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DOI: 10.1055/s-0042-1742309
Analysis of Patients Undergoing Colonoscopies and the Importance of Exam Quality for Colorectal Cancer Screening
Funding This work did not receive any kind of funding. All expenses were paid for by the researchers themselves.
Summary
Objective To determine the impact of the quality of colonoscopy examination for colorectal cancer screening.
Methods Retrospective observational study of medical records from patients treated at the endoscopy and colonoscopy service of Hospital Universitário Evangélico Mackenzie (Curitiba, PR, Brazil) from January 2019 to January 2020.
Results The analysis was based on 337 medical records from patients with adenomas identified during colonoscopy, and 1,385 medical records from patients without adenomas. The estimated occurrence rate of diagnosis of adenoma during colonoscopy in the target population of the study was of 19.6%, with a 95% confidence interval ranging from 17.7 to 21.5%. Of the 337 patients with adenoma, 136 (40.4%) presented the advanced form. Statistical analysis indicated a significant association between the quality of colonoscopy preparation and test completion.
Conclusion The quality of colonoscopy images is a critical factor for colorectal cancer screening, as it leads to higher rates of adenoma detection and test completion.
Authors contributions
Marcos Venícios Furlanetto: Project design, literature review, data organization, article writing and submission.
Jaqueline Alves Zwierzikowski: Project design, literature review, data collection and organization, article writing and submission.
Carolina Fischer Bertoldo: Project design, literature review, data collection and organization, article writing and submission.
Guilherme Andretta Sotto Maior Wistuba: Project design, literature review, data collection and organization, article writing and submission.
Eduardo Issao Brand Tashima: Project design, literature review, data organization, article writing and submission.
Ana Helena Bessa Gonçalves Vieira: Project supervision, roles delegation and supervision, review of the article writing and submission process.
Henrique Luckow Invitti: Project guidance, roles delegation and supervision, review of the article writing and submission process.
Antonio Sérgio Brenner: Project guidance, roles delegation and supervision, review of the article writing and submission process.
Publikationsverlauf
Eingereicht: 12. April 2021
Angenommen: 25. Oktober 2021
Artikel online veröffentlicht:
31. Januar 2022
© 2022. Sociedade Brasileira de Coloproctologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
- 1 Wolf AMD, Fontham ETH, Church TR. et al. Colorectal cancer screening for average-risk adults: 2018 guideline update from the American Cancer Society. CA Cancer J Clin 2018; 68 (04) 250-281 DOI: 10.3322/caac.21457.
- 2 Dubé C, Yakubu M, McCurdy BR. et al. Risk of Advanced Adenoma, Colorectal Cancer, and Colorectal Cancer Mortality in People With Low-Risk Adenomas at Baseline Colonoscopy: A Systematic Review and Meta-Analysis. Am J Gastroenterol 2017; 112 (12) 1790-1801 DOI: 10.1038/ajg.2017.360.
- 3 Outcomes M, Registration T. Association of Colonoscopy Adenoma Findings With Long-term Colorectal Cancer Incidence. 2021; 2582 (19) 2021-2031 DOI: 10.1001/jama.2018.5809.
- 4 Article R. Pólipos colorectais e sua importância clínica Colorectal polyps and their clinical relevance. 2017: 50-60
- 5 Horiuchi A, Tanaka N. Improving quality measures in colonoscopy and its therapeutic intervention. World J Gastroenterol 2014; 20 (36) 13027-13034 DOI: 10.3748/wjg.v20.i36.13027.
- 6 Hassan C, Antonelli G, Dumonceau JM. et al. Post-polypectomy colonoscopy surveillance: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2020. Endoscopy 2020; 52 (08) 687-700 DOI: 10.1055/a-1185-3109.
- 7 Gupta S, Lieberman D, Anderson JC. et al. Recommendations for Follow-Up After Colonoscopy and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer. Gastroenterology 2020; 158 (04) 1131-1153.e5 DOI: 10.1053/j.gastro.2019.10.026.
- 8 Jeong YH, Kim KO, Park CS, Kim SB, Lee SH, Jang BI. Risk factors of advanced adenoma in small and diminutive colorectal polyp. J Korean Med Sci 2016; 31 (09) 1426-1430 DOI: 10.3346/jkms.2016.31.9.1426.
- 9 Pommergaard HC, Burcharth J, Rosenberg J, Raskov H. The association between location, age and advanced colorectal adenoma characteristics: a propensity-matched analysis. Scand J Gastroenterol 2017; 52 (01) 1-4 DOI: 10.1080/00365521.2016.1218929.
