Multi-disciplinary team for early gastric cancer diagnosis improves the detection rate of early gastric cancer.
Multi-disciplinary team for early gastric cancer diagnosis improves the detection rate of early gastric cancer.
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DOI：
10.1186/s12876-017-0711-9
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发表时间：
2017-12-06
影响因子：
2.4
通讯作者：
Tuo B
中科院分区：
文献类型：
--
作者：
Di L;Wu H;Zhu R;Li Y;Wu X;Xie R;Li H;Wang H;Zhang H;Xiao H;Chen H;Zhen H;Zhao K;Yang X;Xie M;Tuo B
胃癌是世界范围内常见的恶性肿瘤之一，早期发现是治疗胃癌、提高生存率的关键。本研究旨在评估多学科协作（MDT）能否提高早期胃癌（EGC）的检出率。分析2013年9月至2015年9月遵义医学院附属医院消化内镜中心EGC的检出率。2014年9月在医院建立了诊断EGC的MDT。本研究分为2个时间段：2013年9月1日至2014年8月31日（第1阶段）和2014年9月1日至2015年9月1日（第2阶段）。在这两年中，共进行了60，800例胃镜检查。其中61例（0.1%）诊断为EGC，占胃癌患者总数的16.44%（61/371）。MDT前（第1阶段）EGC检出率为0.05%（16/29403），占同期胃癌患者总数的9.09%（16/176）。MDT第2期EGC检出率为0.15%（45/31397），占同期胃癌患者的23%（45/195）（P < 0.05）。单因素和多因素Logistic回归分析显示，对高危胃癌患者进行胃镜检查，配合病理科检查可提高胃癌早期胃癌的检出率（OR = 10.1，95% CI 2.39-43.3，P < 0.05）。MDT可提高EGC的内镜检出率。本文的在线版本（10.1186/s12876-017-0711-9）包含补充材料，可供授权用户使用。
Gastric cancer is a frequent malignant tumor worldwide and its early detection is crucial for curing the disease and enhancing patients’ survival rate. This study aimed to assess whether the multi-disciplinary team (MDT) can improve the detection rate of early gastric cancer (EGC). The detection rate of EGC at the Digestive Endoscopy Center, Affiliated Hospital, Zunyi Medical College, China between September 2013 and September 2015 was analyzed. MDT for the diagnosis of EGC in the hospital was established in September 2014. The study was divided into 2 time periods: September 1, 2013 to August 31, 2014 (period 1) and September 1, 2014 to September 1, 2015 (period 2). A total of 60,800 patients’ gastroscopies were performed during the two years. 61 of these patients (0.1%) were diagnosed as EGC, accounting for 16.44% (61/371) of total patients with gastric cancer. The EGC detection rate before MDT (period 1) was 0.05% (16/29403), accounting for 9.09% (16/176) of total patients with gastric cancer during this period. In comparison, the EGC detection rate during MDT (period 2) was 0.15% (45/31397), accounting for 23% (45/195) of total patients with gastric cancer during this period (P < 0.05). Univariate and multivariate logistic analyses showed that intensive gastroscopy for high risk patients of gastric cancer enhanced the detection rate of EGC in cooperation with Department of Pathology (OR = 10.1, 95% CI 2.39–43.3, P < 0.05). MDT could improve the endoscopic detection rate of EGC. The online version of this article (10.1186/s12876-017-0711-9) contains supplementary material, which is available to authorized users.
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影响因子：
7.4
作者：
Isobe, Yoh;Nashimoto, Atsushi;Akazawa, Kohei;Oda, Ichiro;Hayashi, Kenichi;Miyashiro, Isao;Katai, Hitoshi;Tsujitani, Shunichi;Kodera, Yasuhiro;Seto, Yasuyuki;Kaminishi, Michio
通讯作者：
Kaminishi, Michio
影响因子：
4.4
作者：
Kim, Ji Yeon;Lee, Hye Seung;Jung, Hyun Chae
通讯作者：
Jung, Hyun Chae
影响因子：
2.4
作者：
Matsuda, Ayako;Matsuda, Tomohiro;Nishimoto, Hiroshi
通讯作者：
Nishimoto, Hiroshi
影响因子：
9.3
作者：
Yao, K.;Anagnostopoulos, G. K.;Ragunath, K.
通讯作者：
Ragunath, K.
影响因子：
--
作者：
Zheng R;Zeng H;Zhang S;Chen W
通讯作者：
Chen W