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논문 기본 정보

자료유형
학술저널
저자정보
Oh Chang Kyo (Department of Internal Medicine Seoul St. Mary’s Hospital College of Medicine The Catholic Universi) Aniwan Satimai (Deprtment of Medicine Chulalongkorn University and King Chulalongkorn Memorial Hospital Bangkok Tha) Piyachaturawat Panida (Deprtment of Medicine Chulalongkorn University and King Chulalongkorn Memorial Hospital Bangkok Tha) Wong Zhiqin (Gastroentorology Unit Department of Medicine Faculty of Medicine National University of Malaysia Ku) Soe Thida (Department of Gastroenterology University of Medicine 1 Yangon Yangon Myanmar) Luvsandagva Bayasgalan (Department of Endoscopy Ulaanbaatar Songdo Hospital Ulaanbaatar MongoliaDivision of Gastroenterolog) Tran Quang Trung (Department of Internal Medicine Hue University of Medicine and Pharmacy Hue University Hue VietnamD) Fauzi Achmad (Department of Internal Medicine University of Indonesia Kota Depok Indonesia) Byeon Jeong-Sik (Department of Internal Medicine Asan Medical Center University of Ulsan College of Medicine Seoul K) Cho Young-Seok (Department of Internal Medicine Seoul St. Mary’s Hospital College of Medicine The Catholic Universi)
저널정보
거트앤리버 발행위원회 Gut and Liver Gut and Liver 제15권 제6호
발행연도
2021.11
수록면
878 - 886 (9page)
DOI
10.5009/gnl20166

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Background/Aims: As the number of colonoscopies and polypectomies performed continues to increase in many Asian countries, there is a great demand for surveillance colonoscopy. The aim of this study was to investigate the adherence to postpolypectomy surveillance guidelines among physicians in Asia. Methods: A survey study was performed in seven Asian countries. An email invitation with a link to the survey was sent to participants who were asked to complete the questionnaire consisting of eight clinical scenarios. Results: Of the 137 doctors invited, 123 (89.8%) provided valid responses. Approximately 50% of the participants adhered to the guidelines regardless of the risk of adenoma, except in the case of tubulovillous adenoma ≥10 mm combined with high-grade dysplasia, in which 35% of the participants adhered to the guidelines. The participants were stratified according to the number of colonoscopies performed: ≥20 colonoscopies per month (high volume group) and <20 colonoscopies per month (low volume group). Higher adherence to the postpolypectomy surveillance guidelines was evident in the high volume group (60%) than in the low volume group (25%). The reasons for nonadherence included concern of missed polyps (59%), the low cost of colonoscopy (26%), concern of incomplete resection (25%), and concern of medical liability (15%). Conclusions: A discrepancy between clinical practice and surveillance guidelines among physicians in Asia was found. Physicians in the low volume group frequently did not adhere to the guidelines, suggesting a need for continuing education and appropriate control. Concerns regarding the quality of colonoscopy and complete polypectomy were the main reasons for nonadherence.
#Colon #Rectum #Polyp #Guideline adherence #Colonoscopy

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참고문헌 (32)

참고문헌 신청
Bray F / 2018 / Global cancer statistics 2018 : GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185countries / CA Cancer J Clin 68:394~424 google schola Tsoi KK / 2017 / Predicted increases in incidence of colorectal cancer in developed and developing regions, in association with ageing populations / Clin Gastroenterol Hepatol 15:892~900 google schola Chiu HM / 2017 / Colorectal cancer screening in Asia / Curr Gastroenterol Rep 19:47 google schola Jae Myung Cha / 2020 / Real-World National Colonoscopy Volume in Korea: A Nationwide Population-Based Study over 12 Years / Gut and Liver 14(3):338~346 dbpia Winawer SJ / 1993 / Prevention of colorectal cancer by colonoscopic polypectomy. The National Polyp Study Workgroup / N Engl J Med 329:1977~1981 google schola

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