The Relationship between Post-colonoscopy Colorectal Cancer and Quality Indicators of Colonoscopy: The Latest Single-center Cohort Study with a Review of the Literature
Objective This study aims to elucidate the association between the clinical characteristics of post-colonoscopy colorectal cancer (PCCRC) and quality indicators (QIs) of colonoscopy. Methods Patients with PCCRC who underwent total colonoscopy (TCS) and were histologically diagnosed with adenocarcino...
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| Veröffentlicht in: | Internal Medicine 2020/06/15, Vol.59(12), pp.1481-1488 |
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| creator | Yamaguchi, Hayato Fukuzawa, Masakatsu Minami, Hirohito Ichimiya, Tadashi Takahashi, Hiroshi Matsue, Yubu Honjo, Mitsuyoshi Hirayama, Yasutake Nutahara, Daisuke Taira, Junichi Nakamura, Hironori Kawai, Takashi Itoi, Takao |
| description | Objective This study aims to elucidate the association between the clinical characteristics of post-colonoscopy colorectal cancer (PCCRC) and quality indicators (QIs) of colonoscopy. Methods Patients with PCCRC who underwent total colonoscopy (TCS) and were histologically diagnosed with adenocarcinoma within six months to five years of the last examination were included in this study. PCCRC and normally detected cancer (NDC) identified within the same period were compared in terms of their clinicopathological characteristics. Furthermore, the QIs at PCCRC detection were compared to those at the last examination. Results Patients with PCCRC had a significantly higher rate of colon surgery history than those with NDC (PCCRC: 25/76, 32.9%; NDC: 31/1,437, 2.2%; p |
| doi_str_mv | 10.2169/internalmedicine.4212-19 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_webof</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7364247</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2419471050</sourcerecordid><originalsourceid>FETCH-LOGICAL-c587t-7f89c00d2c171c56ee70f3f590066350484efedd53afa9770619aceeda40be5d3</originalsourceid><addsrcrecordid>eNqNkt-OEyEUxidG49bVdyDxxsTMCsMwDF6YmMmqmzRZ_6zXhDJnWhoKFZht-kY-pkzbdON64w0Q-H3nfIdzigIRfFWRRrwzLkFwym6gN9o4uKorUpVEPClmhNai5BVlT4sZFqQtq7xcFC9iXGNMWy6q58UFrRhtGs5mxe-7FaDvYFUy3sWV2aIFpB2AQ199TKX21jsftd_uUZfPAXRSFnXKaQhIuR59G5U1aY9uXLaikg8R-eHAnnTv0ZRirhLEhH4Yt7RQapgKyNTKh3yZxn6PdiatkMpe7g3sphhpkpnMqTQGeFk8G5SN8Oq0XxY_P13fdV_K-e3nm-7jvNSs5ankQys0xn2lCSeaNQAcD3RgAuOmoQzXbQ0D9D2jalCCc9wQoTRAr2q8ANbTy-LDMe52XOTvnZwGZeU2mI0Ke-mVkX-_OLOSS38vOW3qquY5wJtTgOB_jblouTFRg7XKgR-jrGpChRBN3Wb09SN07ceprwdK1JxghjPVHikdfIwBhrMZguU0DvLxOMhpHCQRWfr2KN3Bwg9RG8h9O8sxxqwmDW6rfML0IdH_0J1Jh5np_OhSlt4epeuY1PJBpEIy2sK_DpmQ2WJeT1bPpF6pIMHRP9QH7x8</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2419471050</pqid></control><display><type>article</type><title>The Relationship between Post-colonoscopy Colorectal Cancer and Quality Indicators of Colonoscopy: The Latest Single-center Cohort Study with a Review of the Literature</title><source>PubMed Central Open Access</source><source>J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese</source><source>PubMed Central</source><creator>Yamaguchi, Hayato ; Fukuzawa, Masakatsu ; Minami, Hirohito ; Ichimiya, Tadashi ; Takahashi, Hiroshi ; Matsue, Yubu ; Honjo, Mitsuyoshi ; Hirayama, Yasutake ; Nutahara, Daisuke ; Taira, Junichi ; Nakamura, Hironori ; Kawai, Takashi ; Itoi, Takao</creator><creatorcontrib>Yamaguchi, Hayato ; Fukuzawa, Masakatsu ; Minami, Hirohito ; Ichimiya, Tadashi ; Takahashi, Hiroshi ; Matsue, Yubu ; Honjo, Mitsuyoshi ; Hirayama, Yasutake ; Nutahara, Daisuke ; Taira, Junichi ; Nakamura, Hironori ; Kawai, Takashi ; Itoi, Takao</creatorcontrib><description>Objective This study aims to elucidate the association between the clinical characteristics of post-colonoscopy colorectal cancer (PCCRC) and quality indicators (QIs) of colonoscopy. Methods Patients with PCCRC who underwent total colonoscopy (TCS) and were histologically diagnosed with adenocarcinoma within six months to five years of the last examination were included in this study. PCCRC and normally detected cancer (NDC) identified within the same period were compared in terms of their clinicopathological characteristics. Furthermore, the QIs at PCCRC detection were compared to those at the last examination. Results Patients with PCCRC had a significantly higher rate of colon surgery history than those with NDC (PCCRC: 25/76, 32.9%; NDC: 31/1,437, 2.2%; p<0.001), but the invasion depth in these patients was significantly shallower (PCCRC: ≤Tis/≥T1, 37/39; NDC: ≤Tis/≥T1, 416/1,021; p<0.001). Among patients with PCCRC, the T1b group had significantly more non-polypoid growth (NPG)-type cases than PG-type CRC cases (p=0.018). The adenoma detection rate (ADR) of colonoscopists performing TCS was 30.2-52.8%. Furthermore, the ADR of colonoscopists at the time of PCCRC detection (36.7%±5.9%) was significantly higher than that of colonoscopists who performed the last examination (34.9%±4.4%; p=0.034). The withdrawal time for negative colonoscopy (WT-NC) at detection was significantly longer than that at the last examination (at detection: 494.3±253.8 s; at last examination: 579.5±243.6 s; p=0.010). Conclusion Given that these PCCRC cases were post-colon surgery cases, had a long WT-NC, and were detected by colonoscopists with a high ADR, most cases showed lesions that were missed during the previous colonoscopy. Caution should be practiced in order to avoid missing flat, NPG-type tumors.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.4212-19</identifier><identifier>PMID: 32536675</identifier><language>eng</language><publisher>TOKYO: The Japanese Society of Internal Medicine</publisher><subject>Adenocarcinoma ; Adenoma ; adenoma detection rate ; Cohort analysis ; Colonoscopy ; Colorectal cancer ; Colorectal carcinoma ; Colorectal surgery ; General & Internal Medicine ; Internal medicine ; interval cancer ; Life Sciences & Biomedicine ; Literature reviews ; Medicine, General & Internal ; Original ; Patients ; polypoid growth ; post-colonoscopy colorectal cancer ; quality indicator ; Science & Technology ; Surgery ; Tumors</subject><ispartof>Internal Medicine, 2020/06/15, Vol.59(12), pp.1481-1488</ispartof><rights>2020 by The Japanese Society of Internal Medicine</rights><rights>Copyright Japan Science and Technology Agency 2020</rights><rights>Copyright © 2020 by The Japanese Society of Internal Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>5</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000541608200003</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c587t-7f89c00d2c171c56ee70f3f590066350484efedd53afa9770619aceeda40be5d3</citedby><cites>FETCH-LOGICAL-c587t-7f89c00d2c171c56ee70f3f590066350484efedd53afa9770619aceeda40be5d3</cites><orcidid>0000-0002-5208-554X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7364247/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7364247/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,1883,27924,27925,53791,53793</link.rule.ids></links><search><creatorcontrib>Yamaguchi, Hayato</creatorcontrib><creatorcontrib>Fukuzawa, Masakatsu</creatorcontrib><creatorcontrib>Minami, Hirohito</creatorcontrib><creatorcontrib>Ichimiya, Tadashi</creatorcontrib><creatorcontrib>Takahashi, Hiroshi</creatorcontrib><creatorcontrib>Matsue, Yubu</creatorcontrib><creatorcontrib>Honjo, Mitsuyoshi</creatorcontrib><creatorcontrib>Hirayama, Yasutake</creatorcontrib><creatorcontrib>Nutahara, Daisuke</creatorcontrib><creatorcontrib>Taira, Junichi</creatorcontrib><creatorcontrib>Nakamura, Hironori</creatorcontrib><creatorcontrib>Kawai, Takashi</creatorcontrib><creatorcontrib>Itoi, Takao</creatorcontrib><title>The Relationship between Post-colonoscopy Colorectal Cancer and Quality Indicators of Colonoscopy: The Latest Single-center Cohort Study with a Review of the Literature</title><title>Internal Medicine</title><addtitle>INTERNAL MED</addtitle><addtitle>Intern. Med.</addtitle><description>Objective This study aims to elucidate the association between the clinical characteristics of post-colonoscopy colorectal cancer (PCCRC) and quality indicators (QIs) of colonoscopy. Methods Patients with PCCRC who underwent total colonoscopy (TCS) and were histologically diagnosed with adenocarcinoma within six months to five years of the last examination were included in this study. PCCRC and normally detected cancer (NDC) identified within the same period were compared in terms of their clinicopathological characteristics. Furthermore, the QIs at PCCRC detection were compared to those at the last examination. Results Patients with PCCRC had a significantly higher rate of colon surgery history than those with NDC (PCCRC: 25/76, 32.9%; NDC: 31/1,437, 2.2%; p<0.001), but the invasion depth in these patients was significantly shallower (PCCRC: ≤Tis/≥T1, 37/39; NDC: ≤Tis/≥T1, 416/1,021; p<0.001). Among patients with PCCRC, the T1b group had significantly more non-polypoid growth (NPG)-type cases than PG-type CRC cases (p=0.018). The adenoma detection rate (ADR) of colonoscopists performing TCS was 30.2-52.8%. Furthermore, the ADR of colonoscopists at the time of PCCRC detection (36.7%±5.9%) was significantly higher than that of colonoscopists who performed the last examination (34.9%±4.4%; p=0.034). The withdrawal time for negative colonoscopy (WT-NC) at detection was significantly longer than that at the last examination (at detection: 494.3±253.8 s; at last examination: 579.5±243.6 s; p=0.010). Conclusion Given that these PCCRC cases were post-colon surgery cases, had a long WT-NC, and were detected by colonoscopists with a high ADR, most cases showed lesions that were missed during the previous colonoscopy. Caution should be practiced in order to avoid missing flat, NPG-type tumors.</description><subject>Adenocarcinoma</subject><subject>Adenoma</subject><subject>adenoma detection rate</subject><subject>Cohort analysis</subject><subject>Colonoscopy</subject><subject>Colorectal cancer</subject><subject>Colorectal carcinoma</subject><subject>Colorectal surgery</subject><subject>General & Internal Medicine</subject><subject>Internal medicine</subject><subject>interval cancer</subject><subject>Life Sciences & Biomedicine</subject><subject>Literature reviews</subject><subject>Medicine, General & Internal</subject><subject>Original</subject><subject>Patients</subject><subject>polypoid growth</subject><subject>post-colonoscopy colorectal cancer</subject><subject>quality indicator</subject><subject>Science & Technology</subject><subject>Surgery</subject><subject>Tumors</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>AOWDO</sourceid><recordid>eNqNkt-OEyEUxidG49bVdyDxxsTMCsMwDF6YmMmqmzRZ_6zXhDJnWhoKFZht-kY-pkzbdON64w0Q-H3nfIdzigIRfFWRRrwzLkFwym6gN9o4uKorUpVEPClmhNai5BVlT4sZFqQtq7xcFC9iXGNMWy6q58UFrRhtGs5mxe-7FaDvYFUy3sWV2aIFpB2AQ199TKX21jsftd_uUZfPAXRSFnXKaQhIuR59G5U1aY9uXLaikg8R-eHAnnTv0ZRirhLEhH4Yt7RQapgKyNTKh3yZxn6PdiatkMpe7g3sphhpkpnMqTQGeFk8G5SN8Oq0XxY_P13fdV_K-e3nm-7jvNSs5ankQys0xn2lCSeaNQAcD3RgAuOmoQzXbQ0D9D2jalCCc9wQoTRAr2q8ANbTy-LDMe52XOTvnZwGZeU2mI0Ke-mVkX-_OLOSS38vOW3qquY5wJtTgOB_jblouTFRg7XKgR-jrGpChRBN3Wb09SN07ceprwdK1JxghjPVHikdfIwBhrMZguU0DvLxOMhpHCQRWfr2KN3Bwg9RG8h9O8sxxqwmDW6rfML0IdH_0J1Jh5np_OhSlt4epeuY1PJBpEIy2sK_DpmQ2WJeT1bPpF6pIMHRP9QH7x8</recordid><startdate>20200615</startdate><enddate>20200615</enddate><creator>Yamaguchi, Hayato</creator><creator>Fukuzawa, Masakatsu</creator><creator>Minami, Hirohito</creator><creator>Ichimiya, Tadashi</creator><creator>Takahashi, Hiroshi</creator><creator>Matsue, Yubu</creator><creator>Honjo, Mitsuyoshi</creator><creator>Hirayama, Yasutake</creator><creator>Nutahara, Daisuke</creator><creator>Taira, Junichi</creator><creator>Nakamura, Hironori</creator><creator>Kawai, Takashi</creator><creator>Itoi, Takao</creator><general>The Japanese Society of Internal Medicine</general><general>Japan Soc Internal Medicine</general><general>Japan Science and Technology Agency</general><scope>AOWDO</scope><scope>BLEPL</scope><scope>DTL</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-5208-554X</orcidid></search><sort><creationdate>20200615</creationdate><title>The Relationship between Post-colonoscopy Colorectal Cancer and Quality Indicators of Colonoscopy: The Latest Single-center Cohort Study with a Review of the Literature</title><author>Yamaguchi, Hayato ; Fukuzawa, Masakatsu ; Minami, Hirohito ; Ichimiya, Tadashi ; Takahashi, Hiroshi ; Matsue, Yubu ; Honjo, Mitsuyoshi ; Hirayama, Yasutake ; Nutahara, Daisuke ; Taira, Junichi ; Nakamura, Hironori ; Kawai, Takashi ; Itoi, Takao</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c587t-7f89c00d2c171c56ee70f3f590066350484efedd53afa9770619aceeda40be5d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adenocarcinoma</topic><topic>Adenoma</topic><topic>adenoma detection rate</topic><topic>Cohort analysis</topic><topic>Colonoscopy</topic><topic>Colorectal cancer</topic><topic>Colorectal carcinoma</topic><topic>Colorectal surgery</topic><topic>General & Internal Medicine</topic><topic>Internal medicine</topic><topic>interval cancer</topic><topic>Life Sciences & Biomedicine</topic><topic>Literature reviews</topic><topic>Medicine, General & Internal</topic><topic>Original</topic><topic>Patients</topic><topic>polypoid growth</topic><topic>post-colonoscopy colorectal cancer</topic><topic>quality indicator</topic><topic>Science & Technology</topic><topic>Surgery</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yamaguchi, Hayato</creatorcontrib><creatorcontrib>Fukuzawa, Masakatsu</creatorcontrib><creatorcontrib>Minami, Hirohito</creatorcontrib><creatorcontrib>Ichimiya, Tadashi</creatorcontrib><creatorcontrib>Takahashi, Hiroshi</creatorcontrib><creatorcontrib>Matsue, Yubu</creatorcontrib><creatorcontrib>Honjo, Mitsuyoshi</creatorcontrib><creatorcontrib>Hirayama, Yasutake</creatorcontrib><creatorcontrib>Nutahara, Daisuke</creatorcontrib><creatorcontrib>Taira, Junichi</creatorcontrib><creatorcontrib>Nakamura, Hironori</creatorcontrib><creatorcontrib>Kawai, Takashi</creatorcontrib><creatorcontrib>Itoi, Takao</creatorcontrib><collection>Web of Science - Science Citation Index Expanded - 