Health Evaluation and Promotion最新文献

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Prevalence Trend for 31 Years of Hypertriglyceridemia in Ningen Dock and Resetting of Medical Examination Recommendations through Evaluation of Improvement for Hypertriglyceridemia with Weight Loss 宁根码头31年高甘油三酯血症流行趋势及体重减轻对高甘油三酯血症改善的评价
Health Evaluation and Promotion Pub Date : 2020-11-10 DOI: 10.7143/jhep.47.669
T. Wada, Yasutaka Hasegawa
{"title":"Prevalence Trend for 31 Years of Hypertriglyceridemia in Ningen Dock and Resetting of Medical Examination Recommendations through Evaluation of Improvement for Hypertriglyceridemia with Weight Loss","authors":"T. Wada, Yasutaka Hasegawa","doi":"10.7143/jhep.47.669","DOIUrl":"https://doi.org/10.7143/jhep.47.669","url":null,"abstract":"To determine the long-term trend of hypertriglyceridemia prevalence, 259,935 subjects who had undergone Ningen Dock at the Jikei University Hospital for 31 years from 1988 were analyzed. The annual prevalence of triglycerides of ≥150mg/dL and the adherence rate of lipid-improving drugs were investigated. In men, the trend of hypertriglyceridemia prevalence was downward in all age groups. Women showed a downward trend in the prevalence of hypertriglyceridemia in all age groups except for those in their 30s, but the rate of decrease was slightly more than that in men. The use of anti-hypertriglyceridemia drugs increased year by year. The prevalence of hypertriglyceridemia in the non-use group showed the same downward trend overall. Being overweight and alcohol consumption elevate triglyceride levels. BMI increased in men and decreased in women. Alcohol consumption decreased for the last three decades. Thus, decreased alcohol consumption was a possible reason for the reduced prevalence of hypertriglyceridemia. The effect of weight loss on hypertriglyceridemia was more effective with greater weight loss, but the effect weakened at ≥300mg/dL of triglyceride. Total bilirubin, a potent antioxidant, was reduced at ≥400mg/dL triglycerides. In the comprehensive risk chart, subjects with ≥500mg/dL triglycerides are diagnosed with hypertriglyceridemia, indicated as a referral to a lipid specialist, but only 0.4 % of the patients who underwent the health screening were referred. In future health screenings, it is advisable to change the cutoff value needed to consult a lipid specialist from 500 to 400mg/dL. Lifestyle improvement is useful for subjects with 150 - 399mg/dL triglycerides.","PeriodicalId":150891,"journal":{"name":"Health Evaluation and Promotion","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130664796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Preparing for a Heart Failure Pandemic: From Epidemiology to Prevention and Rehabilitation 为心力衰竭大流行做准备:从流行病学到预防和康复
Health Evaluation and Promotion Pub Date : 2020-09-10 DOI: 10.7143/jhep.47.546
K. Ueshima
{"title":"Preparing for a Heart Failure Pandemic: From Epidemiology to Prevention and Rehabilitation","authors":"K. Ueshima","doi":"10.7143/jhep.47.546","DOIUrl":"https://doi.org/10.7143/jhep.47.546","url":null,"abstract":"生活習慣の欧米化と高齢者の増加を基盤にした虚 血性心疾患や弁膜症患者の増加が心不全患者増加の 大きな原因となっている。さらに、エビデンスに基 づいた標準的薬物治療の普及と多くの非薬物治療の 確立が、急性心不全患者の救命と慢性心不全患者の 生命予後改善に寄与していることも心不全患者数増 加の一因と考えられる。心不全患者の増加は臨床上 の問題に加えて医療負担や医療経済も含んだ社会問 題として捉える必要があり、その疫学的知見を蓄積 して予防法を確立することは急務である。 2018年 3 月に日本循環器学会より発行された「急 性・慢性心不全診療ガイドライン(2017年改訂版)」 でも1)、心不全の疫学と予防に関してはかつてない ほどの紙面が割かれている。また、運動療法は心不 全の一次・二次予防の有用な手段であるが、2017年 に日本心臓リハビリテーション学会から、「心不全 の心臓リハビリテーション標準プログラム」が発行 されて2)、新たな局面を迎えようとしている。","PeriodicalId":150891,"journal":{"name":"Health Evaluation and Promotion","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125989890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Keys to the Interpretation of Clinical Data —Approaches to Understanding Underlying Pathophysiology and Effective Utilization of Pathophysiological Information in Clinical Practice— 临床数据解释的关键-理解潜在病理生理学和临床实践中有效利用病理生理学信息的途径
Health Evaluation and Promotion Pub Date : 2020-09-10 DOI: 10.7143/jhep.47.585
C. Yamada, Yumi Masuda, Chiori Takamatsu, N. Kishimoto, Nana Urata, Kengo Moriyama, S. Takashimizu, A. Kubo, Y. Nishizaki
