Optimal Colonoscopic Surveillance Interval After Normal Baseline Screening Colonoscopy.

Autor: Dong J; Jian Dong, MD, PhD, The First Department of Medical Oncology, The Third Affiliated Hospital of Kunming Medical University, Tumor Hospital of Yunnan Province, Kunming, China.; Minman Wu, MD, PhD, Department of Otorhinolaryngology, The First Affiliated Hospital of Yunnan University of Traditional Chinese Medicine, Kunming, China.; Jiarong Miao, MD, PhD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Rana Sami Ullah Khan, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Tao Zhi, MD, Department of Gastroenterology, The First People's Hospital of Bijie City, Bijie, China.; Tianmei Zhang, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Xue Li, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Yashi Peng, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Gang Yang, MD, PhD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Qiong Nan, MD, PhD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China., Wu M; Jian Dong, MD, PhD, The First Department of Medical Oncology, The Third Affiliated Hospital of Kunming Medical University, Tumor Hospital of Yunnan Province, Kunming, China.; Minman Wu, MD, PhD, Department of Otorhinolaryngology, The First Affiliated Hospital of Yunnan University of Traditional Chinese Medicine, Kunming, China.; Jiarong Miao, MD, PhD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Rana Sami Ullah Khan, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Tao Zhi, MD, Department of Gastroenterology, The First People's Hospital of Bijie City, Bijie, China.; Tianmei Zhang, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Xue Li, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Yashi Peng, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Gang Yang, MD, PhD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Qiong Nan, MD, PhD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China., Miao J; Jian Dong, MD, PhD, The First Department of Medical Oncology, The Third Affiliated Hospital of Kunming Medical University, Tumor Hospital of Yunnan Province, Kunming, China.; Minman Wu, MD, PhD, Department of Otorhinolaryngology, The First Affiliated Hospital of Yunnan University of Traditional Chinese Medicine, Kunming, China.; Jiarong Miao, MD, PhD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Rana Sami Ullah Khan, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Tao Zhi, MD, Department of Gastroenterology, The First People's Hospital of Bijie City, Bijie, China.; Tianmei Zhang, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Xue Li, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Yashi Peng, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Gang Yang, MD, PhD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Qiong Nan, MD, PhD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China., Khan RSU; Jian Dong, MD, PhD, The First Department of Medical Oncology, The Third Affiliated Hospital of Kunming Medical University, Tumor Hospital of Yunnan Province, Kunming, China.; Minman Wu, MD, PhD, Department of Otorhinolaryngology, The First Affiliated Hospital of Yunnan University of Traditional Chinese Medicine, Kunming, China.; Jiarong Miao, MD, PhD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Rana Sami Ullah Khan, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Tao Zhi, MD, Department of Gastroenterology, The First People's Hospital of Bijie City, Bijie, China.; Tianmei Zhang, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Xue Li, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Yashi Peng, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Gang Yang, MD, PhD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Qiong Nan, MD, PhD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China., Zhi T; Jian Dong, MD, PhD, The First Department of Medical Oncology, The Third Affiliated Hospital of Kunming Medical University, Tumor Hospital of Yunnan Province, Kunming, China.; Minman Wu, MD, PhD, Department of Otorhinolaryngology, The First Affiliated Hospital of Yunnan University of Traditional Chinese Medicine, Kunming, China.; Jiarong Miao, MD, PhD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Rana Sami Ullah Khan, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Tao Zhi, MD, Department of Gastroenterology, The First People's Hospital of Bijie City, Bijie, China.; Tianmei Zhang, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Xue Li, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Yashi Peng, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Gang Yang, MD, PhD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Qiong Nan, MD, PhD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China., Zhang T; Jian Dong, MD, PhD, The First Department of Medical Oncology, The Third Affiliated Hospital of Kunming Medical University, Tumor Hospital of Yunnan Province, Kunming, China.; Minman Wu, MD, PhD, Department of Otorhinolaryngology, The First Affiliated Hospital of Yunnan University of Traditional Chinese Medicine, Kunming, China.; Jiarong Miao, MD, PhD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Rana Sami Ullah Khan, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Tao Zhi, MD, Department of Gastroenterology, The First People's Hospital of Bijie City, Bijie, China.; Tianmei Zhang, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Xue Li, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Yashi