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Risk factor-based optimal endoscopic surveillance intervals after endoscopic submucosal dissection for gastric adenoma
- Source :
- Scientific Reports, Scientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
- Publication Year :
- 2021
- Publisher :
- Springer Science and Business Media LLC, 2021.
-
Abstract
- To date, there exists no established endoscopic surveillance interval strategy after endoscopic submucosal dissection (ESD) for gastric adenoma. In this study, we suggest a risk factor-based statistical model for optimal surveillance intervals for gastric adenoma after ESD with curative resection. A cox proportional hazard model was applied to identify risk factors for recurrence after ESD. Patients (n = 698) were categorized into groups based on the identified risk factors. The cumulative density of recurrence over time was computed using a cubic splined baseline hazard function, and the customized surveillance interval was modeled for each risk group. The overall cumulative incidence of recurrence was 7.3% (n = 51). Risk factors associated with recurrence were male (hazard ratio [HR], 2.60, P = 0.030), protruded scar (HR, 3.18, P P
- Subjects :
- Adenoma
Male
Optics and Photonics
medicine.medical_specialty
Endoscopic Mucosal Resection
Science
Article
Adenomatous Polyps
Stomach Neoplasms
Gastroscopy
Cancer screening
medicine
Humans
Oesophagogastroscopy
Cumulative incidence
Risk factor
Early Detection of Cancer
Survival analysis
Aged
Proportional Hazards Models
Retrospective Studies
Multidisciplinary
Helicobacter pylori
business.industry
Proportional hazards model
Incidence
Hazard ratio
Gastroenterology
Endoscopy
Endoscopic submucosal dissection
Middle Aged
Risk factors
Gastric Mucosa
Medicine
Gastric adenoma
Female
Radiology
Neoplasm Recurrence, Local
business
Stomach diseases
Subjects
Details
- ISSN :
- 20452322
- Volume :
- 11
- Database :
- OpenAIRE
- Journal :
- Scientific Reports
- Accession number :
- edsair.doi.dedup.....53307090ab60384dd1b1e122876b14f6