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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 183 - 189 (7page)
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Background/Aims: Knowledge regarding the quality metrics of fecal immunochemical test (FIT)-based colorectal cancer screening programs is limited. The aim of this study was to investigate the performance and quality metrics of a FIT-based screening program. Methods: In our screening program, asymptomatic subjects aged ≥50 years underwent an annual FIT, and subjects with positive FIT results underwent a subsequent colonoscopy. The performance of the FIT and colonoscopy was analyzed in individuals with a positive FIT who completed the program between 2009 and 2015 at a university hospital. Results: Among the 51,439 screened participants, 75.1% completed the FIT. The positive rate was 1.1%, and the colonoscopy completion rate in these patients was 68.6%. The positive predictive values of cancer and advanced neoplasia were 5.5% and 19.1%, respectively. The adenoma detection rate in the patients who underwent colonoscopy after a positive FIT was 48.2% (60.0% for men and 33.6% for women). The group with the highest tertile quantitative FIT level showed a significantly higher detection rate of advanced neoplasia than the group with the lowest tertile (odds ratio, 2.6; 95% confidence interval, 1.4 to 5.1; p<0.001). Conclusions: The quality metrics used in the United States and Europe may be directly introduced to other countries, including Korea. However, the optimal quality metrics should be established in each country.
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참고문헌 (43)
참고문헌 신청
Ferlay J / 2015 / Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012 / Int J Cancer 136:E359~E386
Shin A / 2013 / Validity of fecal occult blood test in the national cancer screening program, Korea / PLoS One 8:e79292
Yoo KY / 2008 / Cancer control activities in the Republic of Korea / Jpn J Clin Oncol 38:327~333
Rembacken B / 2012 / Quality in screening colonoscopy: position statement of the European Society of Gastrointestinal Endoscopy (ESGE) / Endoscopy 44:957~968
Robertson DJ / 2017 / Recommendations on fecal immunochemical testing to screen for colorectal neoplasia: a consensus statement by the US Multi-Society Task Force on colorectal cancer / Gastrointest Endosc 85:2~21
Shin A / 2013 / Validity of fecal occult blood test in the national cancer screening program, Korea / PLoS One 8:e79292
Yoo KY / 2008 / Cancer control activities in the Republic of Korea / Jpn J Clin Oncol 38:327~333
Rembacken B / 2012 / Quality in screening colonoscopy: position statement of the European Society of Gastrointestinal Endoscopy (ESGE) / Endoscopy 44:957~968
Robertson DJ / 2017 / Recommendations on fecal immunochemical testing to screen for colorectal neoplasia: a consensus statement by the US Multi-Society Task Force on colorectal cancer / Gastrointest Endosc 85:2~21
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