Factors associated with adenoma detection rate and diagnosis of polyps and colorectal cancer during colonoscopy in France: results of a prospective, nationwide survey.
<h4>Introduction</h4>Colonoscopy can prevent deaths due to colorectal cancer (CRC) through early diagnosis or resection of colonic adenomas. We conducted a prospective, nationwide study on colonoscopy practice in France.<h4>Methods</h4>An online questionnaire was administered...
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oai:doaj.org-article:508219d3c68143ce91858749d2dad5252021-11-18T07:37:16ZFactors associated with adenoma detection rate and diagnosis of polyps and colorectal cancer during colonoscopy in France: results of a prospective, nationwide survey.1932-620310.1371/journal.pone.0068947https://doaj.org/article/508219d3c68143ce91858749d2dad5252013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23874822/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Introduction</h4>Colonoscopy can prevent deaths due to colorectal cancer (CRC) through early diagnosis or resection of colonic adenomas. We conducted a prospective, nationwide study on colonoscopy practice in France.<h4>Methods</h4>An online questionnaire was administered to 2,600 French gastroenterologists. Data from all consecutive colonoscopies performed during one week were collected. A statistical extrapolation of the results to a whole year was performed, and factors potentially associated with the adenoma detection rate (ADR) or the diagnosis of polyps or cancer were assessed.<h4>Results</h4>A total of 342 gastroenterologists, representative of the overall population of French gastroenterologists, provided data on 3,266 colonoscopies, corresponding to 1,200,529 (95% CI: 1,125,936-1,275,122) procedures for the year 2011. The indication for colonoscopy was CRC screening and digestive symptoms in 49.6% and 38.9% of cases, respectively. Polypectomy was performed in 35.5% of cases. The ADR and prevalence of CRC were 17.7% and 2.9%, respectively. The main factors associated with a high ADR were male gender (p=0.0001), age over 50 (p=0.0001), personal or family history of CRC or colorectal polyps (p<0.0001 and p<0.0001, respectively), and positive fecal occult blood test (p=0.0005). The prevalence of CRC was three times higher in patients with their first colonoscopy (4.2% vs. 1.4%; p<0.0001).<h4>Conclusions</h4>For the first time in France, we report nationwide prospective data on colonoscopy practice, including histological results. We found an average ADR of 17.7%, and observed reduced CRC incidence in patients with previous colonoscopy.Maximilien BarretChristian BoustiereJean-Marc CanardJean-Pierre ArpurtDavid BernardiniPhilippe BuloisStanislas ChaussadeDenis HeresbachIsabelle JolyJean LapuelleRené LaugierGilles LesurPatrice PienkowskiThierry PonchonBertrand PujolBruno Richard-MolardMichel RobaszkiewiczRémi SystchenkoFatima AbbasAnne-Marie Schott-PethelazChristophe CellierSociété Française d'Endoscopie DigestivePublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 7, p e68947 (2013) |
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Medicine R Science Q |
| spellingShingle |
Medicine R Science Q Maximilien Barret Christian Boustiere Jean-Marc Canard Jean-Pierre Arpurt David Bernardini Philippe Bulois Stanislas Chaussade Denis Heresbach Isabelle Joly Jean Lapuelle René Laugier Gilles Lesur Patrice Pienkowski Thierry Ponchon Bertrand Pujol Bruno Richard-Molard Michel Robaszkiewicz Rémi Systchenko Fatima Abbas Anne-Marie Schott-Pethelaz Christophe Cellier Société Française d'Endoscopie Digestive Factors associated with adenoma detection rate and diagnosis of polyps and colorectal cancer during colonoscopy in France: results of a prospective, nationwide survey. |
| description |
<h4>Introduction</h4>Colonoscopy can prevent deaths due to colorectal cancer (CRC) through early diagnosis or resection of colonic adenomas. We conducted a prospective, nationwide study on colonoscopy practice in France.<h4>Methods</h4>An online questionnaire was administered to 2,600 French gastroenterologists. Data from all consecutive colonoscopies performed during one week were collected. A statistical extrapolation of the results to a whole year was performed, and factors potentially associated with the adenoma detection rate (ADR) or the diagnosis of polyps or cancer were assessed.<h4>Results</h4>A total of 342 gastroenterologists, representative of the overall population of French gastroenterologists, provided data on 3,266 colonoscopies, corresponding to 1,200,529 (95% CI: 1,125,936-1,275,122) procedures for the year 2011. The indication for colonoscopy was CRC screening and digestive symptoms in 49.6% and 38.9% of cases, respectively. Polypectomy was performed in 35.5% of cases. The ADR and prevalence of CRC were 17.7% and 2.9%, respectively. The main factors associated with a high ADR were male gender (p=0.0001), age over 50 (p=0.0001), personal or family history of CRC or colorectal polyps (p<0.0001 and p<0.0001, respectively), and positive fecal occult blood test (p=0.0005). The prevalence of CRC was three times higher in patients with their first colonoscopy (4.2% vs. 1.4%; p<0.0001).<h4>Conclusions</h4>For the first time in France, we report nationwide prospective data on colonoscopy practice, including histological results. We found an average ADR of 17.7%, and observed reduced CRC incidence in patients with previous colonoscopy. |
| format |
article |
| author |
Maximilien Barret Christian Boustiere Jean-Marc Canard Jean-Pierre Arpurt David Bernardini Philippe Bulois Stanislas Chaussade Denis Heresbach Isabelle Joly Jean Lapuelle René Laugier Gilles Lesur Patrice Pienkowski Thierry Ponchon Bertrand Pujol Bruno Richard-Molard Michel Robaszkiewicz Rémi Systchenko Fatima Abbas Anne-Marie Schott-Pethelaz Christophe Cellier Société Française d'Endoscopie Digestive |
| author_facet |
Maximilien Barret Christian Boustiere Jean-Marc Canard Jean-Pierre Arpurt David Bernardini Philippe Bulois Stanislas Chaussade Denis Heresbach Isabelle Joly Jean Lapuelle René Laugier Gilles Lesur Patrice Pienkowski Thierry Ponchon Bertrand Pujol Bruno Richard-Molard Michel Robaszkiewicz Rémi Systchenko Fatima Abbas Anne-Marie Schott-Pethelaz Christophe Cellier Société Française d'Endoscopie Digestive |
| author_sort |
Maximilien Barret |
| title |
Factors associated with adenoma detection rate and diagnosis of polyps and colorectal cancer during colonoscopy in France: results of a prospective, nationwide survey. |
| title_short |
Factors associated with adenoma detection rate and diagnosis of polyps and colorectal cancer during colonoscopy in France: results of a prospective, nationwide survey. |
| title_full |
Factors associated with adenoma detection rate and diagnosis of polyps and colorectal cancer during colonoscopy in France: results of a prospective, nationwide survey. |
| title_fullStr |
Factors associated with adenoma detection rate and diagnosis of polyps and colorectal cancer during colonoscopy in France: results of a prospective, nationwide survey. |
| title_full_unstemmed |
Factors associated with adenoma detection rate and diagnosis of polyps and colorectal cancer during colonoscopy in France: results of a prospective, nationwide survey. |
| title_sort |
factors associated with adenoma detection rate and diagnosis of polyps and colorectal cancer during colonoscopy in france: results of a prospective, nationwide survey. |
| publisher |
Public Library of Science (PLoS) |
| publishDate |
2013 |
| url |
https://doaj.org/article/508219d3c68143ce91858749d2dad525 |
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