society, University of Oslo, Oslo, Norway; Department of Cancer Prevention, Maria-Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland. Electronic address: mfkaminski@coi.waw.pl.
• ² Department of Gastroenterological Oncology, Maria-Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland; Department of Gastroenterology, Hepatology and Oncology, Medical Center for Postgraduate Education, Warsaw, Poland; Department of Cancer Prevention, Maria-Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland.
• ³ Department of Gastroenterological Oncology, Maria-Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland; Department of Gastroenterology, Hepatology and Oncology, Medical Center for Postgraduate Education, Warsaw, Poland.
• ⁴ National Cancer Registry of Poland, Maria-Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland.
• ⁵ Department of Cancer Prevention, Maria-Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland.
• ⁶ Department of Gastroenterology, Hepatology and Oncology, Medical Center for Postgraduate Education, Warsaw, Poland.
• ⁷ Department of Gastroenterology, Hepatology and Oncology, Medical Center for Postgraduate Education, Warsaw, Poland; Department of General, Endocrine and Transplant Surgery, Medical University of Gdansk-Invasive Medicine Centre, Gdansk, Poland.
• ⁸ Department of Gastroenterological Oncology, Maria-Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland.

• PMID: 28428142
• DOI: 10.1053/j.gastro.2017.04.006

Item in Clipboard

Background & aims: The quality of endoscopists' colonoscopy performance is measured by adenoma detection rate (ADR). Although ADR is associated inversely with interval colorectal cancer and colorectal cancer death, the effects of an increasing ADR have not been shown. We investigated whether increasing ADRs from individual endoscopists is associated with reduced risks of interval colorectal cancer and subsequent death.

Methods: We performed a prospective cohort study of individuals who underwent a screening colonoscopy within the National Colorectal Cancer Screening Program in Poland, from January 1, 2004, through December 31, 2008. We collected data from 146,860 colonoscopies performed by 294 endoscopists, with each endoscopist having participated at least twice in annual editions of primary colonoscopy screening. We used annual feedback and quality benchmark indicators to improve colonoscopy performance. We used ADR quintiles in the whole data set to categorize the annual ADRs for each endoscopist. An increased ADR was defined as an increase by at least 1 quintile category, or the maintenance of the highest category in subsequent screening years. Multivariate frailty models were used to evaluate the effects of increased ADR on the risk of interval colorectal cancer and death.

Results: Throughout the enrollment period, 219 endoscopists (74.5%) increased their annual ADR category. During 895,916 person-years of follow-up evaluation through the National Cancer Registry, we identified 168 interval colorectal cancers and 44 interval cancer deaths. An increased ADR was associated with an adjusted hazard ratio for interval colorectal cancer of 0.63 (95% confidence interval [CI], 0.45-0.88; P = .006), and for cancer death of 0.50 (95% CI, 0.27-0.95; P = .035). Compared with no increase in ADR, reaching or maintaining the highest quintile ADR category (such as an ADR > 24.56%) decreased the adjusted hazard ratios for interval colorectal cancer to 0.27 (95% CI, 0.12-0.63; P = .003), and 0.18 (95% CI, 0.06-0.56; P = .003), respectively.

Conclusions: In a prospective study of individuals who underwent screening colonoscopy within a National Colorectal Cancer Screening Program, we associated increased ADR with a reduced risk of interval colorectal cancer and death.

Keywords: Colon Cancer; Early Detection; Efficacy; Tumor.

Copyright © 2017 AGA Institute. Published by Elsevier Inc. All rights reserved.

PubMed Disclaimer

• Serrated polyp detection and risk of interval post-colonoscopy colorectal cancer: a population-based study.

  van Toledo DEFWM, IJspeert JEG, Bossuyt PMM, Bleijenberg AGC, van Leerdam ME, van der Vlugt M, Lansdorp-Vogelaar I, Spaander MCW, Dekker E. van Toledo DEFWM, et al. Lancet Gastroenterol Hepatol. 2022 Aug;7(8):747-754. doi: 10.1016/S2468-1253(22)00090-5. Epub 2022 May 9. Lancet Gastroenterol Hepatol. 2022. PMID: 35550250

• Defining Benchmarks for Adenoma Detection Rate and Adenomas Per Colonoscopy in Patients Undergoing Colonoscopy Due to a Positive Fecal Immunochemical Test.

