Journal ArticleDOI
Critical analysis of the performance of double-contrast barium enema for detecting colorectal polyps > or = 6 mm in the era of CT colonography.
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TLDR
DCBE has statistically lower sensitivity and specificity than CTC for detecting colorectal polyps > or = 6 mm and was also significantly less sensitive for 6- to 9-mm polyps.Abstract:
OBJECTIVE. The purpose of our study was to perform a meta-analysis comparing the performance of double-contrast barium enema (DCBE) with CT colonography (CTC) for the detection of colorectal polyps ≥ 6 mm using endoscopy as the gold standard.MATERIALS AND METHODS. Prospective DCBE and CTC studies were identified. Percentages of polyps and of patients with polyps ≥ 10 mm and 6–9 mm were abstracted. The performance of DCBE versus CTC was determined by separately evaluating each technique's performance versus that of endoscopy, and contrasting the techniques. The I-squared statistic and Fisher's exact test were used for heterogeneity, the Cochran-Mantel-Haenszel and the Kruskal-Wallis tests for correlation, and the Az test for comparing pooled weighted estimates of performance.RESULTS. Eleven studies of DCBE (5,995 patients, 1,548 polyps) and 30 studies of CTC (6,573 patients, 2,348 polyps) fulfilled inclusion criteria. For polyps ≥ 10 mm, a 0.121-perpatient sensitivity difference favored CTC (p < 0.0001; DC...read more
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Practice parameters for the management of rectal cancer (revised)
Rectal Surgeons: Joe J. Tjandra,John Kilkenny,W. Donald Buie,Neil Hyman,Clifford Simmang,Thomas Anthony,Charles P. Orsay,James M. Church,Daniel Otchy,Jeffrey A. Cohen,Ronald J. Place,Frederick Denstman,Jan Rakinic,Richard Moore,Mark H. Whiteford +14 more
TL;DR: These guidelines are inclusive, and not prescriptive, and intended for the use of all practitioners, health care workers, and patients who desire information about the management of the conditions addressed by the topics covered in these guidelines.
Journal ArticleDOI
Association of Study Quality with Completeness of Reporting: Have Completeness of Reporting and Quality of Systematic Reviews and Meta-Analyses in Major Radiology Journals Changed Since Publication of the PRISMA Statement?
TL;DR: In major radiology journal studies, there was modest improvement in completeness of reporting of systematic reviews and meta-analyses, assessed by PRISMA, which was strongly associated with higher study quality, assessed by AMSTAR.
Journal ArticleDOI
Colonoscopy Surveillance After Colorectal Cancer Resection: Recommendations of the US Multi-Society Task Force on Colorectal Cancer.
Charles J. Kahi,Charles J. Kahi,C. Richard Boland,Jason A. Dominitz,Francis M. Giardiello,David A. Johnson,Tonya Kaltenbach,Tonya Kaltenbach,David Lieberman,Theodore R. Levin,Douglas J. Robertson,Douglas J. Robertson,Douglas K. Rex +12 more
TL;DR: The US Multi-Society Task Force has developed updated recommendations to guide health care providers with the surveillance of patients after colorectal cancer resection with curative intent, based on a critical review of the literature regarding the role of colonoscopy, flexible sigmoidoscopes, endoscopic ultrasound, fecal testing and CT colonography in this setting.
Journal ArticleDOI
Clinical practice guidelines: quality of colonoscopy in colorectal cancer screening.
R. Jover,M Herráiz,Onofre Alarcón,Enric Brullet,Luis Bujanda,M. Bustamante,R Campo,R. Carreño,Antoni Castells,Joaquín Cubiella,Pilar García-Iglesias,Antonio Hervás,P. Menchén,Akiko Ono,A. Panadès,Adolfo Parra-Blanco,Maria Pellise,Marta Ponce,Enrique Quintero,Josep-Maria Reñé,A. Sánchez del Río,Agustín Seoane,Anna Serradesanferm,A. Soriano Izquierdo,E Vázquez Sequeiros +24 more
TL;DR: The evidence about the quality of colonoscopy screening for colorectal cancer (CRC) is collected in order to serve as a tool for screening programs, endoscopy units and endoscopists that perform screening colonoscopies.
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Canadian Association of Gastroenterology position statement on screening individuals at average risk for developing colorectal cancer: 2010.
Desmond Leddin,Robert Enns,Robert J. Hilsden,Victor Plourde,Linda Rabeneck,Daniel C. Sadowski,Harminder Signh +6 more
TL;DR: The assembled guideline panel recognized three recent American sets of guidelines and identified seven issues that required comment from a Canadian perspective, which included the role of program-based screening, flexible sigmoidoscopy, computed tomography colonography, barium enema and quality improvement.
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