利用结肠镜息肉检出率估算腺瘤检出率的可行性探索
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1.海军军医大学附属长海医院消化内科;2.国家消化系统疾病临床医学研究中心(上海)

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国家重点研发计划(2018YFC1313103);国家自然科学基金面上项目(81670473,81873546);上海市“曙光计划”(19SG30);海军军医大学第一附属医院“234学科攀峰计划”(2019YXK004)


Feasibility of estimating adenoma detection rate based on polyp detection rate in colonoscopy
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Affiliation:

Department of Gastroenterology, Changhai Hospital, Naval Medical University

Fund Project:

National Key Reasearch and Development Program (2018YFC1313103);National Natural Science Foundation of China (81670473,81873546);

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    摘要:

    目的 探索利用结肠镜息肉检出率(polyp detection rate,PDR)估算腺瘤检出率(adenoma detection rate,ADR)的可行性。方法 采用单中心回顾性研究,利用2017年全年结肠镜数据计算PDR与ADR的换算系数,利用PDR和换算系数估算结肠镜医师的ADR,并与实际ADR进行一致性验证。结果 最终纳入25 112例结肠镜和20名结肠镜医师,换算系数为0.483,实际ADR和估算ADR的组内相关系数(ICC)为0.818(95%CI:0.596~0.924,P<0.01)。结论 利用PDR估算ADR可行,但该方法仅是权宜之计,仍应重视建立规范电子数据库。

    Abstract:

    Objective To explore the feasibility of estimating adenoma detection rate (ADR) based on polyp detection rate (PDR) in colonscopy. Methods In the present single-center retrospective study, the conversion coefficient was calculated based on the total colonoscopy cases in 2017. ADR of each colonoscopists was estimated based on PDR and conversion coefficient, which was then verified compared with the actual ADR for consistency. Results A total of 25 112 colonoscopies with 20 experienced colonoscopists were included. The overall conversion coefficient was 0.483. The intraclass correlation coefficient of the actual ADR and the estimated ADR was 0.818 (95%CI:0.596-0.924,P<0.01). Conclusion It is feasible to estimate ADR based on PDR, but this method is only an expediency. More attention should be paid to the establishment of a standardized electronic database.

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潘鹏,吴佳艺,杨婷,等.利用结肠镜息肉检出率估算腺瘤检出率的可行性探索[J].中华消化内镜杂志,2021,38(8):633-637.

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  • 收稿日期:2020-05-30
  • 最后修改日期:2021-03-31
  • 录用日期:2020-07-06
  • 在线发布日期: 2021-08-30
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