scholarly journals Opportunistic Colonoscopy Cancer Screening Pays off in Romania—A Single-Centre Study

Diagnostics ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. 2393
Author(s):  
Iulia Rațiu ◽  
Raluca Lupușoru ◽  
Prateek Vora ◽  
Alina Popescu ◽  
Ioan Sporea ◽  
...  

Colorectal cancer (CRC) is the third most diagnosed cancer in men (after prostate and lung cancers) and in women (after breast and lung cancer). It is the second cause of cancer death in men (after lung cancer) and the third one in women (after breast and lung cancers). It is estimated that, in EU-27 countries in 2020, colorectal cancer accounted for 12.7% of all new cancer diagnoses and 12.4% of all deaths due to cancer. Our study aims to assess the opportunistic colorectal cancer screening by colonoscopy in a private hospital. A secondary objective of this study is to analyse the adenoma detection rate (ADR), polyp detection rate (PDR), and colorectal cancer (CRC) detection rate. We designed a retrospective single-centre study in the Gastroenterology Department of Saint Mary Hospital. The study population includes all individuals who performed colonoscopies in 2 years, January 2019–December 2020, addressed to our department by their family physician or came by themselves for a colonoscopy. One thousand seven hundred seventy-eight asymptomatic subjects underwent a colonoscopy for the first time. The mean age was 59.0 ± 10.9, 59.5% female. Eight hundred seventy-three polyps were found in 525 patients. Five hundred and twenty-five had at least one polyp, 185 patients had two polyps, 87 had three polyps, and 40 patients had more than three polyps. The PDR was 49.1%, ADR 39.0%, advanced adenomas in 7.9%, and carcinomas were found in 5.4% of patients. In a country without any colorectal cancer screening policy, polyps were found in almost half of the 1778 asymptomatic patients evaluated in a single private center, 39% of cases adenomas, and 5.4% colorectal cancer. Our study suggests starting screening colonoscopy at the age of 45. A poor bowel preparation significantly impacted the adenoma detection rate.

2017 ◽  
Vol 85 (5) ◽  
pp. AB104 ◽  
Author(s):  
Henar NuAtez ◽  
Pilar Diez-Redondo ◽  
Marta Cimavilla ◽  
Ramon Sanchez-Ocana ◽  
Raul Torres-Yuste ◽  
...  

2017 ◽  
Vol 9 (10) ◽  
pp. 402-406 ◽  
Author(s):  
Marcello Maida ◽  
Salvatore Camilleri ◽  
Michele Manganaro ◽  
Serena Garufi ◽  
Giuseppe Scarpulla

2019 ◽  
Vol 15 (2) ◽  
pp. 424-433 ◽  
Author(s):  
Maciej Matyja ◽  
Artur Pasternak ◽  
Mirosław Szura ◽  
Michał Wysocki ◽  
Michał Pędziwiatr ◽  
...  

2018 ◽  
Vol 06 (09) ◽  
pp. E1149-E1156 ◽  
Author(s):  
Isabel Portillo ◽  
Isabel Idigoras ◽  
Isabel Bilbao ◽  
Eunate Arana-Arri ◽  
María José Fernández-Landa ◽  
...  

Abstract Background and study aims To compare the quality of colonoscopy in a population-based coordinated program of colorectal cancer screening according to type of hospital (academic or non-academic). Patients and methods Consecutive patients undergoing colonoscopy after positive FIT (≥ 20 ug Hb/g feces) between January 2009 and September 2016 were prospectively included at five academic and seven non-academic public hospitals. Screening colonoscopy quality indicators considered were adenoma detection rate, cecal intubation rate, complications and bowel preparation quality. Results A total of 48,759 patients underwent colonoscopy, 34,616 (80 %) in academic hospitals and 14,143 in non-academic hospitals. Among these cases, 19,942 (37.1 %) advanced adenomas and 2,607 (5.3 %) colorectal cancers (CRCs) were detected, representing a total of 22,549 (46.2 %) cases of advanced neoplasia. The adenoma detection rate was 64 %, 63.1 % in academic hospitals and 66.4 % in non-academic hospitals (P < 0.001). Rates of advanced adenoma detection, cecal intubation and adequate colonic preparation were 45.8 %, 96.2 % and 88.3 %, respectively, and in all cases were lower (implying worse quality care) in academic hospitals (45.3 % vs 48.7 %; odds ratio [OR] 0.87, 95 % confidence interval [CI] 0.84 – 0.91; 95.9 % vs 97 %; OR 0.48, 95 % CI 0.38 – 0.69; and 86.4 % vs 93 %; OR 0.48, 95 % CI 0.45 – 0.5; respectively; P < 0.001 in all cases). In 13 patients, all in the academic hospital group, CRC was diagnosed after colonoscopy (0.26 cases × 1000 colonoscopies). Rates of CRC treated by endoscopy were similar in both types of hospital (30 %). The rate of severe complication was 1.2 % (602 patients), with no significant differences by hospital type: bleeding occurred in 1/147 colonoscopies and perforation in 1/329. One patient died within 30 days after screening colonoscopy. Conclusions The quality of colonoscopy was better in non-academic hospitals. The rate of detection of advanced neoplasia was higher in non-academic hospitals and correlated with the rate of post-colonoscopy CRC.


2013 ◽  
Vol 77 (3) ◽  
pp. 381-389.e1 ◽  
Author(s):  
Rodrigo Jover ◽  
Pedro Zapater ◽  
Eduardo Polanía ◽  
Luis Bujanda ◽  
Angel Lanas ◽  
...  

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