  Hilsden RJ, Bridges R, Dube C, McGregor SE, Naugler C, Rose SM, Rostom A, Heitman SJ. Hilsden RJ, et al. Am J Gastroenterol. 2016 Dec;111(12):1743-1749. doi: 10.1038/ajg.2016.449. Epub 2016 Oct 11. Am J Gastroenterol. 2016. PMID: 27725649

• Providing data for serrated polyp detection rate benchmarks: an analysis of the New Hampshire Colonoscopy Registry.

  Anderson JC, Butterly LF, Weiss JE, Robinson CM. Anderson JC, et al. Gastrointest Endosc. 2017 Jun;85(6):1188-1194. doi: 10.1016/j.gie.2017.01.020. Epub 2017 Jan 31. Gastrointest Endosc. 2017. PMID: 28153571 Free PMC article.

• Adenoma detection rate and risk of colorectal cancer.

  Wieszczy P, Regula J, Kaminski MF. Wieszczy P, et al. Best Pract Res Clin Gastroenterol. 2017 Aug;31(4):441-446. doi: 10.1016/j.bpg.2017.07.002. Epub 2017 Jul 6. Best Pract Res Clin Gastroenterol. 2017. PMID: 28842054 Review.

• Can I improve my adenoma detection rate?

  Chaptini L, Laine L. Chaptini L, et al. J Clin Gastroenterol. 2015 Apr;49(4):270-81. doi: 10.1097/MCG.0000000000000293. J Clin Gastroenterol. 2015. PMID: 25647725 Review.

• Linked Colour imaging for the detection of polyps in patients with Lynch syndrome: a multicentre, parallel randomised controlled trial.

  Houwen BBSL, Hazewinkel Y, Pellisé M, Rivero-Sánchez L, Balaguer F, Bisschops R, Tejpar S, Repici A, Ramsoekh D, Jacobs MAJM, Schreuder RM, Kaminski MF, Rupinska M, Bhandari P, van Oijen MGH, Koens L, Bastiaansen BAJ, Tytgat KM, Fockens P, Vleugels JLA, Dekker E. Houwen BBSL, et al. Gut. 2022 Mar;71(3):553-560. doi: 10.1136/gutjnl-2020-323132. Epub 2021 Mar 18. Gut. 2022. PMID: 34086597 Free PMC article. Clinical Trial.

• Clinical practice standards for colonoscopy.

  Hammami A, Elloumi H, Bouali R, Elloumi H. Hammami A, et al. Tunis Med. 2021 Octobre;99(10):952-960. Tunis Med. 2021. PMID: 35288895 Free PMC article. Review. English.

• The Natural History of Colorectal Polyps: Overview of Predictive Static and Dynamic Features.

  Pickhardt PJ, Pooler BD, Kim DH, Hassan C, Matkowskyj KA, Halberg RB. Pickhardt PJ, et al. Gastroenterol Clin North Am. 2018 Sep;47(3):515-536. doi: 10.1016/j.gtc.2018.04.004. Epub 2018 Jun 29. Gastroenterol Clin North Am. 2018. PMID: 30115435 Free PMC article. Review.

• Artificial intelligence in colonoscopy: A review on the current status.

  Larsen SLV, Mori Y. Larsen SLV, et al. DEN Open. 2022 Mar 23;2(1):e109. doi: 10.1002/deo2.109. eCollection 2022 Apr. DEN Open. 2022. PMID: 35873511 Free PMC article. Review.

• Newly-developed colonoscope (PCF-PQ260L) is useful for patients with difficult colons.

  Inoki K, Yamada M, Kuwabara H, Takamaru H, Sekiguchi M, Sakamoto T, Matsuda T, Saito Y. Inoki K, et al. Turk J Gastroenterol. 2019 Jul;30(7):630-635. doi: 10.5152/tjg.2019.18789. Turk J Gastroenterol. 2019. PMID: 31290751 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