Adenoma Detection Rates in 45-49-Year-Old Persons Undergoing Screening Colonoscopy: Analysis From the GIQuIC Registry

被引：20

作者：

Bilal, Mohammad ^{[1
]}

Holub, Jennifer ^{[2
]}

Greenwald, David ^{[3
]}

Pochapin, Mark B. ^{[4
]}

Rex, Douglas K. ^{[5
]}

Shaukat, Aasma ^{[4
]}

机构：

[1] Univ Minnesota, Div Gastroenterol & Hepatol, Minneapolis VA Med Ctr, Minneapolis, MN USA

[2] GI Qual Improvement Consortium, Bethesda, MD USA

[3] Icahn Sch Med Mt Sinai, Mt Sinai Hosp, Div Gastroenterol, New York, NY 10029 USA

[4] NYU Langone Hlth, Div Gastroenterol & Hepatol, New York, NY 10016 USA

[5] Indiana Univ Sch Med, Div Gastroenterol & Hepatol, Indianapolis, IN 46202 USA

来源：

AMERICAN JOURNAL OF GASTROENTEROLOGY | 2022年 / 117卷 / 05期

关键词：

COLORECTAL-CANCER;

D O I：

10.14309/ajg.0000000000001684

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

INTRODUCTION: The impact of lowering the colon cancer screening age from 50 to 45 years on the endoscopist adenoma detection rate (ADR) is not well studied. METHODS: We used average-risk screening colonoscopies submitted to the GI Quality Improvement Consortium registry from 2014 to 2020 among individuals aged 45-75 years. We used the 1-way ANOVA test to determine differences between ADRs among 45-49-year-old, 50-54-year-old, and 50-75-year-old individuals. RESULTS: A total of 2,806,539 screening colonoscopies were performed by 814 endoscopists. The mean ADR in the 45-49-year-old group was 28.6% compared with 31.8% for the 50-54-year-old group (P < 0.001) and 36.3% for the 50-75-year-old group (P < 0.001). DISCUSSION: Endoscopists might see a small drop in their ADR once a higher proportion of 45-49-year-old patients start undergoing screening colonoscopy.

引用

页码：806 / 808

页数：3

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