دورية أكاديمية
Double-contrast barium enema is no longer justified as a backup examination for colonoscopy in the population screening program: Population study in an organized fecal immunochemical test-based screening program.
| العنوان: | Double-contrast barium enema is no longer justified as a backup examination for colonoscopy in the population screening program: Population study in an organized fecal immunochemical test-based screening program. |
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| المؤلفون: | Hsu WF; Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan., Su CW; Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan., Hsu CY; Graduate Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan., Yen AM; School of Oral Hygiene, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan., Chen SL; School of Oral Hygiene, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan., Chiu SY; Department of Health Care Management, College of Management, Chang Gung University, Tao-Yuan, Taiwan., Lee YC; Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan., Hsu TH; Health Promotion Administration, Ministry of Health and Welfare, Taipei, Taiwan., Lin LJ; Health Promotion Administration, Ministry of Health and Welfare, Taipei, Taiwan., Chia SL; Health Promotion Administration, Ministry of Health and Welfare, Taipei, Taiwan., Wu MS; Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan., Chen HH; Graduate Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan., Chiu HM; Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan. |
| مؤلفون مشاركون: | Taiwan Colorectal Cancer Screening Program |
| المصدر: | Journal of gastroenterology and hepatology [J Gastroenterol Hepatol] 2023 Aug; Vol. 38 (8), pp. 1299-1306. Date of Electronic Publication: 2023 Apr 20. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Blackwell Scientific Publications Country of Publication: Australia NLM ID: 8607909 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1440-1746 (Electronic) Linking ISSN: 08159319 NLM ISO Abbreviation: J Gastroenterol Hepatol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Melbourne ; Boston : Blackwell Scientific Publications, c1986- |
| مواضيع طبية MeSH: | Barium Sulfate* , Colorectal Neoplasms*/diagnosis , Colorectal Neoplasms*/epidemiology, Humans ; Barium Enema ; Enema ; Colonoscopy ; Occult Blood ; Early Detection of Cancer ; Mass Screening |
| مستخلص: | Background and Aim: Currently, some countries still acknowledge double-contrast barium enema (DCBE) as a backup confirmatory examination when colonoscopy is not feasible or incomplete in colorectal cancer (CRC) screening programs. This study aims to compare the performance of colonoscopy and DCBE in terms of the risk of incident CRC after negative results in the fecal immunochemical test (FIT)-based Taiwan Colorectal Cancer Screening Program. Methods: Subjects who had positive FITs and received confirmatory exams, either colonoscopy or DCBE, without the findings of neoplastic lesions from 2004 to 2013 in the screening program comprised the study cohort. Both the colonoscopy and DCBE subcohorts were followed until the end of 2018 and linked to the Taiwan Cancer Registry to identify incident CRC cases. Multivariate analysis was conducted to compare the risk of incident CRC in both subcohorts after controlling for potential confounders. Results: A total of 102 761 colonoscopies and 5885 DCBEs were performed after positive FITs without neoplastic findings during the study period. By the end of 2018, 2113 CRCs (2.7 per 1000 person-years) and 368 CRCs (7.6 per 1000 person-years) occurred in the colonoscopy and DCBE subcohorts, respectively. After adjusting for major confounders, DCBE had a significantly higher risk of incident CRC than colonoscopy, with an adjusted HR of 2.81 (95% CI = 2.51-3.14). Conclusions: In the FIT screening program, using DCBE as a backup examination was associated with a nearly threefold risk of incident CRC compared with colonoscopy, demonstrating that it is no longer justified as a backup examination for incomplete colonoscopy. (© 2023 The Authors. Journal of Gastroenterology and Hepatology published by Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd.) |
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| معلومات مُعتمدة: | A1071016 Ministry of Health and Welfare; A1081113 Ministry of Health and Welfare; A1091116 Ministry of Health and Welfare |
| فهرسة مساهمة: | Keywords: Colorectal cancer; Double-contrast barium enema; Fecal immunochemical test; Screening |
| المشرفين على المادة: | 25BB7EKE2E (Barium Sulfate) |
| تواريخ الأحداث: | Date Created: 20230420 Date Completed: 20230831 Latest Revision: 20230831 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1111/jgh.16191 |
| PMID: | 37078599 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1440-1746 |
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| DOI: | 10.1111/jgh.16191 |