2020</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yamaguchi, Hayato</au><au>Fukuzawa, Masakatsu</au><au>Minami, Hirohito</au><au>Ichimiya, Tadashi</au><au>Takahashi, Hiroshi</au><au>Matsue, Yubu</au><au>Honjo, Mitsuyoshi</au><au>Hirayama, Yasutake</au><au>Nutahara, Daisuke</au><au>Taira, Junichi</au><au>Nakamura, Hironori</au><au>Kawai, Takashi</au><au>Itoi, Takao</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Relationship between Post-colonoscopy Colorectal Cancer and Quality Indicators of Colonoscopy: The Latest Single-center Cohort Study with a Review of the Literature</atitle><jtitle>Internal Medicine</jtitle><stitle>INTERNAL MED</stitle><addtitle>Intern. Med.</addtitle><date>2020-06-15</date><risdate>2020</risdate><volume>59</volume><issue>12</issue><spage>1481</spage><epage>1488</epage><pages>1481-1488</pages><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>Objective This study aims to elucidate the association between the clinical characteristics of post-colonoscopy colorectal cancer (PCCRC) and quality indicators (QIs) of colonoscopy. Methods Patients with PCCRC who underwent total colonoscopy (TCS) and were histologically diagnosed with adenocarcinoma within six months to five years of the last examination were included in this study. PCCRC and normally detected cancer (NDC) identified within the same period were compared in terms of their clinicopathological characteristics. Furthermore, the QIs at PCCRC detection were compared to those at the last examination. Results Patients with PCCRC had a significantly higher rate of colon surgery history than those with NDC (PCCRC: 25/76, 32.9%; NDC: 31/1,437, 2.2%; p<0.001), but the invasion depth in these patients was significantly shallower (PCCRC: ≤Tis/≥T1, 37/39; NDC: ≤Tis/≥T1, 416/1,021; p<0.001). Among patients with PCCRC, the T1b group had significantly more non-polypoid growth (NPG)-type cases than PG-type CRC cases (p=0.018). The adenoma detection rate (ADR) of colonoscopists performing TCS was 30.2-52.8%. Furthermore, the ADR of colonoscopists at the time of PCCRC detection (36.7%±5.9%) was significantly higher than that of colonoscopists who performed the last examination (34.9%±4.4%; p=0.034). The withdrawal time for negative colonoscopy (WT-NC) at detection was significantly longer than that at the last examination (at detection: 494.3±253.8 s; at last examination: 579.5±243.6 s; p=0.010). Conclusion Given that these PCCRC cases were post-colon surgery cases, had a long WT-NC, and were detected by colonoscopists with a high ADR, most cases showed lesions that were missed during the previous colonoscopy. Caution should be practiced in order to avoid missing flat, NPG-type tumors.</abstract><cop>TOKYO</cop><pub>The Japanese Society of Internal Medicine</pub><pmid>32536675</pmid><doi>10.2169/internalmedicine.4212-19</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-5208-554X</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adenocarcinoma Adenoma adenoma detection rate Cohort analysis Colonoscopy Colorectal cancer Colorectal carcinoma Colorectal surgery General & Internal Medicine Internal medicine interval cancer Life Sciences & Biomedicine Literature reviews Medicine, General & Internal Original Patients polypoid growth post-colonoscopy colorectal cancer quality indicator Science & Technology Surgery Tumors |
| title | The Relationship between Post-colonoscopy Colorectal Cancer and Quality Indicators of Colonoscopy: The Latest Single-center Cohort Study with a Review of the Literature |
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