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DOI: 10.1055/s-0042-1742309
Analysis of Patients Undergoing Colonoscopies and the Importance of Exam Quality for Colorectal Cancer Screening
Funding This work did not receive any kind of funding. All expenses were paid for by the researchers themselves.Summary
Objective To determine the impact of the quality of colonoscopy examination for colorectal cancer screening.
Methods Retrospective observational study of medical records from patients treated at the endoscopy and colonoscopy service of Hospital Universitário Evangélico Mackenzie (Curitiba, PR, Brazil) from January 2019 to January 2020.
Results The analysis was based on 337 medical records from patients with adenomas identified during colonoscopy, and 1,385 medical records from patients without adenomas. The estimated occurrence rate of diagnosis of adenoma during colonoscopy in the target population of the study was of 19.6%, with a 95% confidence interval ranging from 17.7 to 21.5%. Of the 337 patients with adenoma, 136 (40.4%) presented the advanced form. Statistical analysis indicated a significant association between the quality of colonoscopy preparation and test completion.
Conclusion The quality of colonoscopy images is a critical factor for colorectal cancer screening, as it leads to higher rates of adenoma detection and test completion.
Authors contributions
Marcos Venícios Furlanetto: Project design, literature review, data organization, article writing and submission.
Jaqueline Alves Zwierzikowski: Project design, literature review, data collection and organization, article writing and submission.
Carolina Fischer Bertoldo: Project design, literature review, data collection and organization, article writing and submission.
Guilherme Andretta Sotto Maior Wistuba: Project design, literature review, data collection and organization, article writing and submission.
Eduardo Issao Brand Tashima: Project design, literature review, data organization, article writing and submission.
Ana Helena Bessa Gonçalves Vieira: Project supervision, roles delegation and supervision, review of the article writing and submission process.
Henrique Luckow Invitti: Project guidance, roles delegation and supervision, review of the article writing and submission process.
Antonio Sérgio Brenner: Project guidance, roles delegation and supervision, review of the article writing and submission process.
Publication History
Received: 12 April 2021
Accepted: 25 October 2021
Article published online:
31 January 2022
© 2022. Sociedade Brasileira de Coloproctologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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