{"title":"Keys to the Interpretation of Clinical Data —Approaches to Understanding Underlying Pathophysiology and Effective Utilization of Pathophysiological Information in Clinical Practice—","authors":"C. Yamada, Yumi Masuda, Chiori Takamatsu, N. Kishimoto, Nana Urata, Kengo Moriyama, S. Takashimizu, A. Kubo, Y. Nishizaki","doi":"10.7143/jhep.47.585","DOIUrl":"https://doi.org/10.7143/jhep.47.585","url":null,"abstract":"Health screening/Ningen Dock loses much of its value if the examinees simply undergo health-checks without reflecting on the results (for healthcare providers, if they simply provide health examinations without paying attention to the results). Routine examinations, not necessarily expensive ones, can provide a great deal of information that—depending on how the data is interpreted—can be meaningful to living a long healthy life. From acute to chronic diseases, including lifestyle-related diseases, front-line health care personnel require specific approaches to understanding the underlying pathophysiology and effectively utilizing this pathophysiological information in their clinical practice. Reference intervals are, in general, defined as intervals between the 2.5 th and 97.5 th percentiles of the reference distribution. When a clinical value is within the reference interval, the result is usually rated as “A”. From a rating alone, an examinee may be moved from joy to sorrow, or a healthcare provider may consider an individual to be disease-free. It is important to closely observe the changes across ages when we interpret laboratory data. Regardless of the rating, healthcare providers must pay attention to the transitional change from the previous results. It is necessary to evaluate whether the value is reaching to the reference limit or whether it is rapidly worsening. In addition, we should be careful not to cling onto just one parameter. Disease risks are often evaluated using multiple factors, and we should not consider the results to reflect a disease-free status just because a parameter is within the reference interval. With advancing age, the parameters associated with lifestyle-related diseases such as hypertension, dyslipidemia, diabetes, and hyperuricemia tend to be rated as “needing close observation” or “needing re-evaluation”. On the","PeriodicalId":150891,"journal":{"name":"Health Evaluation and Promotion","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129650564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Current Strategies and Issues of Biliary Tract Cancer Prevention 当前胆道癌预防的策略和问题
Health Evaluation and Promotion Pub Date : 2020-09-10 DOI: 10.7143/jhep.47.559
M. Kikuchi
{"title":"Current Strategies and Issues of Biliary Tract Cancer Prevention","authors":"M. Kikuchi","doi":"10.7143/jhep.47.559","DOIUrl":"https://doi.org/10.7143/jhep.47.559","url":null,"abstract":"なぜ、胆道がんは進展した状況でみつかりやすい のか、早期の診断が難しいのか、その答えは、解剖 学的な特性を理解するとわかる。胆管も、胆のうも 4 層構造で粘膜下層がなく、胆管と動脈、門脈は共 通の漿膜下層に共有して存在する。また、周囲には 豊富なリンパ管や自律神経が走行しており、周囲に 進展しやすい状況にある。進展様式も、上皮内や壁 内を進展していく水平方向進展や、直接浸潤、脈管 浸潤、神経周囲浸潤、リンパ節転移といった垂直方 向進展、そして遠隔転移も起こすといった“浸潤 型”を呈することが多い。手術の侵襲性も大事な判 断の一つになる。肝内胆管がんで 3 ~ 4 時間、肝門 部にかかると 8 ~10時間、胆嚢がんは深達度に応じ て、 2 ~10時間の手術時間を要する為、耐術能を考 慮して判断する必要がある。何より、手術切除例と 非切除例では、5 年生存率が42%と 2 %1)といった、 大きな乖離があり、より慎重でかつ賢明な選択が望 まれる。 がん種による診断時の進行度をみると、胆道がん の場合、転移なしの状況では17.6%、リンパ節転移 やリンパ節転移が37.2%、遠隔転移が22.8%2)で決 して早期で見つけやすいとは言えない。膵癌になる とさらに早期診断が困難になる(図 1)。 抄 録","PeriodicalId":150891,"journal":{"name":"Health Evaluation and Promotion","volume":"155 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116162891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comprehensive Risk Management Chart for the Prevention of Cerebrocardiovascular Disease 2019 《2019年脑血管病预防综合风险管理图》
Health Evaluation and Promotion Pub Date : 2020-09-10 DOI: 10.7143/jhep.47.564
K. Tsukamoto
