Adenoma Detection Rates in 45-49-Year-Old Persons Undergoing Screening Colonoscopy: Analysis From the GIQuIC Registry
Adenoma Detection Rates in 45-49-Year-Old Persons Undergoing Screening Colonoscopy: Analysis From the GIQuIC Registry
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DOI：
10.14309/ajg.0000000000001684
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发表时间：
2022-05-01
影响因子：
9.8
通讯作者：
Shaukat, Aasma
中科院分区：
文献类型：
--
作者：
Bilal, Mohammad;Holub, Jennifer;Shaukat, Aasma
简介：结肠癌筛查年龄从50岁降低到45岁对内镜检查腺瘤检出率（ADR）的影响尚未得到充分研究。方法：我们使用了2014年至2020年在45-75岁的个体中提交给GI质量改善联盟登记处的平均风险筛查结肠镜检查。我们使用单因素方差分析检验来确定45-49岁、50-54岁和50-75岁个体之间的ADR差异。结果：814名内镜医师共进行了2，806，539次筛查结肠镜检查。45-49岁组的平均ADR为28.6%，50-54岁组为31.8%（P < 0.001），50-75岁组为36.3%（P < 0.001）。讨论内容：一旦45-49岁的患者开始接受筛查性结肠镜检查，内镜医生可能会看到他们的ADR略有下降。
INTRODUCTION: The impact of lowering the colon cancer screening age from 50 to 45 years on the endoscopist adenoma detection rate (ADR) is not well studied. METHODS: We used average-risk screening colonoscopies submitted to the GI Quality Improvement Consortium registry from 2014 to 2020 among individuals aged 45-75 years. We used the 1-way ANOVA test to determine differences between ADRs among 45-49-year-old, 50-54-year-old, and 50-75-year-old individuals. RESULTS: A total of 2,806,539 screening colonoscopies were performed by 814 endoscopists. The mean ADR in the 45-49-year-old group was 28.6% compared with 31.8% for the 50-54-year-old group (P < 0.001) and 36.3% for the 50-75-year-old group (P < 0.001). DISCUSSION: Endoscopists might see a small drop in their ADR once a higher proportion of 45-49-year-old patients start undergoing screening colonoscopy.