Diagnostic Performance of Stool-based Testing for Colorectal Lesions Among Average-risk Individuals: A Real-world Evidence Study.

IF 2.8 4区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY
Catherine Cheney, Alice Parish, Donna Niedzwiecki, Chukwuemeka Oko, Christy Walters, Brian A Sullivan
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Abstract

Objective: We assessed the real-world performance of stool-based tests (SBTs) for colorectal cancer screening.

Materials and methods: Retrospective review of average-risk individuals with positive SBT for advanced neoplasia (adenocarcinoma, advanced adenoma, and/or advanced serrated lesions) detection at follow-up colonoscopy.

Results: There was no statistical difference in the detection of advanced neoplasia (P= 0.16) between SBTs [30.7% for multitargeted stool DNA (mt-sDNA) vs 22.8% for fecal immunochemical test]. However, there was a significant difference in the detection of advanced serrated lesions (11.3% for mt-sDNA vs 1.8% for fecal immunochemical test, P< 0.001).

Conclusion: There was no difference between SBTs for advanced neoplasia detection, though mt-sDNA detected significantly more advanced serrated lesions.

基于粪便的大肠病变检测对普通风险人群的诊断效果:真实世界证据研究
目的我们评估了粪便检验(SBT)在结直肠癌筛查中的实际表现:对随访结肠镜检查时发现晚期肿瘤(腺癌、晚期腺瘤和/或晚期锯齿状病变)的 SBT 阳性的平均风险人群进行回顾性研究:不同 SBT 对晚期肿瘤的检出率无统计学差异(P= 0.16)[多靶向粪便 DNA(mt-sDNA)为 30.7%,粪便免疫化学检测为 22.8%]。然而,在晚期锯齿状病变的检出率方面却存在显著差异(mt-sDNA 检测为 11.3% vs 粪便免疫化学检测为 1.8%,P< 0.001):结论:尽管 mt-sDNA 检测出的晚期锯齿状病变明显多于粪便免疫化学检测,但两种 SBT 检测晚期肿瘤的结果没有差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of clinical gastroenterology
Journal of clinical gastroenterology 医学-胃肠肝病学
CiteScore
5.60
自引率
3.40%
发文量
339
审稿时长
3-8 weeks
期刊介绍: Journal of Clinical Gastroenterology gathers the world''s latest, most relevant clinical studies and reviews, case reports, and technical expertise in a single source. Regular features include cutting-edge, peer-reviewed articles and clinical reviews that put the latest research and development into the context of your practice. Also included are biographies, focused organ reviews, practice management, and therapeutic recommendations.
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