Cited 0 times in
Prediction model for bleeding after endoscopic submucosal dissection of gastric neoplasms from a high-volume center
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김하얀 | - |
dc.contributor.author | 박준철 | - |
dc.contributor.author | 신성관 | - |
dc.contributor.author | 이상길 | - |
dc.contributor.author | 이용찬 | - |
dc.contributor.author | 정다현 | - |
dc.contributor.author | 최연화 | - |
dc.date.accessioned | 2021-12-28T16:56:35Z | - |
dc.date.available | 2021-12-28T16:56:35Z | - |
dc.date.issued | 2021-08 | - |
dc.identifier.issn | 0815-9319 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/186864 | - |
dc.description.abstract | Background and aim: Bleeding after endoscopic submucosal dissection (ESD) is a main adverse event. To date, although there have been several studies about risk factors for post-ESD bleeding, there has been few predictive model for post-ESD bleeding with large volume cases. We aimed to design a prediction model for post-ESD bleeding using a classification tree model. Methods: We analyzed a prospectively established cohort of patients with gastric neoplasms treated with ESD from 2007 to 2016. Baseline characteristics were collected for a total of 5080 patients, and the bleeding risk was estimated using variable statistical methods such as logistic regression, AdaBoost, and random forest. To investigate how bleeding was affected by independent predictors, the classification and regression tree (CART) method was used. The prediction tree developed for the cohort was internally validated. Results: Post-ESD bleeding occurred in 262 of 5080 patients (5.1%). In multivariate logistic regression, ongoing antithrombotic use during the procedure, cancer pathology, and piecemeal resection were significant risk factors for post-ESD bleeding. In the CART model, the decisive variables were ongoing antithrombotic agent use, resected specimen size ≥49 mm, and patient age <62 years. The CART model accuracy was 94.9%, and the cross-validation accuracy was 94.8%. Conclusions: We developed a simple and easy-to-apply predictive tree model based on three risk factors that could help endoscopists identify patients at a high risk of bleeding. This model will enable clinicians to establish precise management strategies for patients at a high risk of bleeding and to prevent post-ESD bleeding. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Blackwell Scientific Publications | - |
dc.relation.isPartOf | JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Prediction model for bleeding after endoscopic submucosal dissection of gastric neoplasms from a high-volume center | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Biomedical Systems Informatics (의생명시스템정보학교실) | - |
dc.contributor.googleauthor | Yeon Hwa Choe | - |
dc.contributor.googleauthor | Da Hyun Jung | - |
dc.contributor.googleauthor | Jun Chul Park | - |
dc.contributor.googleauthor | Ha Yan Kim | - |
dc.contributor.googleauthor | Sung Kwan Shin | - |
dc.contributor.googleauthor | Sang Kil Lee | - |
dc.contributor.googleauthor | Yong Chan Lee | - |
dc.identifier.doi | 10.1111/jgh.15478 | - |
dc.contributor.localId | A01091 | - |
dc.contributor.localId | A01676 | - |
dc.contributor.localId | A02112 | - |
dc.contributor.localId | A02812 | - |
dc.contributor.localId | A02988 | - |
dc.contributor.localId | A03591 | - |
dc.contributor.localId | A05523 | - |
dc.relation.journalcode | J01417 | - |
dc.identifier.eissn | 1440-1746 | - |
dc.identifier.pmid | 33646614 | - |
dc.identifier.url | https://onlinelibrary.wiley.com/doi/10.1111/jgh.15478 | - |
dc.subject.keyword | Bleeding | - |
dc.subject.keyword | Classification and regression tree model | - |
dc.subject.keyword | Endoscopic submucosal dissection | - |
dc.subject.keyword | Prediction | - |
dc.contributor.alternativeName | Kim, Ha Yan | - |
dc.contributor.affiliatedAuthor | 김하얀 | - |
dc.contributor.affiliatedAuthor | 박준철 | - |
dc.contributor.affiliatedAuthor | 신성관 | - |
dc.contributor.affiliatedAuthor | 이상길 | - |
dc.contributor.affiliatedAuthor | 이용찬 | - |
dc.contributor.affiliatedAuthor | 정다현 | - |
dc.contributor.affiliatedAuthor | 최연화 | - |
dc.citation.volume | 36 | - |
dc.citation.number | 8 | - |
dc.citation.startPage | 2217 | - |
dc.citation.endPage | 2223 | - |
dc.identifier.bibliographicCitation | JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, Vol.36(8) : 2217-2223, 2021-08 | - |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.