Adenoma detection rate of fecal occult blood test-positive population in colorectal cancer screening and potential influence of“resection and discard”strategy
10.3760/cma.j.issn.1007-5232.2016.02.006
- VernacularTitle:大肠癌筛查粪隐血试验阳性人群的腺瘤检出率及“切除-丢弃”策略的影响
- Author:
Dan MA
;
Fan YANG
;
Quancai CAI
;
Guixiang LI
;
Hongyu FU
;
Peng WANG
;
Renpei WU
;
Enda YU
;
Zhaoshen LI
- Publication Type:Journal Article
- Keywords:
Fecal occult blood test;
Colorectal cancer screening;
Colonoscopy;
Ademoma de-tection rate;
“Resection and discard”strategy
- From:
Chinese Journal of Digestive Endoscopy
2016;33(2):88-92
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the adenoma detection rate( ADR)of fecal occult blood test (FOBT)-positive population in colorectal cancer screening programme and to analyse potential influence of“resection and discard”strategy on ADR. Methods Data of patients who paticipated in the Shanghai color-ectal cancer screening programme with FOBT-positive and received colonoscopy in the Digestive Endoscopic Center of Changhai Hospital from July 2013 to July 2014 were retrospectively analysed. ADR was calculated and compared by different genders. Multivariate logistic regression model was used to analyse the risk factors of polyp resection without retrieval. Results A total of 222 FOBT-positive patients were involved with 36. 5% male proportion. The total ADR was 19. 8%,higher in male(28. 4%)than in female(14. 9%)(P=0. 015). The independent risk factors of polyp resection without retrieval were diminutive polyp( OR =15. 256,95% CI:4. 159-55. 957),located in rectum( OR = 3. 663,95% CI:1. 427-9. 398) and polyp number >2(OR= 3. 988,95%CI:1. 562-10. 187).Conclusion ADR of FOBT-positive population is approx-imately 20%in our center. Low male proportion and“resection and discard”strategy may lead to lower ADR. ADR should be calculated by different genders and advanced endoscopic technology should be employed rou-tinely to predict the pathological diagonosis of the lesions.
