Higher Serrated Polyp Detection Rates Are Associated With Lower Risk of Postcolonoscopy Colorectal Cancer: Data From the New Hampshire Colonoscopy Registry.

Autor:	Anderson JC; Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA.; White River Junction VAMC, White River Junction, Vermont, USA.; New Hampshire Colonoscopy Registry, Lebanon, New Hampshire, USA.; University of Connecticut, Storrs, Connecticut, USA., Rex DK; Division of Gastroenterology and Hepatology, Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA., Mackenzie TA; Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA., Hisey W; New Hampshire Colonoscopy Registry, Lebanon, New Hampshire, USA.; Department of Gastroenterology and Hepatology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA., Robinson CM; New Hampshire Colonoscopy Registry, Lebanon, New Hampshire, USA.; Department of Gastroenterology and Hepatology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA., Butterly LF; Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA.; New Hampshire Colonoscopy Registry, Lebanon, New Hampshire, USA.; Department of Gastroenterology and Hepatology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA.
Jazyk:	angličtina
Zdroj:	The American journal of gastroenterology [Am J Gastroenterol] 2023 Nov 01; Vol. 118 (11), pp. 1927-1930. Date of Electronic Publication: 2023 Jul 07.
DOI:	10.14309/ajg.0000000000002403
Abstrakt:	Introduction: We used New Hampshire Colonoscopy Registry data to examine the association between postcolonoscopy colorectal cancer (PCCRC) and sessile serrated detection rates (SSLDRs). Methods: We included patients with either a colonoscopy or a CRC diagnosis in the NH State Cancer Registry. PCCRC was any CRC diagnosed ≥ 6 months after index examination. Results: Of 26,901 patients, 162 were diagnosed with PCCRC. The hazard ratio for PCCRC was lowest for patients whose endoscopists had the highest SSLDR quintile (≥6%) (hazard ratio 0.29; 95% confidence interval 0.16-0.50). Discussion: Endoscopists with higher SSLDRs had lower risks of PCCRC. These data validate SSLDR as a clinically relevant quality measure. (Copyright © 2023 by The American College of Gastroenterology.)
Databáze:	MEDLINE
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