Cited 6 times in
Advanced Colonic Neoplasia at Follow-up Colonoscopy According to Risk Components and Adenoma Location at Index Colonoscopy: A Retrospective Study of 1,974 Asymptomatic Koreans
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 박유미 | - |
dc.contributor.author | 박재준 | - |
dc.contributor.author | 박효진 | - |
dc.contributor.author | 백수정 | - |
dc.contributor.author | 이혜선 | - |
dc.contributor.author | 조소영 | - |
dc.date.accessioned | 2018-07-20T07:57:58Z | - |
dc.date.available | 2018-07-20T07:57:58Z | - |
dc.date.issued | 2017 | - |
dc.identifier.issn | 1976-2283 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/160714 | - |
dc.description.abstract | Background/Aims: We aimed to estimate the cumulative incidence of advanced colonic neoplasia and analyze the risk factors for advanced colonic neoplasia according to risk components and adenoma location at index colonoscopy. Methods: We reviewed 1,974 subjects who underwent a follow-up colonoscopy after a complete screening colonoscopy and the removal of all polyps. We estimated the cumulative incidence of a subsequent advanced neoplasia according to risk groups (normal, low-risk, and high-risk). Risk factors were analyzed by risk components (≥3 adenomas, adenoma ≥1 cm, and villous-type adenoma) and adenoma location. Results: Overall, 111 advanced neoplasias (5.6%) were newly diagnosed at the follow-up colonoscopy. The 3-year cumulative incidences of advanced neoplasia were 0.8%, 3.1%, and 10.2% in the normal, low-risk, and high-risk groups, respectively (p<0.0001), and the 5-year cumulative incidences were 2.2%, 8.6%, and 20.2%, respectively (p<0.0001). Age ≥60 years (hazard ratio [HR], 1.78; 95% confidence interval [CI], 1.21 to 2.63), right-sided colonic adenoma (HR, 1.74; 95% CI, 1.13 to 2.66), ≥3 adenomas (HR, 2.00; 95% CI, 1.22 to 3.28), and adenomas ≥1 cm in size (HR, 2.03; 95% CI, 1.20 to 3.44) in the index colonoscopy were independent risk factors for subsequent development of advanced neoplasia. Conclusions: Right-sided colonic adenoma, ≥3 adenomas, adenomas ≥1 cm, and age ≥60 years at the index colonoscopy were significant risk factors for advanced neoplasia following a complete screening colonoscopy and removal of all polyps. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | Editorial Office of Gut and Liver | - |
dc.relation.isPartOf | GUT AND LIVER | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adenoma/epidemiology | - |
dc.subject.MESH | Adenoma/etiology | - |
dc.subject.MESH | Adenoma/pathology* | - |
dc.subject.MESH | Asymptomatic Diseases | - |
dc.subject.MESH | Colon/pathology | - |
dc.subject.MESH | Colon/surgery | - |
dc.subject.MESH | Colonic Neoplasms/epidemiology | - |
dc.subject.MESH | Colonic Neoplasms/etiology | - |
dc.subject.MESH | Colonic Neoplasms/pathology* | - |
dc.subject.MESH | Colonic Polyps/complications* | - |
dc.subject.MESH | Colonic Polyps/surgery | - |
dc.subject.MESH | Colonoscopy/methods* | - |
dc.subject.MESH | Early Detection of Cancer/methods | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Follow-Up Studies | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Incidence | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Mass Screening/methods | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Postoperative Complications | - |
dc.subject.MESH | Proportional Hazards Models | - |
dc.subject.MESH | Republic of Korea/epidemiology | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Risk Assessment | - |
dc.subject.MESH | Risk Factors | - |
dc.title | Advanced Colonic Neoplasia at Follow-up Colonoscopy According to Risk Components and Adenoma Location at Index Colonoscopy: A Retrospective Study of 1,974 Asymptomatic Koreans | - |
dc.type | Article | - |
dc.contributor.college | Others | - |
dc.contributor.department | Gangnam Severance Hospital | - |
dc.contributor.googleauthor | Su Jung Baik | - |
dc.contributor.googleauthor | Hyojin Park | - |
dc.contributor.googleauthor | Jae Jun Park | - |
dc.contributor.googleauthor | Hyun Ju Lee | - |
dc.contributor.googleauthor | So Young Jo | - |
dc.contributor.googleauthor | Yoo Mi Park | - |
dc.contributor.googleauthor | Hye Sun Lee | - |
dc.identifier.doi | 10.5009/gnl16402 | - |
dc.contributor.localId | A04937 | - |
dc.contributor.localId | A01636 | - |
dc.contributor.localId | A01774 | - |
dc.contributor.localId | A04580 | - |
dc.contributor.localId | A03312 | - |
dc.contributor.localId | A05419 | - |
dc.relation.journalcode | J00954 | - |
dc.identifier.eissn | 2005-1212 | - |
dc.identifier.pmid | 28750483 | - |
dc.subject.keyword | Colonic neoplasms | - |
dc.subject.keyword | Colonoscopy | - |
dc.subject.keyword | Early detection of cancer | - |
dc.contributor.alternativeName | Park, Yoo Mi | - |
dc.contributor.alternativeName | Park, Jae Jun | - |
dc.contributor.alternativeName | Park, Hyo Jin | - |
dc.contributor.alternativeName | Baik, Su Jung | - |
dc.contributor.alternativeName | Lee, Hye Sun | - |
dc.contributor.alternativeName | Jo, So Young | - |
dc.contributor.affiliatedAuthor | Park, Yoo Mi | - |
dc.contributor.affiliatedAuthor | Park, Jae Jun | - |
dc.contributor.affiliatedAuthor | Park, Hyo Jin | - |
dc.contributor.affiliatedAuthor | Baik, Su Jung | - |
dc.contributor.affiliatedAuthor | Lee, Hye Sun | - |
dc.contributor.affiliatedAuthor | Jo, So Young | - |
dc.citation.volume | 11 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 667 | - |
dc.citation.endPage | 673 | - |
dc.identifier.bibliographicCitation | GUT AND LIVER, Vol.11(5) : 667-673, 2017 | - |
dc.identifier.rimsid | 43777 | - |
dc.type.rims | ART | - |
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