Seth D Crockett, Jennifer Holub, Audrey H Calderwood, Rajesh N Keswani
{"title":"美国内镜医师的常规息肉切除术实践差异很大，通常偏离指南：结肠镜登记数据分析。","authors":"Seth D Crockett, Jennifer Holub, Audrey H Calderwood, Rajesh N Keswani","doi":"10.14309/ajg.0000000000003461","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Best practices for removal of <1 cm colon polyps exist, but adherence to this guidance is uncertain.</p><p><strong>Methods: </strong>Using Gastroenterology Quality Improvement Consortium Registry (GIQuIC) data, colonoscopies with polyps <1 cm were analyzed for polypectomy technique used and differences in practices according to patient, procedure, and provider characteristics.</p><p><strong>Results: </strong>Among 1,830,067 colonoscopies, cold forceps, cold snare, and hot snare polypectomy techniques were used in 35%, 58%, and 11% of cases, respectively. Technique varied by polyp type, geographic region, and provider specialty. Gastroenterologists' practices aligned with guidelines more closely than non-GI endoscopists.</p><p><strong>Discussion: </strong>Polypectomy technique varies widely among US endoscopists and may not follow best practices.</p>","PeriodicalId":7608,"journal":{"name":"American Journal of Gastroenterology","volume":" ","pages":""},"PeriodicalIF":8.0000,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Routine Polypectomy Practices Vary Widely Among US Endoscopists and Commonly Deviate From Guidelines: An Analysis of Colonoscopy Registry Data.\",\"authors\":\"Seth D Crockett, Jennifer Holub, Audrey H Calderwood, Rajesh N Keswani\",\"doi\":\"10.14309/ajg.0000000000003461\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Best practices for removal of <1 cm colon polyps exist, but adherence to this guidance is uncertain.</p><p><strong>Methods: </strong>Using Gastroenterology Quality Improvement Consortium Registry (GIQuIC) data, colonoscopies with polyps <1 cm were analyzed for polypectomy technique used and differences in practices according to patient, procedure, and provider characteristics.</p><p><strong>Results: </strong>Among 1,830,067 colonoscopies, cold forceps, cold snare, and hot snare polypectomy techniques were used in 35%, 58%, and 11% of cases, respectively. Technique varied by polyp type, geographic region, and provider specialty. Gastroenterologists' practices aligned with guidelines more closely than non-GI endoscopists.</p><p><strong>Discussion: </strong>Polypectomy technique varies widely among US endoscopists and may not follow best practices.</p>\",\"PeriodicalId\":7608,\"journal\":{\"name\":\"American Journal of Gastroenterology\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":8.0000,\"publicationDate\":\"2025-04-07\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"American Journal of Gastroenterology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.14309/ajg.0000000000003461\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"GASTROENTEROLOGY & HEPATOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Gastroenterology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.14309/ajg.0000000000003461","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"GASTROENTEROLOGY & HEPATOLOGY","Score":null,"Total":0}
Routine Polypectomy Practices Vary Widely Among US Endoscopists and Commonly Deviate From Guidelines: An Analysis of Colonoscopy Registry Data.
Introduction: Best practices for removal of <1 cm colon polyps exist, but adherence to this guidance is uncertain.
Methods: Using Gastroenterology Quality Improvement Consortium Registry (GIQuIC) data, colonoscopies with polyps <1 cm were analyzed for polypectomy technique used and differences in practices according to patient, procedure, and provider characteristics.
Results: Among 1,830,067 colonoscopies, cold forceps, cold snare, and hot snare polypectomy techniques were used in 35%, 58%, and 11% of cases, respectively. Technique varied by polyp type, geographic region, and provider specialty. Gastroenterologists' practices aligned with guidelines more closely than non-GI endoscopists.
Discussion: Polypectomy technique varies widely among US endoscopists and may not follow best practices.
期刊介绍：
Published on behalf of the American College of Gastroenterology (ACG), The American Journal of Gastroenterology (AJG) stands as the foremost clinical journal in the fields of gastroenterology and hepatology. AJG offers practical and professional support to clinicians addressing the most prevalent gastroenterological disorders in patients.
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