Journal ArticleDOI
Detection rate and predictive factors of sessile serrated polyps in an organised colorectal cancer screening programme with immunochemical faecal occult blood test: the EQuIPE study (Evaluating Quality Indicators of the Performance of Endoscopy)
Manuel Zorzi,Carlo Senore,Filippo Da Re,Alessandra Barca,Luigina Bonelli,R. Cannizzaro,Giovanni de Pretis,Lucia Di Furia,Emilio Di Giulio,Paola Mantellini,Carlo Naldoni,Romano Sassatelli,Douglas K. Rex,Marco Zappa,Cesare Hassan +14 more
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The low prevalence of SSPs and the lack of association with the FIT round argue against SSP as a suitable target for FIT-based organised programmes, and restricts the need for SSP-specific quality indicators in F IT-based programmes.Abstract:
Objectives To assess detection rate and predictive factors of sessile serrated polyps (SSPs) in organised colorectal cancer (CRC) screening programmes based on the faecal immunochemical test (FIT). Design Data from a case series of colonoscopies of FIT-positive subjects were provided by 44 Italian CRC screening programmes. Data on screening history, endoscopic procedure and histology results, and additional information on the endoscopy centre and the endoscopists were collected, including the age-standardised and sex-standardised adenoma detection rate (ADR) of the individual endoscopists. The SSP detection rate (SSP-DR) was assessed for the study population. To identify SSP-predictive factors, multilevel analyses were performed according to patient/centre/endoscopist characteristics. Results We analysed 72 021 colonoscopies, of which 1295 presented with at least one SSP (SSP-DR 1.8%; 95% CI 1.7% to 1.9%). At the per-patient level, SSP-DR was associated with males (OR 1.35; 95% CI 1.17 to 1.54) and caecal intubation (OR 3.75; 95% CI 2.22 to 6.34), but not with the FIT round. The presence of at least one advanced adenoma was more frequent among subjects with SSPs than those without (OR 2.08; 95% CI 1.86 to 2.33). At the per-endoscopist level, SSP-DR was associated with ADR (third vs first ADR quartile: OR 1.55; 95% CI 1.03 to 2.35; fourth vs first quartile: OR 1.89; 95% CI 1.24 to 2.90). Conclusion The low prevalence of SSPs and the lack of association with the FIT round argue against SSP as a suitable target for FIT-based organised programmes. Strict association of SSP-DR with the key colonoscopy quality indicators, namely caecal intubation rate and high ADR further marginalises the need for SSP-specific quality indicators in FIT-based programmes.read more
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Performance measures for lower gastrointestinal endoscopy: a European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative
Michal F. Kaminski,Siwan Thomas-Gibson,Marek Bugajski,Michael Bretthauer,Colin J Rees,Evelien Dekker,Geir Hoff,Rodrigo Jover,Stepan Suchanek,Monika Ferlitsch,John Anderson,Thomas Roesch,Rolf Hultcranz,Istvan Racz,Ernst J. Kuipers,Kjetil Garborg,James E. East,Maciej Rupinski,Birgitte Seip,Cathy Bennett,Carlo Senore,Silvia Minozzi,Raf Bisschops,Dirk Domagk,Roland Valori,Cristiano Spada,Cesare Hassan,Mário Dinis-Ribeiro,Mário Dinis-Ribeiro,Matthew D. Rutter,Matthew D. Rutter +30 more
TL;DR: Endoscopy services across Europe are recommended to adopt the following seven key performance measures for lower gastrointestinal endoscopy for measurement and evaluation in daily practice at a center and endoscopist level.
Journal ArticleDOI
Performance measures for lower gastrointestinal endoscopy: a European Society of Gastrointestinal Endoscopy (ESGE) quality improvement initiative:
Michal F. Kaminski,Siwan Thomas-Gibson,Marek Bugajski,Michael Bretthauer,Colin J Rees,Evelien Dekker,Geir Hoff,Rodrigo Jover,Stepan Suchanek,Monika Ferlitsch,John Anderson,Thomas Roesch,Rolf Hultcranz,Istvan Racz,Ernst J. Kuipers,Kjetil Garborg,James E. East,Maciej Rupinski,Birgitte Seip,Cathy Bennett,Carlo Senore,Silvia Minozzi,Raf Bisschops,Dirk Domagk,Roland Valori,Cristiano Spada,Cesare Hassan,Mário Dinis-Ribeiro,Matthew D. Rutter +28 more
TL;DR: Endoscopy services across Europe are recommended to adopt the following seven key performance measures for lower gastrointestinal endoscopy for measurement and evaluation in daily practice at a center and endoscopist level.
