دورية أكاديمية
أعرض في EDS

A scoring system to predict the technical difficulty of endoscopic resection for cardial submucosal tumors.

التفاصيل البيبلوغرافية
العنوان: A scoring system to predict the technical difficulty of endoscopic resection for cardial submucosal tumors.
المؤلفون: Geng ZH; Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China.; Shanghai Collaborative Innovation Center of Endoscopy, Shanghai, China., Qu YF; Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China.; Shanghai Collaborative Innovation Center of Endoscopy, Shanghai, China., Fu PY; Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China.; Shanghai Collaborative Innovation Center of Endoscopy, Shanghai, China., Zhu Y; Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China.; Shanghai Collaborative Innovation Center of Endoscopy, Shanghai, China., Chen WF; Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China.; Shanghai Collaborative Innovation Center of Endoscopy, Shanghai, China., Li QL; Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China.; Shanghai Collaborative Innovation Center of Endoscopy, Shanghai, China., Zhou PH; Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China.; Shanghai Collaborative Innovation Center of Endoscopy, Shanghai, China.
المصدر: Journal of gastroenterology and hepatology [J Gastroenterol Hepatol] 2024 Jul; Vol. 39 (7), pp. 1352-1357. Date of Electronic Publication: 2024 Apr 01.
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: Cardia*/surgery , Stomach Neoplasms*/surgery , Stomach Neoplasms*/pathology, Humans ; Male ; Female ; Middle Aged ; Retrospective Studies ; Aged ; Logistic Models ; Endoscopic Mucosal Resection/methods ; Sex Factors ; Adult ; Predictive Value of Tests
مستخلص: Background and Aim: Endoscopic resection has been successfully used for the removal of digestive submucosal tumors (SMTs). However, the cardia has been considered a challenging location for endoscopic resection due to its narrow lumen and sharp angle. The objective of this study was to establish a clinical scoring model to grade the technical difficulty of endoscopic resection for cardial SMTs.
Methods: A total of 246 patients who suffered cardial SMTs and received endoscopic resection were included in this retrospective study. All of them were randomized into the training cohort (n = 123) or internal validation cohort (n = 123). Potential predictors were analyzed using univariate analysis. Then, covariates with P < 0.05 were selected for the multivariate logistic regression model. The β coefficients from the logistic regression model were used to create a scoring system for technical difficulty prediction by rounding the score to the nearest integer of the absolute β coefficient value.
Results: The clinical score consisted of the following factors: male gender (2 points), extraluminal growth (3 points), and maximum diameter ≥3 cm (3 points). The scoring model demonstrated good discriminatory power, with an area under the receiver operating characteristic curve of 0.860 and a 95% confidence interval of 0.763-0.958. The model also showed a good goodness of fit in the Hosmer-Lemeshow test (P = 0.979). In the training cohort, the probability of encountering technical difficulty in the easy (score = 0), intermediate (score = 1-3), difficult (score = 4-6), and very difficult (score >6) categories was 0, 6.8%, 33.3%, and 100.0%, respectively; similarly, in the validation cohort, it was 0, 5.6%, 22.2%, and 50.0%, respectively.
Conclusions: This scoring system could serve as a valuable tool for clinicians in predicting the technical difficulty of endoscopic resection for cardial SMTs.
(© 2024 Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd.)
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معلومات مُعتمدة: 82170555 National Natural Science Foundation of China; 22XD1422400 Shanghai Academic/Technology Research Leader; 2022SG06 Shuguang Program of Shanghai Education Development Foundation and Shanghai Municipal Education Commission; 20224Z0005 Shanghai "Rising Stars of Medical Talent" Youth Development Program; 2023M740675 74th General Support of China Postdoctoral Science Foundation
فهرسة مساهمة: Keywords: cardial submucosal tumors; clinical score model; endoscopic resection; technical difficulty
تواريخ الأحداث: Date Created: 20240402 Date Completed: 20240712 Latest Revision: 20240712
رمز التحديث: 20240712
DOI: 10.1111/jgh.16542
PMID: 38561861
قاعدة البيانات: MEDLINE
الوصف
تدمد:1440-1746
DOI:10.1111/jgh.16542