{"title":"Comprehensive Risk Management Chart for the Prevention of Cerebrocardiovascular Disease 2019","authors":"K. Tsukamoto","doi":"10.7143/jhep.47.564","DOIUrl":"https://doi.org/10.7143/jhep.47.564","url":null,"abstract":"Although the leading cause of death in Japan is malignant neoplasms, the combined numbers of death from heart disease and cerebrovascular disease are comparable to those of malignant neoplasms. In addition, medical expenses for lifestyle-related diseases account for around one quarter of national medical expenses. Therefore, prevention of lifestyle-related disease and vascular disease is extremely important not only to extend the average and healthy lifespans, but also to reduce national medical cost measures. Based on these circumstances, the “Basic Law for Countermeasures for Stroke and Cardiovascular Disease” has been enforced in December 2019. risk factors for cerebro-cardiovascular diseases have been clarified by epidemiological the importance factors been shown with large-scale inteventional risk factors had and revised the importance comprehensive management of these risk factors is also shown as evidence, and the need for comprehensive management has been advocated. the “Comprehensive risk management chart for the prevention of cerebrocardiovascular disease","PeriodicalId":150891,"journal":{"name":"Health Evaluation and Promotion","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125903878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Current Status and Issues with Cancer Screenings 癌症筛查的现状和问题
Health Evaluation and Promotion Pub Date : 2020-07-10 DOI: 10.7143/jhep.47.519
S. Takashimizu, C. Yamada, Yumi Masuda, Sei‐ichiro Kojima, Kengo Moriyama, K. Shiraishi, N. Kishimoto, Y. Shiina, N. Watanabe, Y. Nishizaki
{"title":"Current Status and Issues with Cancer Screenings","authors":"S. Takashimizu, C. Yamada, Yumi Masuda, Sei‐ichiro Kojima, Kengo Moriyama, K. Shiraishi, N. Kishimoto, Y. Shiina, N. Watanabe, Y. Nishizaki","doi":"10.7143/jhep.47.519","DOIUrl":"https://doi.org/10.7143/jhep.47.519","url":null,"abstract":"Japan carries out more medical screenings than anywhere else in the world. This article will explain typical “cancer screenings” based on age groups. Examinations are a shorter version of “medical examinations” and have been explained as “confirmations of a person’s health.” The Committee specified that these were for the purpose of “not necessarily confirming the existence of disease, but rather understanding values over time from the perspective of promoting health, by giving health guidance and aim-ing to change behavior and reduce risks in accordance to risk levels identified for future disease based on these values.” Screenings are a shorter way of saying “inspection and diagnosis”, and have been explained as “performed for the purpose of discovering a specific disease.” According to the Committee, these are “performed for the purpose of confirm ing the existence of disease. Therefore, when the result is “positive,” a detailed inspection is performed and if the presence of the disease is diagnosed it is treated. When the result is negative, follow-ups are performed until the next screening.” A typical example of these screenings is “cancer screenings.” Cancer screenings are extremely important for the prevention and early detection of “cancer,” the leading cause of death in Japanese people.","PeriodicalId":150891,"journal":{"name":"Health Evaluation and Promotion","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131388353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A case of a leukocytosis diagnosed as chronic myeloid leukemia on a health checkup 白细胞增多症经健康检查诊断为慢性髓性白血病1例
Health Evaluation and Promotion Pub Date : 2020-07-10 DOI: 10.7143/jhep
Sayaka Kawano, J. Kato, K. Kitamura
{"title":"A case of a leukocytosis diagnosed as chronic myeloid leukemia on a health checkup","authors":"Sayaka Kawano, J. Kato, K. Kitamura","doi":"10.7143/jhep","DOIUrl":"https://doi.org/10.7143/jhep","url":null,"abstract":"The patient Laboratory find ings Table ABSTRACT Leukocytosis is reported to have malignant and non-malignant etiologies such as infectious diseases and smoking. How-ever, it is important to rule out asymptomatic cases of hematological malignancy in the early stages based on leukocytosis findings on blood tests during health checkups. Here, we report a 52-year-old asymptomatic woman with leukocytosis (white blood cell count of 13.01 × 10 9 /L) that was incidentally detected on a blood test performed as part of a routine health checkup. According to the diagnostic criteria of the Japan Society of Ningen Dock, the examinee was referred to another regional hospital for further evaluation. Thereafter, based on findings from blood smears, bone marrow examina