Peng, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Gang Yang, MD, PhD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Qiong Nan, MD, PhD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China., Li X; Jian Dong, MD, PhD, The First Department of Medical Oncology, The Third Affiliated Hospital of Kunming Medical University, Tumor Hospital of Yunnan Province, Kunming, China.; Minman Wu, MD, PhD, Department of Otorhinolaryngology, The First Affiliated Hospital of Yunnan University of Traditional Chinese Medicine, Kunming, China.; Jiarong Miao, MD, PhD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Rana Sami Ullah Khan, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Tao Zhi, MD, Department of Gastroenterology, The First People's Hospital of Bijie City, Bijie, China.; Tianmei Zhang, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Xue Li, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Yashi Peng, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Gang Yang, MD, PhD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Qiong Nan, MD, PhD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China., Peng Y; Jian Dong, MD, PhD, The First Department of Medical Oncology, The Third Affiliated Hospital of Kunming Medical University, Tumor Hospital of Yunnan Province, Kunming, China.; Minman Wu, MD, PhD, Department of Otorhinolaryngology, The First Affiliated Hospital of Yunnan University of Traditional Chinese Medicine, Kunming, China.; Jiarong Miao, MD, PhD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Rana Sami Ullah Khan, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Tao Zhi, MD, Department of Gastroenterology, The First People's Hospital of Bijie City, Bijie, China.; Tianmei Zhang, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Xue Li, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Yashi Peng, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Gang Yang, MD, PhD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Qiong Nan, MD, PhD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China., Yang G; Jian Dong, MD, PhD, The First Department of Medical Oncology, The Third Affiliated Hospital of Kunming Medical University, Tumor Hospital of Yunnan Province, Kunming, China.; Minman Wu, MD, PhD, Department of Otorhinolaryngology, The First Affiliated Hospital of Yunnan University of Traditional Chinese Medicine, Kunming, China.; Jiarong Miao, MD, PhD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Rana Sami Ullah Khan, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Tao Zhi, MD, Department of Gastroenterology, The First People's Hospital of Bijie City, Bijie, China.; Tianmei Zhang, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Xue Li, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Yashi Peng, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Gang Yang, MD, PhD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Qiong Nan, MD, PhD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China., Nan Q; Jian Dong, MD, PhD, The First Department of Medical Oncology, The Third Affiliated Hospital of Kunming Medical University, Tumor Hospital of Yunnan Province, Kunming, China.; Minman Wu, MD, PhD, Department of Otorhinolaryngology, The First Affiliated Hospital of Yunnan University of Traditional Chinese Medicine, Kunming, China.; Jiarong Miao, MD, PhD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Rana Sami Ullah Khan, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Tao Zhi, MD, Department of Gastroenterology, The First People's Hospital of Bijie City, Bijie, China.; Tianmei Zhang, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Xue Li, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Yashi Peng, MD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Gang Yang, MD, PhD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.; Qiong Nan, MD, PhD, Department of Gastroenterology, Yunnan Institute of Digestive Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.
Jazyk: angličtina
Zdroj: Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates [Gastroenterol Nurs] 2020 May/Jun; Vol. 43 (3), pp. 225-231.
DOI: 10.1097/SGA.0000000000000444
Abstrakt: The optimal colonoscopic surveillance interval in the Chinese population is unclear. The present study aimed to assess the optimal colonoscopic surveillance interval after normal baseline screening colonoscopy to avoid overuse or underuse of colonoscopy. This retrospective study included individuals with normal baseline colonoscopy who had undergone at least 2 follow-up colonoscopy examinations at the Digestive Endoscopy Center of our hospital between 2000 and 2013. The risk factors for adenoma and the optimal colonoscopic surveillance interval were assessed. A total of 1,005 individuals (419 men; mean age, 49.34 ± 13.29 years) were included in the study. Of these, 169 individuals had adenomas at colonoscopic surveillance (mean, 1.32 ± 0.79 procedures). The mean adenoma diameter was 0.54 ± 0.38 cm, and the mean number of adenomas was 1.76 ± 1.29. The mean adenoma surveillance interval was 4.76 ± 2.89 years. The risk factors for adenoma identification were age more than 50 years and male gender. The optimal colonoscopic surveillance interval was 4.76 years according to an adenoma detection rate of 5%. The optimal colonoscopic surveillance interval is around 5 years for individuals with normal baseline colonoscopy. Age more than 50 years and male gender are risk factors for adenoma identification.
Databáze: MEDLINE