- 10 Maida M, Morreale G, Sinagra E. et al. Quality measures improving endoscopic screening of colorectal cancer: a review of the literature. Expert Rev Anticancer Ther 2019; 19 (03) 223-235 DOI: 10.1080/14737140.2019.1565999.
- 11 Manuscript A, Rate AD. Adenoma Detection Rate and Risk of Colorectal Cancer and Death. 2014; 370 (14) 1298-1306 DOI: 10.1056/NEJMoa1309086.Adenoma.
- 12 Kligman E, Li W, Eckert GJ, Kahi C. Adenoma Detection Rate in Asymptomatic Patients with Positive Fecal Immunochemical Tests. Dig Dis Sci 2018; 63 (05) 1167-1172 DOI: 10.1007/s10620-018-4984-9.
- 13 Ishaq S, Siau K, Harrison E. et al. Technological advances for improving adenoma detection rates: The changing face of colonoscopy. Dig Liver Dis 2017; 49 (07) 721-727 DOI: 10.1016/j.dld.2017.03.030.
- 14 Jiménez-López M, García-Romero CA, Rojas-Illanes MF, Martínez-Ordaz JL. Prevalence and risk factors for premalignant lesions in patients younger than 55 years old founded on colonoscopy on a tertiary center. Cir y Cir (English Ed.) 2018; 86 (03) 215-219 DOI: 10.24875/CIRU.M18000034.
- 15 Breau G, Ellis U. Risk Factors Associated With Young-Onset Colorectal Adenomas and Cancer: A Systematic Review and Meta-Analysis of Observational Research. Cancer Contr 2020; 27 (01) 1073274820976670 DOI: 10.1177/1073274820976670.
- 16 Karsenti D, Tharsis G, Burtin P. et al. Adenoma and advanced neoplasia detection rates increase from 45 years of age. World J Gastroenterol 2019; 25 (04) 447-456 DOI: 10.3748/wjg.v25.i4.447.
- 17 Kastenberg D, Bertiger G, Brogadir S. Bowel preparation quality scales for colonoscopy. World J Gastroenterol 2018; 24 (26) 2833-2843 DOI: 10.3748/wjg.v24.i26.2833.
- 18 Kurome M, Kato J, Nawa T. et al. Risk factors for high-grade dysplasia or carcinoma in colorectal adenoma cases treated with endoscopic polypectomy. Eur J Gastroenterol Hepatol 2008; 20 (02) 111-117 DOI: 10.1097/MEG.0b013e3282f1cbef.
- 19 Mannucci A, Zuppardo RA, Rosati R, Di Leo M, Perea J, Cavestro GM. Colorectal cancer screening from 45 years of age: Thesis, antithesis and synthesis. World J Gastroenterol 2019; 25 (21) 2565-2580 DOI: 10.3748/wjg.v25.i21.2565.
- 20 Bibbins-Domingo K, Grossman DC, Curry SJ. et al; US Preventive Services Task Force. Screening for colorectal cancer: US preventive services task force recommendation statement. JAMA -. JAMA 2016; 315 (23) 2564-2575 DOI: 10.1001/jama.2016.5989.
- 21 VIGITEL – Surveillance of risk and protective factors for chronic diseases by telephone survey. Estimates of frequency and sociodemographic distribution of risk and protective factors for chronic diseases in the capitals of the 26 Brazilian states and the Federal District in 2018. Brasilia; 2019
- 22 Marguerite J. Kutyla (PhD)1, 2*, Marcus A. Gray (PhD)1, 3-4*, Courtney von Hippel (PhD)3 LF, Hourigan (PhD)1, 5, Bradley J. Kendall (PhD)1, 5, Amanda Whaley1, Sam O'Connor (MBBS)1, 5, Gerald J. Holtmann (PhD)1 4-6. Improving the Quality of Bowel Preparation: Rewarding Patients for Success or Intensive Patient Education?. Marguerite. 2020 DOI: 10.1159/000510461
- 23 Chen TH, Hsu CM, Hsu HC. et al. Plasminogen activator inhibitor-1 is associated with the metabolism and development of advanced colonic polyps. Transl Res 2018; 200: 43-53 DOI: 10.1016/j.trsl.2018.05.010.
- 24 Iwai T, Imai K, Hotta K. et al. Endoscopic prediction of advanced histology in diminutive and small colorectal polyps. J Gastroenterol Hepatol 2019; 34 (02) 397-403 DOI: 10.1111/jgh.14409.
- 25 Vleugels JLA, Hassan C, Senore C. et al. Diminutive Polyps With Advanced Histologic Features Do Not Increase Risk for Metachronous Advanced Colon Neoplasia. Gastroenterology 2019; 156 (03) 623-634.e3 DOI: 10.1053/j.gastro.2018.10.050.