tion and major BCR/ABL polymerase chain reaction (PCR) examination, the patient was clinically diagnosed with chronic myeloid leukemia. Consequently, diagnosis during the early stages allowed successful treatment with a tyrosine kinase inhibitor, and the patient became disease-free. In conclusion, when we diagnose the leukocytosis on the blood test in health checkups, we should consult and refer to specialists to perform further detailed examinations and therapy in clinical practice.","PeriodicalId":150891,"journal":{"name":"Health Evaluation and Promotion","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115923003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Association of Fish Intake with Low-density Lipoprotein Cholesterol/high-density Lipoprotein Cholesterol Ratio in Apparently Healthy Males in Japanese 日本健康男性鱼摄入量与低密度脂蛋白胆固醇/高密度脂蛋白胆固醇比值的关系
Health Evaluation and Promotion Pub Date : 2020-07-10 DOI: 10.7143/jhep.2020-12
S. Tani, Rei Matsuo, K. Imatake, Yasuyuki Suzuki, A. Takahashi
{"title":"Association of Fish Intake with Low-density Lipoprotein Cholesterol/high-density Lipoprotein Cholesterol Ratio in Apparently Healthy Males in Japanese","authors":"S. Tani, Rei Matsuo, K. Imatake, Yasuyuki Suzuki, A. Takahashi","doi":"10.7143/jhep.2020-12","DOIUrl":"https://doi.org/10.7143/jhep.2020-12","url":null,"abstract":"Background: Higher fish consumption has been reported to be associated with a lower incidence of coronary artery disease (CAD). We hypothesized that higher fish intake may be associated with lower serum low-density lipoprotein cholesterol/high-density lipoprotein cholesterol (L/H) ratios, an atherogenic marker, and healthier lifestyle behaviors. Methods: This cross-sectional study was conducted in 2,768 apparently healthy males receiving no lipid-modifying therapy and visiting the Health Planning Center of Nihon University Hospital between April and August 2019. Results: The average number of days of fish intake per week was 2.32 ± 1.31. The L/H ratio decreased significantly as the weekly frequency of fish intake (0-2 days, 3-4 days, or 5-7 days) increased (p < 0.0001). Multivariable regression analysis after adjustment for age, subject background factors, and cardio-metabolic risk revealed that increased weekly frequency of fish intake was a weak, but significantly independent determinant of a decreased L/H ratio (β = –0.064, p = 0.0008). Furthermore, as the frequency of fish intake per week increased, the proportion of subjects with cigarette smoking decreased (p = 0.003), the proportion of subjects engaging in habitual aerobic exercises increased (p < 0.0001), and the sleep duration and alcohol intake of the subjects increased (p < 0.0001). Conclusions: These results suggest that a high weekly frequency of fish intake was associated with lower L/H ratios, as well as healthier lifestyle behaviors; thus, it may represent a component of a healthy lifestyle associated with a lower risk of CAD in Japanese males.","PeriodicalId":150891,"journal":{"name":"Health Evaluation and Promotion","volume":"139 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131657927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A prediction study for incidence rate of diabetes through 2-years health checkup data 2年健康体检资料对糖尿病发病率的预测研究
Health Evaluation and Promotion Pub Date : 2020-07-10 DOI: 10.7143/jhep.2020-06
C. Yamada, Moritsugu Kimura, M. Toyoda, Chiori Okuno, Yumi Masuda, A. Kubo, Kengo Moriyama, S. Takashimizu, N. Kishimoto, Y. Nishizaki
{"title":"A prediction study for incidence rate of diabetes through 2-years health checkup data","authors":"C. Yamada, Moritsugu Kimura, M. Toyoda, Chiori Okuno, Yumi Masuda, A. Kubo, Kengo Moriyama, S. Takashimizu, N. Kishimoto, Y. Nishizaki","doi":"10.7143/jhep.2020-06","DOIUrl":"https://doi.org/10.7143/jhep.2020-06","url":null,"abstract":"new-onset and identify the of who require medical consultation due to hyperglycemia in the near future. ABSTRACT ObjectiveObjective The number of people with diabetes in Japan has risen rapidly, which impose a heavy burden on both patients and society. It is therefore important to develop effective strategies for the prevention and management of type 2 diabetes based on individualized estimates of