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Utility of the Asia-Pacific colorectal screening scoring system and the presence of metabolic syndrome components in screening for sporadic colorectal cancer
Wang, Jiang-Yuan1; Li, Zhen-Tao2; Zhu, Yuan-Min1; Wang, Wen-Chao3; Ma, Yan4; Liu, Yu-Lan1
关键词Asia-pacific Colorectal Screening Scoring System Metabolic Syndrome Obesity Colorectal Cancer Individual Screening
刊名WORLD JOURNAL OF GASTROENTEROLOGY
2014-08-28
DOI10.3748/wjg.v20.i32.11394
20期:32页:11394-11399
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Gastroenterology & Hepatology
研究领域[WOS]Gastroenterology & Hepatology
关键词[WOS]RISK ; PREVALENCE ; OBESITY ; HEALTH
英文摘要

AIM: To determine the utility of the Asia-Pacific colorectal screening (APCS) scoring system and metabolic syndrome components in individual screening for sporadic colorectal cancer.

METHODS: The subjects were patients admitted to the Peking University People′s Hospital for colonoscopy between October 2012 and July 2013. Clinical information, including patient willingness to undergo colonoscopy, medical history, endoscopic findings, histology, and other information, was collected, and the patients were grouped according to APCS scores and the presence of metabolic syndrome components. Colorectal tumor detection rates were compared between the groups.

RESULTS: A total of 219 patients were included in the study, 108 were male and 111 were female, resulting in a male-to-female ratio of 1:1.03. The average age of the patients was 56.8 +/- 13.7 years. According to APCS scores, 88 (40.2%) patients were included in the average-risk (AR) group, 113 (51.6%) patients were included in the moderate-risk (MR) group, and 18 (8.2%) patients were included in the high-risk (HR) group. Colorectal tumors were detected in 69 (31.5%) subjects, and the detection rates in the AR, MR, and HR groups were 15.9%, 36.3%, and 77.8%, respectively. The difference in the detection rates between the three groups was statistically significant (P < 0.01). The combined detection rate of colorectal tumors in the APCS MR and HR groups was 42.0%. However, patients in the MR and HR groups who presented with metabolic syndrome components, in particular obesity, exhibited a significantly higher colorectal tumor detection rate (59.5%) than did those without these components (19.2%, P < 0.01) and those who underwent colonoscopy because of doctor′s recommendation (36.5%, P < 0.01).

CONCLUSION: The APCS scoring system can be used in individual screening for sporadic colorectal cancer. The combined use of APCS scores and the metabolic syndrome components, in particular obesity, will significantly improve the efficacy of individual colorectal cancer screening. (C) 2014 Baishideng Publishing Group Inc. All rights reserved.

语种英语
WOS记录号WOS:000341019200036
引用统计
被引频次:2[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/49967
专题北京大学第二临床医学院_消化科
作者单位1.Peking Univ, Peoples Hosp, Dept Gastroenterol, Beijing 100044, Peoples R China
2.Peoples Hosp Dengfeng, Dept Gastroenterol, Dengfeng 452470, Henan Province, Peoples R China
3.Peoples Hosp Puer, Puer 665000, Yunnan Province, Peoples R China
4.Peoples Hosp Lvliang, Lvliang 033000, Shanxi, Peoples R China
推荐引用方式
GB/T 7714
Wang, Jiang-Yuan,Li, Zhen-Tao,Zhu, Yuan-Min,et al. Utility of the Asia-Pacific colorectal screening scoring system and the presence of metabolic syndrome components in screening for sporadic colorectal cancer[J]. WORLD JOURNAL OF GASTROENTEROLOGY,2014,20(32):11394-11399.
APA Wang, Jiang-Yuan,Li, Zhen-Tao,Zhu, Yuan-Min,Wang, Wen-Chao,Ma, Yan,&Liu, Yu-Lan.(2014).Utility of the Asia-Pacific colorectal screening scoring system and the presence of metabolic syndrome components in screening for sporadic colorectal cancer.WORLD JOURNAL OF GASTROENTEROLOGY,20(32),11394-11399.
MLA Wang, Jiang-Yuan,et al."Utility of the Asia-Pacific colorectal screening scoring system and the presence of metabolic syndrome components in screening for sporadic colorectal cancer".WORLD JOURNAL OF GASTROENTEROLOGY 20.32(2014):11394-11399.
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