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
- 발행연도
- 2015.1
- 수록면
- 502 - 508 (7page)
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초록· 키워드
오류제보하기
Background/Aims: Uninsured individuals have lower rates of screening colonoscopy (SC), and little is known regarding the pathology results obtained when they undergo colonoscopies. Since 2004, we have participated in a program that offers SC to uninsured New Yorkers; herein, we report our findings. Methods: Uninsured, average-risk patients who were at least 50 years of age underwent SC at our institution between April 2004 and June 2011. We analyzed polyp pathology, location, size, incidence of adenomas, and incidence of adenomas with advanced pathology (AAP) with respect to ethnicity, gender, and age. Results: Out of 493 referrals, 222 patients completed the colonoscopies. Polyps were identified in 21.2% of all patients; 14% had adenomas, and 4.5% had AAP. The rates of adenomas among African-Americans, Hispanics, and Whites were 24.3%, 12.1%, and 11.6%, respectively, and the corresponding rates of AAP were 10.8%, 3.5%, and 2.3%. Differences in the polyp type, location, and AAP did not reach statistical significance with respect to ethnicity or gender. Patients aged 60 and older were found to have a higher rate of advanced adenomas compared with younger patients (8.6% vs 2.6%, p=0.047). Conclusions: Further efforts to fund screening colonoscopies for uninsured individuals will likely result in the identification of advanced lesions of the colon before they progress to colorectal cancer.
목차
등록된 정보가 없습니다.
참고문헌 (25)
참고문헌 신청
Burt RW / 2010 / NCCN clinical practice guidelines in oncology. Colorectal cancer screening / J Natl Compr Canc Netw 8 : 8 ~ 61
Centers for Disease Control and Prevention / / Behavioral risk factor surveillance system
Centers for Disease Control and Prevention / 2010 / Vital signs: colorectal cancer screening among adults aged 50-75 years: United States, 2008 / MMWR Morb Mortal Wkly Rep 59
Centers for Disease Control and Prevention / 2011 / Vital signs: colorectal cancer screening, incidence, and mortality: United States, 2002-2010 / MMWR Morb Mortal Wkly Rep 6
Charles RJ / 2003 / Effectiveness of open-access endoscopy in routine primary-care practice / Gastrointest Endosc 57 : 183 ~ 186
Centers for Disease Control and Prevention / / Behavioral risk factor surveillance system
Centers for Disease Control and Prevention / 2010 / Vital signs: colorectal cancer screening among adults aged 50-75 years: United States, 2008 / MMWR Morb Mortal Wkly Rep 59
Centers for Disease Control and Prevention / 2011 / Vital signs: colorectal cancer screening, incidence, and mortality: United States, 2002-2010 / MMWR Morb Mortal Wkly Rep 6
Charles RJ / 2003 / Effectiveness of open-access endoscopy in routine primary-care practice / Gastrointest Endosc 57 : 183 ~ 186
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