David S Weinberg, Jeremy Mitnick, Eileen Keenan, Tianyu Li, Eric A Ross
{"title":"大肠癌术后监测：光学结肠镜检查优于计算机断层扫描结肠成像。","authors":"David S Weinberg, Jeremy Mitnick, Eileen Keenan, Tianyu Li, Eric A Ross","doi":"10.1007/s10552-019-01231-w","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Post-operative surveillance strategies for colorectal cancer (CRC) include periodic optical colonoscopy (OC) and abdominal-pelvic CT scan. Adherence with these recommendations is limited. For CRC screening, CT colonography (CTC) identifies larger adenomas and cancers nearly as well as OC. Most screening studies demonstrate that patients prefer CTC. However, CTC has never been compared to OC in the post-operative surveillance setting.</p><p><strong>Methods: </strong>We hypothesized that CTC might represent an attractive substitute for the standard OC/CT scan combination. Here, 223 patients underwent CTC followed by same day OC 1 year after curative CRC resection.</p><p><strong>Results: </strong>Of the 144/223 (64.6%) participants with a preference, 65.9% (95/144) preferred OC. This preference was more pronounced in women and in patients with polyps detected. No additional patient level factors significantly altered this primary result.</p><p><strong>Conclusions: </strong>In contrast to CRC screening, this first study in CRC post-operative surveillance patients demonstrates a preference for OC. Assuming patient preference is an important determinant, introduction of CTC as a method to increase patient adherence with CRC surveillance is unlikely to be effective.</p><p><strong>Trial registration: </strong>Clinical Trials.gov registration number: NCT02143115.</p>","PeriodicalId":13243,"journal":{"name":"IEEE Journal on Selected Areas in Communications","volume":"22 1","pages":"1269-1273"},"PeriodicalIF":13.8000,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7534185/pdf/","citationCount":"0","resultStr":"{\"title\":\"Post-operative colorectal cancer surveillance: preference for optical colonoscopy over computerized tomographic colonography.\",\"authors\":\"David S Weinberg, Jeremy Mitnick, Eileen Keenan, Tianyu Li, Eric A Ross\",\"doi\":\"10.1007/s10552-019-01231-w\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>Post-operative surveillance strategies for colorectal cancer (CRC) include periodic optical colonoscopy (OC) and abdominal-pelvic CT scan. Adherence with these recommendations is limited. For CRC screening, CT colonography (CTC) identifies larger adenomas and cancers nearly as well as OC. Most screening studies demonstrate that patients prefer CTC. However, CTC has never been compared to OC in the post-operative surveillance setting.</p><p><strong>Methods: </strong>We hypothesized that CTC might represent an attractive substitute for the standard OC/CT scan combination. Here, 223 patients underwent CTC followed by same day OC 1 year after curative CRC resection.</p><p><strong>Results: </strong>Of the 144/223 (64.6%) participants with a preference, 65.9% (95/144) preferred OC. This preference was more pronounced in women and in patients with polyps detected. No additional patient level factors significantly altered this primary result.</p><p><strong>Conclusions: </strong>In contrast to CRC screening, this first study in CRC post-operative surveillance patients demonstrates a preference for OC. Assuming patient preference is an important determinant, introduction of CTC as a method to increase patient adherence with CRC surveillance is unlikely to be effective.</p><p><strong>Trial registration: </strong>Clinical Trials.gov registration number: NCT02143115.</p>\",\"PeriodicalId\":13243,\"journal\":{\"name\":\"IEEE Journal on Selected Areas in Communications\",\"volume\":\"22 1\",\"pages\":\"1269-1273\"},\"PeriodicalIF\":13.8000,\"publicationDate\":\"2019-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7534185/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"IEEE Journal on Selected Areas in Communications\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s10552-019-01231-w\",\"RegionNum\":1,\"RegionCategory\":\"计算机科学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2019/9/17 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q1\",\"JCRName\":\"ENGINEERING, ELECTRICAL & ELECTRONIC\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"IEEE Journal on Selected Areas in Communications","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s10552-019-01231-w","RegionNum":1,"RegionCategory":"计算机科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2019/9/17 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"ENGINEERING, ELECTRICAL & ELECTRONIC","Score":null,"Total":0}
Post-operative colorectal cancer surveillance: preference for optical colonoscopy over computerized tomographic colonography.
Purpose: Post-operative surveillance strategies for colorectal cancer (CRC) include periodic optical colonoscopy (OC) and abdominal-pelvic CT scan. Adherence with these recommendations is limited. For CRC screening, CT colonography (CTC) identifies larger adenomas and cancers nearly as well as OC. Most screening studies demonstrate that patients prefer CTC. However, CTC has never been compared to OC in the post-operative surveillance setting.
Methods: We hypothesized that CTC might represent an attractive substitute for the standard OC/CT scan combination. Here, 223 patients underwent CTC followed by same day OC 1 year after curative CRC resection.
Results: Of the 144/223 (64.6%) participants with a preference, 65.9% (95/144) preferred OC. This preference was more pronounced in women and in patients with polyps detected. No additional patient level factors significantly altered this primary result.
Conclusions: In contrast to CRC screening, this first study in CRC post-operative surveillance patients demonstrates a preference for OC. Assuming patient preference is an important determinant, introduction of CTC as a method to increase patient adherence with CRC surveillance is unlikely to be effective.
期刊介绍：
The IEEE Journal on Selected Areas in Communications (JSAC) is a prestigious journal that covers various topics related to Computer Networks and Communications (Q1) as well as Electrical and Electronic Engineering (Q1). Each issue of JSAC is dedicated to a specific technical topic, providing readers with an up-to-date collection of papers in that area. The journal is highly regarded within the research community and serves as a valuable reference.
The topics covered by JSAC issues span the entire field of communications and networking, with recent issue themes including Network Coding for Wireless Communication Networks, Wireless and Pervasive Communications for Healthcare, Network Infrastructure Configuration, Broadband Access Networks: Architectures and Protocols, Body Area Networking: Technology and Applications, Underwater Wireless Communication Networks, Game Theory in Communication Systems, and Exploiting Limited Feedback in Tomorrow’s Communication Networks.
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