"Endoscopic" adenoma detection rate as a quality indicator of colonoscopy: First report from the J-SCOUT study

被引：4

作者：

Kawamura, Takuji ^{[1
]}

Sekiguchi, Masau ^{[5
,6
]}

Takamaru, Hiroyuki ^{[5
]}

Mizuguchi, Yasuhiko ^{[5
]}

Horiguchi, Go ^{[2
]}

Kato, Masayuki ^{[7
]}

Kobayashi, Kiyonori ^{[10
]}

Sada, Miwa ^{[10
]}

Oda, Yasushi ^{[11
]}

Yokoyama, Akira ^{[3
]}

Utsumi, Takahiro ^{[4
]}

Tsuji, Yosuke ^{[8
]}

Ohki, Daisuke ^{[8
]}

Takeuchi, Yoji ^{[12
,13
]}

Shichijo, Satoki ^{[12
,13
]}

Ikematsu, Hiroaki ^{[14
]}

Matsuda, Koji ^{[15
]}

Teramukai, Satoshi ^{[2
]}

Kobayashi, Nozomu ^{[6
]}

Matsuda, Takahisa ^{[9
]}

Saito, Yutaka ^{[5
]}

Tanaka, Kiyohito ^{[1
]}

机构：

[1] Kyoto Second Red Cross Hosp, Dept Gastroenterol, Kyoto, Japan

[2] Kyoto Prefectural Univ Med, Dept Biostat, Kyoto, Japan

[3] Kyoto Univ, Dept Therapeut Oncol, Kyoto, Japan

[4] Kyoto Univ, Dept Gastroenterol & Hepatol, Kyoto, Japan

[5] Natl Canc Ctr, Endoscopy Div, Tokyo, Japan

[6] Natl Canc Ctr, Canc Screening Ctr, Tokyo, Japan

[7] Jikei Univ, Katsushika Med Ctr, Dept Endoscopy, Tokyo, Japan

[8] Univ Tokyo, Grad Sch Med, Dept Gastroenterol, Tokyo, Japan

[9] Toho Univ, Omori Med Ctr, Div Gastroenterol & Hepatol, Tokyo, Japan

[10] Kitasato Univ, Dept Gastroenterol, 355-5, Haruobi-cho, Kamigyo-ku, Sagamihara, Kanagawa 6028026, Japan

[11] Oda GI Endoscopy & Gastroenterol Clin, Kumamoto, Japan

[12] Osaka Int Canc Inst, Dept Gastrointestinal Oncol, Osaka, Japan

[13] Osaka Int Canc Inst, Dept Genet Oncol, Div Hereditary Tumors, Osaka, Japan

[14] Natl Canc Ctr Hosp East, Dept Gastroenterol & Endoscopy, Chiba, Japan

[15] Shizuoka Med Ctr, Dept Gastroenterol, Shizuoka, Japan

来源：

DIGESTIVE ENDOSCOPY | 2023年 / 35卷 / 05期

关键词：

adenoma; colonoscopy; colorectal neoplasms; database; quality indicators; COLORECTAL-CANCER; GUIDELINES; RISK;

D O I：

10.1111/den.14483

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

ObjectivesTo examine whether reasonable detection rate of endoscopically diagnosed lesions as adenoma ("endoscopic" adenoma detection rate [ADR]) could be calculated with a database generated from colonoscopy reports and whether it could be used as a surrogate colonoscopy quality indicator of "pathological" ADR. MethodsA lesion-by-lesion database of colonoscopies performed between 2010 and 2020 at eight Japanese endoscopy centers and corresponding pathology database were integrated. Differences in numbers of detected polyps, "endoscopic" and "pathological" adenomas, and what these differences could be attributed to were examined. Polyp detection rate (PDR), "endoscopic" and "pathological" ADRs, and correlation coefficients between "pathological" ADR and PDR or "endoscopic" ADR by each endoscopist were calculated. ResultsOverall, 129,065 colonoscopy reports were analyzed. Among a total of 146,854 polyps, more "endoscopic" adenomas (n = 117,359) were observed than "pathological" adenomas (n = 70,076), primarily because adenomas were not resected on site, rather than because of a misdiagnosis. In all patients analyzed, PDR, "endoscopic" and "pathological" ADRs were 56.4% (95% confidence interval [CI] 56.2-56.7), 48.0% (95% CI 47.7-48.3), and 32.7% (95% CI 32.5-33.0), respectively. "Endoscopic" and "pathological" ADRs from each endoscopist showed a high correlation in hospitals where adenomas were usually resected at the time of examination. ConclusionsBy appropriately describing endoscopically diagnosed lesions as "adenomas" in endoscopy reports, "endoscopic" ADR might be used as a surrogate colonoscopy quality indicator of "pathological" ADR (UMIN000040690).

引用

页码：615 / 624

页数：10

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