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
- 2020.1
- 수록면
- 698 - 704 (7page)
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Background/Aims: While Helicobacter pylori (HP)-negative gastric cancer is frequently reported, little is known about the predictors for detecting HP-negative early gastric cancer (EGC). We aimed to evaluate the predictors for the detection of HP-negative EGC. Methods: We retrospectively reviewed 13,477 consecutive asymptomatic cases where upper endoscopy was performed by nine physicians from April 2017 to March 2019 and analyzed the detection rate of high-risk lesions (HRLs), including EGC, tubular adenoma, and lymphoma, according to the status of HP infection. The observation time was corrected for multiple regression analyses. Results: For all physicians, the average observation time for screening HP-eradicated and -naive patients was shorter than that for screening HP-positive patients (p<0.05). Multiple regression analyses revealed that the observation time in the three groups was an independent predictor for detecting HRLs in HP-eradicated patients (p=0.03106, 0.01263, and 0.02485, respectively), while experience of endoscopy was an independent predictor for detecting HRLs in HP-naive patients (p=0.02638). Conclusions: While observation time during screening endoscopy was a quality indicator for detecting HRLs in HP-eradicated patients, experience of endoscopy was a quality indicator for detecting HRLs in HP-naive patients.
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참고문헌 (23)
참고문헌 신청
Nomura A / 1991 / Helicobacter pylori infection and gastric carcinoma among Japanese Americans in Hawaii / N Engl J Med 325:1132~1136
Helicobacter and Cancer Collaborative Group / 2001 / Gastric cancer and Helicobacter pylori : a combined analysis of 12 case control studies nested within prospective cohorts / Gut 49:347~353
Moss SF / 2017 / The clinical evidence linking Helicobacter pylori to gastric cancer / Cell Mol Gastroenterol Hepatol 3:183~191
Uemura N / 2001 / Helicobacter pylori infection and the development of gastric cancer / N Engl J Med 345:784~789
Wong BC / 2004 / Helicobacter pylori eradication to prevent gastric cancer in a high-risk region of China : a randomized controlled trial / JAMA 291:187~194
Helicobacter and Cancer Collaborative Group / 2001 / Gastric cancer and Helicobacter pylori : a combined analysis of 12 case control studies nested within prospective cohorts / Gut 49:347~353
Moss SF / 2017 / The clinical evidence linking Helicobacter pylori to gastric cancer / Cell Mol Gastroenterol Hepatol 3:183~191
Uemura N / 2001 / Helicobacter pylori infection and the development of gastric cancer / N Engl J Med 345:784~789
Wong BC / 2004 / Helicobacter pylori eradication to prevent gastric cancer in a high-risk region of China : a randomized controlled trial / JAMA 291:187~194
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