Document Detail


Diagnostic accuracy of features predicting lower gastrointestinal malignancy: a colonoscopy database review of 10 603 Chinese patients.
MedLine Citation:
PMID:  20236151     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Aim  The diagnostic accuracy of colonoscopic features in predicting colorectal cancer (CRC) malignancy was studied. Method  Consecutive patients who underwent first-time colonoscopy for lower gastrointestinal (GI) symptoms from 1998 to 2009 were identified. Gender, age, symptoms, endoscopic and pathologic findings were reviewed. Results  There were 10 603 patients. The overall prevalence of malignancy was 3.0% (313). Among these, only 58% (181/313) had features indicative of tumour formation. The overall sensitivity and specificity was 9.6% and 94.1%, respectively. The overall positive likelihood ratio, negative likelihood ratio and diagnostic odds ratio were 2.66, 0.96 and 2.77, respectively. Conclusion  A large proportion of Chinese patients with CRC presented without features indicative of tumour formation.
Authors:
Y Bai; C Xu; D-W Zou; J Gao; Z-S Li
Publication Detail:
Type:  Journal Article     Date:  2010-03-10
Journal Detail:
Title:  Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland     Volume:  13     ISSN:  1463-1318     ISO Abbreviation:  Colorectal Dis     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-05-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100883611     Medline TA:  Colorectal Dis     Country:  England    
Other Details:
Languages:  eng     Pagination:  658-62     Citation Subset:  IM    
Copyright Information:
© 2011 The Authors. Colorectal Disease © 2011 The Association of Coloproctology of Great Britain and Ireland.
Affiliation:
Department of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai, China Center for Clinical Epidemiology & Evidence-Based Medicine, Second Military Medical University, Shanghai, China Digestive Endoscopy Center, Changhai Hospital, Second Military Medical University, Shanghai, China.
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