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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 1 - 10 (10page)
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Background: Current postpolypectomy surveillance guidelines are based on studies in patients aged ≥50 years. Equal application of the guidelines in patients aged < 50 years may be unreasonable. We aimed to determine an appropriate surveillance interval after adenoma removal in patients aged < 50 years. Methods: We studied 10,013 patients who underwent ≥ 1 adenoma removal and follow-up colonoscopy. The cumulative risk of metachronous advanced colorectal neoplasia (ACRN) was compared among the eight groups based on age (30–39, 40–44, 45–49 and ≥ 50 years) and baseline adenoma characteristics (low- [LRA] and high-risk adenoma [HRA]). Results: The risk of metachronous ACRN in patients aged 30–39 and 40–44 years with HRA was comparable to that in those aged ≥ 50 years with LRA (P = 0.839 and P = 0.381, respectively). However, the risk in those aged 45–49 years with HRA was higher than in those aged ≥ 50 years with LRA (P = 0.003), and the risk was not significantly different from that in those aged ≥ 50 years with HRA (P = 0.092). Additionally, the 5-year cumulative risk in those aged 45–49 years with LRA was not significantly different from that in those aged ≥ 50 years with LRA. Conclusion: The postpolypectomy surveillance interval can be extended up to 5 years in patients aged 30–44 years with HRA, similar to those aged ≥ 50 years with LRA. However, the interval in patients aged 45–49 years with HRA and LRA should be 3 and 5 years, respectively, similar to those aged ≥ 50 years.
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참고문헌 (24)
참고문헌 신청
Rex DK / 2017 / Colorectal cancer screening: recommendations for physicians and patients from the U.S. Multi-Society Task Force on Colorectal Cancer / Am J Gastroenterol 112(7):1016~1030
Sung JJ / 2015 / An updated Asia Pacific Consensus Recommendations on colorectal cancer screening / Gut 64(1):121~132
Inra JA / 2015 / Colorectal cancer in young adults / Dig Dis Sci 60(3):722~733
정윤숙 / 2017 / Is colorectal cancer screening necessary before 50 years of age? / Intestinal research 15(4):550~551
Bailey CE / 2015 / Increasing disparities in the age-related incidences of colon and rectal cancers in the United States, 1975–2010 / JAMA Surg 150(1):17~22
Sung JJ / 2015 / An updated Asia Pacific Consensus Recommendations on colorectal cancer screening / Gut 64(1):121~132
Inra JA / 2015 / Colorectal cancer in young adults / Dig Dis Sci 60(3):722~733
정윤숙 / 2017 / Is colorectal cancer screening necessary before 50 years of age? / Intestinal research 15(4):550~551
Bailey CE / 2015 / Increasing disparities in the age-related incidences of colon and rectal cancers in the United States, 1975–2010 / JAMA Surg 150(1):17~22
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