BSG/ACPGBI/PHE息肉切除术监测指南的实施安全地减轻了筛查队列中的监测负担:一项虚拟模型研究。

IF 3.3 Q2 GASTROENTEROLOGY & HEPATOLOGY
Roisin Stack, Jayne Doherty, Neil O'Moráin, Blathnaid Nolan, Juliette Sheridan, Garret Cullen, Hugh Mulcahy, Maire Buckley, Gareth Horgan, Mohamed Hamed, Edel McDermott, Glen Doherty
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引用次数: 0

摘要

目的:通过回顾性虚拟应用,评估英国胃肠病学会/大不列颠及爱尔兰结肠直肠学协会/英格兰公共卫生部(BSG/ACPGBI/PHE)2019年全国基于粪便免疫化学测试的肠癌筛查(BS)队列中的息肉切除术监测指南对监测活动和病理学检测的影响。设计:对2015-2016年进行的BS结肠镜检查进行回顾性审查,在单个机构进行5年的前瞻性随访。选择指数结肠镜检查。不完整的结肠镜检查被排除在外。对所有切除的息肉进行了组织学检查。根据BSG/ACPGBI/PHE 2019指南计算监测间隔,并与之前存在的“欧洲癌症筛查和诊断质量保证指南”(EUQA 2013)进行比较。计算了因BSG/ACPGBI/PHE 2019指南的虚拟实施而推迟的结肠镜检查总数。对本应推迟的手术中确定的病理学进行了审查。结果:2015-2016年(含2016年)进行的指数BS结肠镜检查总数为890次。115人被排除在外(22 无盲肠插管,51例肠道准备不足,56例息肉清除不完全)。根据EUQA指南,在指数结肠镜检查监测后的5年内安排了509次结肠镜检查。总体而言,通过回顾性应用BSG/ACPGBI/PHE 2019指南,监测量显著减少(n=221,P结论:BSG/ACPGB I/PHE 19指南安全地降低了结肠镜检查需求的负担,并在延期结肠镜检查中获得了可接受的病理结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Implementation of BSG/ACPGBI/PHE polypectomy surveillance guidelines safely reduces the burden of surveillance in a screening cohort: a virtual model study.

Implementation of BSG/ACPGBI/PHE polypectomy surveillance guidelines safely reduces the burden of surveillance in a screening cohort: a virtual model study.

Implementation of BSG/ACPGBI/PHE polypectomy surveillance guidelines safely reduces the burden of surveillance in a screening cohort: a virtual model study.

Objective: To evaluate the impact of British Society of Gastroenterology/Association of Coloproctology of Great Britain and Ireland/Public Health England (BSG/ACPGBI/PHE) 2019 polypectomy surveillance guidelines within a national faecal immunochemical test-based bowel cancer screening (BS) cohort on surveillance activity and detection of pathology by retrospective virtual application.

Design: A retrospective review of BS colonoscopies performed in 2015-2016 with 5 years prospective follow-up in single institution. Index colonoscopies were selected. Incomplete colonoscopies were excluded. Histology of all resected polyps was reviewed. Surveillance intervals were calculated according to BSG/ACPGBI/PHE 2019 guidelines and compared with pre-existing 'European Guidelines for Quality Assurance in Colorectal Cancer Screening and Diagnosis' (EUQA 2013). Total number of colonoscopies deferred by virtual implementation of BSG/ACPGBI/PHE 2019 guidelines were calculated. Pathology identified on procedures that would have been deferred was reviewed.

Results: Total number of index BS colonoscopies performed in 2015-2016 inclusive was 890. 115 were excluded (22 no caecal intubation, 51 inadequate bowel preparation, 56 incomplete polyp clearance). N=509 colonoscopies were scheduled within a 5-year interval following index colonoscopy surveillance rounds based on EUQA guidelines. Overall, volume of surveillance was significantly reduced with retrospective application of BSG/ACPGBI/PHE 2019 guidelines (n=221, p<0.0001). No cancers were detected within the 'potentially deferred' procedures who attended for follow-up (n=330) with high-risk findings found in<10% (n=30) of colonoscopies within the BSG/ACPGBI/PHE cohort.

Conclusion: BSG/ACPGBI/PHE 2019 guidelines safely reduce the burden of colonoscopy demand with acceptable pathology findings on deferred colonoscopies.

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来源期刊
BMJ Open Gastroenterology
BMJ Open Gastroenterology GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
5.90
自引率
3.20%
发文量
68
审稿时长
2 weeks
期刊介绍: BMJ Open Gastroenterology is an online-only, peer-reviewed, open access gastroenterology journal, dedicated to publishing high-quality medical research from all disciplines and therapeutic areas of gastroenterology. It is the open access companion journal of Gut and is co-owned by the British Society of Gastroenterology. The journal publishes all research study types, from study protocols to phase I trials to meta-analyses, including small or specialist studies. Publishing procedures are built around continuous publication, publishing research online as soon as the article is ready.
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