지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.94 No.1
- 발행연도
- 2018.1
- 수록면
- 36 - 43 (8page)
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초록· 키워드
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Purpose: Because data as a basis for the determination of proper age and modality for screening of colorectal neoplasms is lacking, we evaluated detection rates and anatomical distribution of colorectal neoplasms according to age in healthy individuals who underwent total colonoscopy for health checkup.
Methods: A total of 16,100 cases that had received the colonoscopic examination from January to December in 2014 were analyzed. The total number of individuals who received total colonoscopy were divided by the number of individuals harboring colorectal adenoma to calculate the detection rate of colorectal adenoma. Individuals ≤50 years old were classified as young-age group and aged >50 were old-age group. Differences in anatomical locations of colorectal neoplasms were analyzed in the 2 age groups by chi-square test. Risk factors for colorectal adenoma in each age group were analyzed using univariate and multivariate logistic regression analyses.
Results: Detection rates of colorectal adenoma were 13.7% in all cases and 12.8% for those in their 40’s. The main anatomical location of colorectal adenoma was proximal colon in both age groups (P < 0.001). Hyperplastic polyp was mainly distributed to the distal colon in both age groups (P < 0.001). Distal colon was the major site for colorectal cancer in the old-age group (P = 0.001). Proximal location of neoplasms was a risk factor for colorectal adenoma in both age groups with multivariate analysis.
Conclusion: These data could be the bases for earlier initiation of screening for colorectal neoplasms with total colonoscopy to detect clinically significant colorectal polyps.
Methods: A total of 16,100 cases that had received the colonoscopic examination from January to December in 2014 were analyzed. The total number of individuals who received total colonoscopy were divided by the number of individuals harboring colorectal adenoma to calculate the detection rate of colorectal adenoma. Individuals ≤50 years old were classified as young-age group and aged >50 were old-age group. Differences in anatomical locations of colorectal neoplasms were analyzed in the 2 age groups by chi-square test. Risk factors for colorectal adenoma in each age group were analyzed using univariate and multivariate logistic regression analyses.
Results: Detection rates of colorectal adenoma were 13.7% in all cases and 12.8% for those in their 40’s. The main anatomical location of colorectal adenoma was proximal colon in both age groups (P < 0.001). Hyperplastic polyp was mainly distributed to the distal colon in both age groups (P < 0.001). Distal colon was the major site for colorectal cancer in the old-age group (P = 0.001). Proximal location of neoplasms was a risk factor for colorectal adenoma in both age groups with multivariate analysis.
Conclusion: These data could be the bases for earlier initiation of screening for colorectal neoplasms with total colonoscopy to detect clinically significant colorectal polyps.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (30)
참고문헌 신청
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[학술지(정기간행물)] - Nishihara R / 2013 / Long-term colorectal-cancer incidence and mortality after lower endoscopy / N Engl J Med 369 : 1095 ~ 1105
[학술지(정기간행물)] - U.S. Preventive Services Task Force / 2008 / Screening for colorectal cancer: U.S. Preventive Services Task Force recommendation statement / Ann Intern Med 149 : 627 ~ 637
[학술지(정기간행물)] - Levin B / 2008 / Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps, 2008: a joint guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology / CA Cancer J Clin 58 : 130 ~ 160
[학술지(정기간행물)] - Lansdorp-Vogelaar I / 2012 / European guidelines for quality assurance in colorectal cancer screening and diagnosis. First Edition--Introduction / Endoscopy 44 (Suppl 3) : SE15 ~ SE30
[학술지(정기간행물)] - Nishihara R / 2013 / Long-term colorectal-cancer incidence and mortality after lower endoscopy / N Engl J Med 369 : 1095 ~ 1105
[학술지(정기간행물)] - U.S. Preventive Services Task Force / 2008 / Screening for colorectal cancer: U.S. Preventive Services Task Force recommendation statement / Ann Intern Med 149 : 627 ~ 637
[학술지(정기간행물)] - Levin B / 2008 / Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps, 2008: a joint guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology / CA Cancer J Clin 58 : 130 ~ 160
[학술지(정기간행물)] - Lansdorp-Vogelaar I / 2012 / European guidelines for quality assurance in colorectal cancer screening and diagnosis. First Edition--Introduction / Endoscopy 44 (Suppl 3) : SE15 ~ SE30
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UCI(KEPA) : I410-ECN-0101-2018-514-001683827