Evaluation of polypectomy quality indicators of large nonpedunculated colorectal polyps in a nonexpert, bowel cancer screening cohort
| Autor: | Annick B. van Nunen, Jan Willem A. Straathof, Rogier de Ridder, Quirine E. W. van der Zander, Lonne W.T. Meulen, Ad A.M. Masclee, Leon M G Moons, Chantal V. Hoge, Roel M M Bogie, Bjorn Winkens, Eric T.P. Keulen |
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| Přispěvatelé: | RS: GROW - R3 - Innovative Cancer Diagnostics & Therapy, Interne Geneeskunde, RS: CAPHRI - R6 - Promoting Health & Personalised Care, FHML Methodologie & Statistiek, MUMC+: MA Maag Darm Lever (9), RS: NUTRIM - R2 - Liver and digestive health |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Referral Colorectal cancer medicine.medical_treatment Colonic Polyps LOCAL RECURRENCE NEOPLASIA National cohort Internal medicine medicine MANAGEMENT Humans Radiology Nuclear Medicine and imaging Endoscopic resection Adverse effect Early Detection of Cancer Quality Indicators Health Care medicine.diagnostic_test ENDOSCOPIC MUCOSAL RESECTION business.industry ADENOMA RECURRENCE Gastroenterology Colonoscopy medicine.disease Polypectomy EUROPEAN-SOCIETY Endoscopy PREVALENCE Cross-Sectional Studies Cohort MORPHOLOGY COLONIC EMR business Colorectal Neoplasms |
| Zdroj: | Gastrointestinal Endoscopy, 94(6), 1085-1095.e2. MOSBY-ELSEVIER |
| ISSN: | 0016-5107 |
| Popis: | Background and Aims: With the introduction of the national bowel cancer screening program, the detection of sessile and flat colonic lesions >= 20 mmin size, defined as large nonpedunculated colorectal polyps (LNPCPs), has increased. The aim of this study was to examine the quality of endoscopic treatment of LNPCPs in the Dutch screening program.Methods: This investigation comprised 2 related, but separate, substudies (1 with a cross-sectional design and 1 with a longitudinal design). The first examined prevalence and characteristics of LNPCPs in data from the national Dutch screening cohort from February 2014 until January 2017. The second, with screening data from 5 endoscopy units in the Southern part of the Netherlands from February 2014 until August 2015, examined performance on important quality indicators (technical and clinical successes, recurrence rate, adverse event rate, and surgery referral rate). All patients were part of the national Dutch screening cohort.Results: In the national cohort, an LNPCP was detected in 8% of participants. Technical and clinical success decreased with increasing LNPCP size, from 93% and 96% in 20- to 29-mm lesions to 85% and 86% in 30- to 39-mm lesions and to 74% and 81% in >= 40-mm lesions (P = 30-mm polyps. Endoscopic resection of large polyps could benefit from additional training, quality monitoring, and centralization either within or between centers. |
| Databáze: | OpenAIRE |
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