Journal ArticleDOI
Detection rate of serrated polyps and serrated polyposis syndrome in colorectal cancer screening cohorts: a European overview
Joep E. G. IJspeert,Roisin Bevan,Carlo Senore,Michal F. Kaminski,Ernst J. Kuipers,Andrzej Mróz,Xavier Bessa,Paola Cassoni,Cesare Hassan,Alessandro Repici,Francesc Balaguer,Colin J Rees,Evelien Dekker +12 more
TL;DR: The detection rate of SPs is variable among screening cohorts, and standards for reporting, detection and histopathological assessment should be established to define uniform minimum standards for males and females between 50 and 75 years of age.
Journal ArticleDOI
Prophylactic Clipping After Colorectal Endoscopic Resection Prevents Bleeding of Large, Proximal Polyps: Meta-analysis of Randomized Trials
Marco Spadaccini,Eduardo Albéniz,Heiko Pohl,Roberta Maselli,Viveksandeep Thoguluva Chandrasekar,Loredana Correale,Andrea Anderloni,Silvia Carrara,Alessandro Fugazza,Matteo Badalamenti,Mineo Iwatate,Giulio Antonelli,Mónica Enguita-Germán,Marco Antonio Álvarez,Prateek Sharma,Douglas K. Rex,Cesare Hassan,Alessandro Repici +17 more
TL;DR: In this paper, the authors conducted an updated meta-analysis of randomized trials to assess the efficacy of clipping in preventing bleeding after polypectomy, overall and according to polyp size and location.
Journal ArticleDOI
Cost-effectiveness of artificial intelligence for screening colonoscopy: a modelling study.
Miguel Areia,Yuichi Mori,Loredana Correale,Alessandro Repici,Michael Bretthauer,Prateek Sharma,Filipe Taveira,Marco Spadaccini,Guido Antonelli,Alanna Ebigbo,Shin-ei Kudo,Julia Arribas,Ishita Barua,Michal F. Kaminski,Helmut Messmann,Douglas K. Rex,Mário Dinis-Ribeiro,Cesare Hassan +17 more
TL;DR: In this article , the authors investigated the incremental effect of the implementation of AI detection tools in screening colonoscopy on colorectal cancer incidence and mortality, and the cost-effectiveness of such tools.
References
More filters
Journal ArticleDOI
Estimates of the cancer incidence and mortality in Europe in 2006
TL;DR: The total number of new cases of cancer in Europe appears to have increased by 300,000 since 2004 and the ageing of the European population will cause these numbers to continue to increase even if age-specific rates remain constant.
Journal ArticleDOI
Use of Colonoscopy to Screen Asymptomatic Adults for Colorectal Cancer
David A. Lieberman,David G. Weiss,John H. Bond,Dennis J. Ahnen,Harinder S. Garewal,Gregorio Chejfec +5 more
TL;DR: Colonoscopic screening can detect advanced colonic neoplasms in asymptomatic adults with or without distal neoplasia, and many of these neoplasm would not be detected with sigmoidoscopy.
Journal ArticleDOI
Annual Report to the Nation on the Status of Cancer, 1975-2006, Featuring Colorectal Cancer Trends and Impact of Interventions (Risk Factors, Screening, and Treatment) to Reduce Future Rates
Brenda K. Edwards,Elizabeth Ward,Betsy A. Kohler,Christie R. Eheman,Ann G. Zauber,Robert N. Anderson,Ahmedin Jemal,Maria J. Schymura,Iris Lansdorp-Vogelaar,Laura C. Seeff,Marjolein van Ballegooijen,S. Luuk Goede,Lynn A. G. Ries +12 more
TL;DR: This year's report includes trends in colorectal cancer incidence and death rates and highlights the use of microsimulation modeling as a tool for interpreting past trends and projecting future trends to assist in cancer control planning and policy decisions.
Journal ArticleDOI
Guidelines for Colonoscopy Surveillance After Screening and Polypectomy: A Consensus Update by the US Multi-Society Task Force on Colorectal Cancer
David A. Lieberman,Douglas K. Rex,Sidney J. Winawer,Francis M. Giardiello,David A. Johnson,Theodore R. Levin +5 more
TL;DR: New issues have emerged since the 2006 guideline, including risk of interval CRC, proximal CRC, and the role of serrated polyps in colon carcinogenesis, which suggests that adherence to prior guidelines is poor.
Journal ArticleDOI
Quality Indicators for Colonoscopy and the Risk of Interval Cancer
Michal F. Kaminski,Jaroslaw Regula,Ewa Kraszewska,Marcin Polkowski,Urszula Wojciechowska,Joanna Didkowska,Maria Zwierko,Maciej Rupinski,M. Nowacki,Eugeniusz Butruk +9 more
TL;DR: The adenoma detection rate is an independent predictor of the risk of interval colorectal cancer after screening colonoscopy, and the rate of cecal intubation was not significantly associated with this risk.
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