回顾性分析比利时切除息肉的组织学和结肠镜检查质量参数。

IF 1.3 4区医学 Q4 GASTROENTEROLOGY & HEPATOLOGY

Acta gastro-enterologica Belgica Pub Date : 2023-04-01 DOI:10.51821/86.2.10880

E Macken, S Van Dongen, G Van Hal

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引用次数: 0

摘要

背景与目的:腺瘤检出率是结肠镜检查的一个重要质量指标。然而，最近出现了其他质量参数。我们想要评估比利时切除息肉的组织学，结肠镜检查和结肠镜检查后结直肠癌(PCCRC)的不同质量指标，并分析2008-2015年结肠镜检查的数据。方法:将Intermutualistic Agency提供的结直肠癌相关医疗程序的报销数据与比利时癌症登记处提供的结直肠癌临床和病理分期数据以及切除息肉的组织学数据相关联，时间跨度为8年(2008-2015年)。结果:294,923例结肠镜检查共切除息肉298,246例，其中腺瘤275,182例(92%)，ssl16例(4%)。不同质量参数与PCCRC之间存在显著但较小的相关性。结肠镜检查后3年结直肠癌发生率为7.29%。比利时在腺瘤检出率、无底腺瘤检出率和结肠镜后结直肠癌方面存在显著的地理差异。结论:大部分切除的息肉为腺瘤，只有一小部分为无根的锯齿状病变。腺瘤检出率与其他质量参数相关性显著，PCCRC与不同质量参数相关性虽小但显著。结肠镜检查后结直肠癌发生率最低，ADR为31.4%，SSL-DR为1.2%。

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A retrospective analysis of the histology of resected polyps and colonoscopy quality parameters in Belgium.

Background and aims: adenoma detection rate is a well known quality parameter for colonoscopy. However recently other quality parameters have emerged. We wanted to evaluate the histology of the resected polyps, different quality indicators of colonoscopy and post colonoscopy colorectal cancer (PCCRC) in Belgium and analyzed data about colonoscopies performed between 2008-2015.

Methods: Reimbursement data on colorectal related medical procedures from the Intermutualistic Agency were linked with data on clinical and pathological staging of colorectal cancer and with histologic data of resected polyps available at the Belgian Cancer Registry over a period covering 8 years (2008-2015).

Results: 298,246 polyps were resected in 294,923 colonoscopies, of which 275,182 were adenomas (92 %) and 13,616 were SSLs (4%). There was a significant but small correlation between the different quality parameters and PCCRC. Post colonoscopy colorectal cancer rate after 3 years was 7.29 %. There were marked geographic differences in Belgium concerning adenoma detection rate, sessile adenoma detection rate and post colonoscopy colorectal cancer.

Conclusion: Most resected polyps were adenomas, only a small percentage involved sessile serrated lesions. There was a significant correlation between adenoma detection rate and other quality parameters, and a small but significant correlation between PCCRC and the different quality parameters. The lowest post colonoscopy colorectal cancer rate was reached with an ADR of 31.4 % and a SSL-DR of 1.2 %.

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来源期刊

Acta gastro-enterologica Belgica Medicine-Gastroenterology

CiteScore

2.30

自引率

20.00%

发文量

期刊介绍： The Journal Acta Gastro-Enterologica Belgica principally publishes peer-reviewed original manuscripts, reviews, letters to editors, book reviews and guidelines in the field of clinical Gastroenterology and Hepatology, including digestive oncology, digestive pathology, as well as nutrition. Pure animal or in vitro work will not be considered for publication in the Journal. Translational research papers (including sections of animal or in vitro work) are considered by the Journal if they have a clear relationship to or relevance for clinical hepato-gastroenterology (screening, disease mechanisms and/or new therapies). Case reports and clinical images will be accepted if they represent an important contribution to the description, the pathogenesis or the treatment of a specific gastroenterology or liver problem. The language of the Journal is English. Papers from any country will be considered for publication. Manuscripts submitted to the Journal should not have been published previously (in English or any other language), nor should they be under consideration for publication elsewhere. Unsolicited papers are peer-reviewed before it is decided whether they should be accepted, rejected, or returned for revision. Manuscripts that do not meet the presentation criteria (as indicated below) will be returned to the authors. Papers that go too far beyond the scope of the journal will be also returned to the authors by the editorial board generally within 2 weeks. The Journal reserves the right to edit the language of papers accepted for publication for clarity and correctness, and to make formal changes to ensure compliance with AGEB’s style. Authors have the opportunity to review such changes in the proofs.