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提高结直肠癌内镜筛查效果的因素。

Factors to Improve Endoscopic Screening for Colorectal Cancer.

机构信息

Department of Surgeons with Anesthesiology and Intensive Care, Kazakh-Russian Medical University, 050004, 71 Torekul Str., Almaty, Republic of Kazakhstan.

Department of General Surgery, Kazakh-Russian Medical University, Almaty, Republic of Kazakhstan.

出版信息

J Gastrointest Cancer. 2021 Mar;52(1):289-293. doi: 10.1007/s12029-020-00402-2.

Abstract

INTRODUCTION

Colorectal cancer is one of the most sprayed cancers; the gold standard of diagnostic is a colonoscopy. The quality of this examination is depended on many factors, which includes doctors' experience.

PURPOSE

The purpose of this study is to establish the main factors affecting the completeness of colonoscopy in colorectal cancer screening.

MATERIALS AND METHODS

Endoscopists were questioned; descriptive statistics methods and logistic regression were used.

RESULTS AND DISCUSSION

The main factors that influence the quality of screening colonoscopy were identified: experience in colonoscopy, theoretical training, participation in the screening program, and number of annual colonoscopies. The calculated odds ratio for the selected dependent variable is calculated.

CONCLUSIONS

The experience for more than 5 years (p = 0.017) and at least 200 colonoscopies per year (p = 0.004) are the main factors that allow to perform complete colonoscopy in 90% or more of cases.

摘要

简介

结直肠癌是最常见的癌症之一;诊断的金标准是结肠镜检查。检查的质量取决于许多因素,包括医生的经验。

目的

本研究旨在确定影响结直肠癌筛查中结肠镜检查完整性的主要因素。

材料与方法

对内镜医生进行询问;采用描述性统计方法和逻辑回归。

结果与讨论

确定了影响筛查结肠镜检查质量的主要因素:结肠镜检查经验、理论培训、参与筛查计划以及每年结肠镜检查的数量。计算了选定因变量的计算比值比。

结论

超过 5 年的经验(p=0.017)和每年至少 200 次结肠镜检查(p=0.004)是能够使 90%或更多病例完成结肠镜检查的主要因素。

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