与下午班相比,早班的息肉检出率和盲肠插管率更高:一项多中心大队列回顾性研究。

IF 1.8 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Israel Medical Association Journal Pub Date : 2025-05-01
Rawi Hazzan, Tarek Saadi, Revital Guterman, Ruhama Elhayany, Avraham Yitzhak, Naim Abu-Freha
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引用次数: 0

摘要

背景:结直肠癌(CRC)是全球第三大常见癌症。关于早班结肠镜检查是否有更高的腺瘤检出率,有相互矛盾的报道。目的:探讨早班和晚班结肠镜检查息肉检出率的差异。方法:在一项涉及大队列的回顾性多中心研究中,我们分析了2016年至2023年间7个内镜部门进行的所有结肠镜检查。比较了上午班和下午班的PDR。结果:我们纳入了368,997例结肠镜检查,其中213,795例(57.9%)在早班进行,155,202例(42.1%)在下午班进行。在早班接受结肠镜检查的患者中,女性较多(53.8% vs. 51%, P < 0.001),而且与下午班相比,她们的平均年龄更大(56.97±12.6 vs. 55.6±12.9,P < 0.001)。早班结肠镜检查显示更高的盲肠插管率(CIR) (96.7% vs. 95.6%, P < 0.001)。在早班期间,PDR的发生率较高(32.9% vs. 29.9%, P < 0.001)。在多因素分析中,在校正其他变量后,年龄、男性、息肉随访、粪便隐血检查、早班、CRC家族史和直肠出血与PDR的相关性有统计学意义(P < 0.001)。结论:早班结肠镜检查的PDR和CIR高于下午。为了提高这一比率,必须为下午轮班的内窥镜医生提供合适的条件。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Higher Polyp Detection Rate and Cecum Intubation Rate in Morning Shift Compared to Afternoon Shift: A Multicenter Large Cohort Retrospective Study.

Background: Colorectal cancer (CRC) is the third most commonly occurring cancer worldwide. There are conflicting reports on whether colonoscopies performed during the morning shift have higher adenoma detection rates.

Objectives: To investigate the differences in polyp detection rate (PDR) in colonoscopies between morning and afternoon shifts.

Methods: In a retrospective, multicenter study involving a large cohort, we analyzed all colonoscopies conducted between 2016 and 2023 across seven endoscopy departments. The PDR was compared between morning and afternoon shifts.

Results: We included 368,997 colonoscopies: 213,795 (57.9%) performed during the morning shift and 155,202 (42.1%) during the afternoon shift. Patients undergoing colonoscopies during the morning shift were more frequently female (53.8% vs. 51%, P < 0.001) and tended to be older compared to those in the afternoon shift (average age of 56.97 ± 12.6 vs. 55.6 ± 12.9, P < 0.001). Colonoscopies conducted during the morning shift exhibited a higher cecum intubation rate (CIR) (96.7% vs. 95.6%, P < 0.001). During the morning shift, higher rates of PDR (32.9% vs. 29.9%, P < 0.001) were observed. In the multivariate analysis, after adjusting for other variables, age, male sex, polyp follow-up, fecal occult blood test, morning shift, familial history of CRC, and rectal bleeding demonstrated statistically significant associations (P < 0.001) for PDR.

Conclusions: Colonoscopies during the morning shift yielded a higher PDR and CIR than those in the afternoon. To improve this rate, endoscopists working the afternoon shift must be provided with the right conditions.

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来源期刊
Israel Medical Association Journal
Israel Medical Association Journal 医学-医学:内科
CiteScore
2.20
自引率
12.50%
发文量
54
审稿时长
3-8 weeks
期刊介绍: The Israel Medical Association Journal (IMAJ), representing medical sciences and medicine in Israel, is published in English by the Israel Medical Association. The Israel Medical Association Journal (IMAJ) was initiated in 1999.
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