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
- 2017.1
- 수록면
- 93 - 98 (6page)
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초록· 키워드
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Purpose: The adenoma detection rate is commonly used as a measure of the quality of colonoscopy. This study assessed both the association between the adenoma detection rate and the quality of bowel preparation and the risk factors associated with the adenoma detection rate in screening colonoscopy. Methods: This retrospective analysis involved 1,079 individuals who underwent screening colonoscopy at the National Cancer Center between December 2012 and April 2014. Bowel preparation was classified by using the Aronchick scale. Individuals with inadequate bowel preparations (n = 47, 4.4%) were excluded because additional bowel preparation was needed. The results of 1,032 colonoscopies were included in the analysis. Results: The subjects’ mean age was 53.1 years, and 657 subjects (63.7%) were men. The mean cecal intubation time was 6.7 minutes, and the mean withdrawal time was 8.7 minutes. The adenoma and polyp detection rates were 28.1% and 41.8%, respectively. The polyp, adenoma, and advanced adenoma detection rates did not correlate with the quality of bowel preparation. The multivariate analysis showed age ≥ 60 years (hazard ratio [HR], 1.42; 95% confidence interval [CI], 1.02–1.97; P = 0.040), body mass index ≥ 25 kg/m2 (HR, 1.56; 95% CI, 1.17–2.08; P = 0.002) and current smoking (HR, 1.44; 95% CI, 1.01–2.06; P = 0.014) to be independent risk factors for adenoma detection. Conclusion: The adenoma detection rate was unrelated to the quality of bowel preparation for screening colonoscopy. Older age, obesity, and smoking were independent risk factors for adenoma detection.
목차
등록된 정보가 없습니다.
참고문헌 (30)
참고문헌 신청
정규원 / 2015 / Cancer Statistics in Korea: Incidence, Mortality, Survival, and Prevalence in 2012 / Cancer Research and Treatment 47(2):127~141
Kaminski MF / 2010 / Quality indicators for colonoscopy and the risk of interval cancer / N Engl J Med 362:1795~1803
Zauber AG / 2012 / Colonoscopic polypectomy and long-term prevention of colorectal-cancer deaths / N Engl J Med 366:687~696
Winawer SJ / 1993 / Prevention of colorectal cancer by colonoscopic polypectomy. The National Polyp Study Workgroup / N Engl J Med 329:1977~1981
Jacob BJ / 2012 / Effect of colonoscopy on colorectal cancer incidence and mortality: an instrumental variable analysis / Gastrointest Endosc 76:355-64.e1
Kaminski MF / 2010 / Quality indicators for colonoscopy and the risk of interval cancer / N Engl J Med 362:1795~1803
Zauber AG / 2012 / Colonoscopic polypectomy and long-term prevention of colorectal-cancer deaths / N Engl J Med 366:687~696
Winawer SJ / 1993 / Prevention of colorectal cancer by colonoscopic polypectomy. The National Polyp Study Workgroup / N Engl J Med 329:1977~1981
Jacob BJ / 2012 / Effect of colonoscopy on colorectal cancer incidence and mortality: an instrumental variable analysis / Gastrointest Endosc 76:355-64.e1
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