...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Endoscopy International Open >Adenomas per colonoscopy and adenoma per positive participant as quality indicators for screening colonoscopy
【24h】

Adenomas per colonoscopy and adenoma per positive participant as quality indicators for screening colonoscopy

机译：每种结肠镜检查的腺瘤和每种阳性参与者的腺瘤作为筛选结肠镜检查的质量指标

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background and study aims?Adenomas per colonoscopy (APC) and adenomas per positive patient (APP) have been proposed as additional quality indicators but their association with adenoma detection rate (ADR) is not well studied. The aim of our study was to evaluate the variability in APC and APP, their association with ADR, and associated risk factors in screening colonoscopies from a community practice. Patients and methods?We calculated the APC, APP, and ADR from all screening colonoscopies performed over 5 years. We used adjusted hierarchical logistic regression to assess the association of factors with APC, APP, and ADR. Results?There were 80,915 screening colonoscopies by 60 gastroenterologists. The median (Q1-Q3) APC, APP, and ADR were 0.41 (0.36?–?0.53), 1.33 (1.23?–?1.40), and 0.32 (0.28?–?0.38), respectively. Despite the high correlation between APC and ADR, 47.6?% of endoscopists with the lowest APC had a higher ADR, and no endoscopists with the highest APC had a lower ADR. Of endoscopists with the lowest APP, 74.3?% had a higher ADR and 5.6?% of endoscopists with the highest APP had a lower ADR. Factors associated with higher APC after multivariable adjustment included: older patients age (OR 1.003; 95?% CI 1.002?–?1.005), male patients (OR 1.123; 95?% CI 1.090?–?1.156), younger endoscopist age (OR 0.943; 95?% CI 0.941?–?0.945), and longer withdrawal time (OR 3.434; 95?% CI 2.941?–?4.010). Factors associated with higher APP were male sex, younger endoscopist age, and longer withdrawal time. Conclusion?APC and APP provides additional information about endoscopist performance. Younger endoscopist age and longer withdrawal time are associated with colonoscopy quality.
机译：背景和研究旨在？每种结肠镜检查（APC）和每阳性患者（APP）的腺瘤作为额外的质量指标，但它们与腺瘤检测率（ADR）的关联并未得到很好的研究。我们的研究目的是评估APC和APP的可变性，它们与ADR的关联以及从社区实践中筛查结肠镜检查的相关危险因素。患者和方法？我们计算了APC，APP和ADR，所有筛选的结肠镜检查超过5年。我们使用调整后的分层逻辑回归来评估APC，APP和ADR的因素协会。结果？60个胃肠学家筛选出80,915次筛选结肠镜。中位数（Q1-Q3）APC，APP和ADR分别为0.41（0.36？ - →0.53），1.33（1.23？ - ？1.40），0.32（0.28？ - ？0.38）。尽管APC和ADR之间的高相关性，但具有最低APC的47.6倍的内窥镜师具有更高的ADR，并且没有最高APC的内窥镜师具有较低的ADR。具有最低应用的内窥镜师，74.3倍的ADR和5.6？％的内窥镜师有最高的APP的ADR。多变量调节后较高APC的因素包括：年龄较大的患者年龄（或1.003; 95？％CI 1.002？ - -1.005），男性患者（或1.123; 95〜125？％CI 1.090？ - ？1.156），年轻的内窥镜年龄（或0.943; 95？％CI 0.941？ - α-α-〜945），延长戒断时间（或3.434; 95〜95℃2.941？ - ？4.010）。与高级应用有关的因素是男性性别，年轻内窥镜的年龄，更长的戒断时间。结论？APC和App提供有关内窥镜表现的其他信息。年轻的内窥镜师年龄和更长的戒断时间与结肠镜检查质量相关。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号