the trend of diabetes in the population. The aim of the present study was to survey the incidence of new-onset diabetes and identify the group of people who will require medical consultation due to hyperglycemia in the near future. MethodsMethods 5,603 men and 4,420 women diagnosed as non-diabetes in the first year and who underwent health checkups in the next year were enrolled. The clinical parameters among the three groups (non-diabetes, subjects under treatment for diabetes, subjects needing medical consultation due to hyperglycemia) were compared. The incidence of new-onset diabetes was 2.14%/year in men and 1.36%/year in women. It is considered a feature of our community that the majority of the subjects who newly developed diabetes were already on treatment at the second visit, probably during treatment for other lifestyle-related diseases. The subjects without treatment and those needing medical consultation due to hyperglycemia showed increased visceral obesity and exacerbation of glycemia. ConclusionConclusion In order to improve diabetes care in the community, it is important to understand the characteristics of subjects who will require medical consultation due to hyperglycemia in the near future and to encourage medical consultation by a doctor explaining the results on the day of the health checkup.","PeriodicalId":150891,"journal":{"name":"Health Evaluation and Promotion","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122302154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The relationship between withdrawal time and adenoma detection rate in a screening colonoscopy for medical check-up 筛查性结肠镜体检中退出时间与腺瘤检出率的关系
Health Evaluation and Promotion Pub Date : 2020-07-10 DOI: 10.7143/jhep.47.527
Fumiaki Ishibashi, Tomohiro Kawakami, Konomi Kobayashi, Keita Fukushima, Ryu Tanaka, Kazuaki Sugihara, Y. Hayase
{"title":"The relationship between withdrawal time and adenoma detection rate in a screening colonoscopy for medical check-up","authors":"Fumiaki Ishibashi, Tomohiro Kawakami, Konomi Kobayashi, Keita Fukushima, Ryu Tanaka, Kazuaki Sugihara, Y. Hayase","doi":"10.7143/jhep.47.527","DOIUrl":"https://doi.org/10.7143/jhep.47.527","url":null,"abstract":"The study included both people who underwent endoscopy and those who not. The result of fecal occult blood test enrolment. Patients patients inflammatory ABSTRACT Objective:Objective: The purpose of this study was to determine the relationship between withdrawal time (WT) and quality indicators (Polyp Detection Rate (PDR), Adenomatous polyp Detection Rate (ADR), Mean number of Polyps found per Patient (MPP), and Mean Adenomatous polyp found per Patient (MAP)) in a screening colonoscopy for medical check-up. Methods:Methods: Endoscopic and pathological results were retrospectively reviewed for 840 colonoscopies performed by nine endoscopists at our facility between August and November 2018. ADR, PDR, MAP, and MPP were calculated and analyzed with WT at polyp identification (WT with polyp) or WT at polyp non-identification (WT without polyp). Results:Results: The mean WT without polyp was 6.56 minutes, the mean WT with polyp was 13.6 minutes, ADR was 23.9%, PDR was 29.3%, MAP was 0.35, MPP was 0.43, and the rate of early cancer (T1a) detection was 0.32%. Correlation analysis revealed a high correlation between WT without polyp and ADR, PDR, MAP, and MPP (R 2 =0.88, 0.92, 0.88 and 0.92, respectively). Regression analysis with WT without polyp as explanatory variables found each index to be signifi cantly predictive (ADR (P=0.0101), PDR (P=0.0005), MAP (P=0.0016), and MPP (P=0.0004)). Each index was found to be significantly improved when the cutoff value was 6.5 minutes of extraction time at polyp non-identification (ADR (35% vs 13.1%, P=0.0005), PDR (43% vs 15.7%, P=0.004), MAP (0.58 vs 0.17, P=0.006), and MPP (0.73 vs 0.2, P=0.001)). Conclusions:Conclusions: It was suggested that spending more than 6.5 minutes on whole colon observation may improve the rate of polyp detection.","PeriodicalId":150891,"journal":{"name":"Health Evaluation and Promotion","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124195440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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