胆囊息肉治疗的社会指南比较。

IF 2.7 3区医学 Q1 SURGERY

American journal of surgery Pub Date : 2024-11-15 DOI:10.1016/j.amjsurg.2024.116099

Lorena Garcia , Frances Dygean , Emily Bortree , Ryan Seifi , Brian Yu , Julie Ferris , Austin Reifel , Christina Snyder , Patrick Choi , Kathryn T. Chen

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引用次数: 0

摘要

背景：2021 年，欧洲放射学会和胃肠学会更新了有关胆囊息肉 (GBP) 治疗的指南。2022 年，超声放射医师协会（SRU）也发布了他们的指南。我们对这两套指南进行了比较，以确定 GBP 在管理和结果方面的差异：我们对 2018 年至 2023 年转诊的 118 例 GBP 患者进行了回顾性分析。放射科医生对患者的超声检查（US）进行了回顾性审查，并分配了 SRU 类别。我们应用两套指南来确定下一步建议步骤，并进行了成本分析：结果：当采用欧洲指南和 SRU 指南时，52.5%（n = 62）和 16.9%（n = 20）的患者会立即接受手术（p 结论：我们的研究结果表明，SRU 和欧洲指南都能为患者提供更好的治疗方案：我们的研究结果表明，与欧洲指南相比，遵循 SRU 指南可减少手术和随访次数，且不会造成伤害。应开展进一步的研究来验证这些发现，并支持对 GBP 进行标准化报告。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

A comparison of society guidelines in the management of gallbladder polyps

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A comparison of society guidelines in the management of gallbladder polyps

Background

In 2021, European radiology and gastrointestinal societies updated their guidelines regarding the management of gallbladder polyps (GBP). In 2022, the Society of Radiologists in Ultrasound (SRU) also released their guidelines. We compared the two sets to determine the differences in management and outcomes for GBPs.

Methods

We performed a retrospective analysis from 2018 to 2023 of 118 patients referred for GBPs. Radiologists retrospectively reviewed patient ultrasounds (US) and assigned an SRU category. We applied both sets of guidelines to identify next recommended step and performed a cost analysis.

Results

When applying European versus SRU guidelines, 52.5 % (n = 62) versus 16.9 % (n = 20) would have undergone immediate surgery (p < 0.0001). US would have been considered a reasonable next step in 28.8 % (n = 34) vs 42.4 % (n = 50) (p = 0.03). Adherence to SRU guidelines would have resulted in $1837 less spent per person (p < 0.001).

Conclusion

Our findings found that adherence to SRU guidelines leads to less surgeries and follow up compared to European guidelines without causing harm. Further studies should be done to validate these findings and support standardized reporting of GBP.

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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.