FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3034450955> ?p ?o ?g. }

• W3034450955 endingPage "1064" @default.
• W3034450955 startingPage "1063" @default.
• W3034450955 abstract "We read with great interest the paper by Mancini et al. which shows as a well organised regional faecal immunochemical test (FIT) screening programme, with many centres networked together, allowed to invite all patients with positive results to attend a complete screening colonoscopy [ [1] Mancini S Bucchi L Giuliani O Ravaioli A Vattiato R Baldacchini F et al. Proportional incidence of interval colorectal cancer in a large population-based faecal immunochemical test screening programme. Dig Liver Dis. 2020 Mar 9; ([Epub ahead of print]) Abstract Full Text Full Text PDF Scopus (4) Google Scholar ]. Unfortunately “a chain is only as strong as its weakest link” and one of the most significant problems that must be faced every day is the progressive lengthening of waiting list for a colonoscopy depending on the region of residence. In 2019 the annual report on waiting lists in Italy [ [2] www.quotidianosanita.it/allegati/allegato2112108.pdf Google Scholar ] highlighted significant differences through the country, with a mean waiting time for a colonoscopy of 33.4 days in Emilia Romagna compared to 157.9 days for the same procedure in Sicily. However, the overall mean waiting time of 111.7 days in Italy represents a disheartening picture. Obviously endoscopic centres have to meet with multiple needs for population and not only with screening colonoscopies. Countries renowned for having an efficient National Health Service (NHS) also have to face up to similar problems. Recently the NHS of England published data about diagnostic waiting times [ [3] www.england.nhs.uk/statistics/statistical-work-areas/diagnostics-waiting-times-and-activity/monthly-diagnostics-waiting-times-and-activity/monthly-diagnostics-data-2019-20/ Google Scholar ] showing a progressive increase in the number of patients waiting six weeks or more to undergo a colonoscopy. Up to now all scientific societies and their guidelines, included a recent ESGE position statement [ [4] Săftoiu A Hassan C Areia M Bhutani MS Bisschops R Bories E et al. Role of gastrointestinal endoscopy in the screening of digestive tract cancers in Europe: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement. Endoscopy. 2020 Feb 12; ([Epub ahead of print]) PubMed Google Scholar ], recommend the implementation of organized population-based screening programs for average-risk populations based on FIT, although some authors reported as the increased volume of FIT screening results in a longer waiting time [ [5] Jen HH Hsu CY Chen SL Yen AM Chiu SY Fann JC et al. Rolling-out Screening Volume Affecting Compliance Rate and Waiting Time of FIT-based Colonoscopy. J Clin Gastroenterol. 2018; 52: 821-827 Crossref PubMed Scopus (5) Google Scholar ]. Considering the obvious concerns of the patients and the long waiting lists, it is easy to understand the significant increase in the demand for private colonoscopies [ [2] www.quotidianosanita.it/allegati/allegato2112108.pdf Google Scholar ], and this is not acceptable in a country with a forefront public NHS. Therefore, making the waiting list adequate, by testing the right people at the right time, could represent the key issue for the correct management of patients needing for a colonoscopy. In this regard, we would like to report our experience about the possible “handicaps” influencing the waiting list for colonoscopies. We decided to collect data from all the consecutive outpatient colonoscopies scheduled by the local outpatient booking office within thirty days. Using an anonymous survey, we recorded data on: 1) demographic characteristics of patients; 2) clinical reasons for colonoscopy; 3) adherence to the pre-procedure advices provided by the outpatient booking office; 4) bowel cleansing score at the end of colonoscopy. All the data were reported in an electronic database for the analysis. Finally we collected data on 170 patients. Eighty-seven patients (51%) were male and the overall mean age was 58.3 ± 15.1 years; 115 patients (67%) were affected by one or more comorbidities and 90 patients (54%) had a lower-middle education level (up to middle school). Twenty-nine patients (17%) did not read the pre-procedure advices and in only 52% of patients the general practitioner (GP), who had recommended the colonoscopy, read the medical informative booklet provided to the patients. Moreover, at the time of endoscopy, 16% of patients referred symptoms different to those reported on the GP's prescription. The majority of patients (63%) took high volume bowel preparations and none of the patients chose the split-dose bowel preparation. In 62% of patients the final decision on type and regimen of bowel preparation was made without involving the GP. At the final analysis, 10% of patients did not complete the bowel preparation with an overall rate of poor (Boston Scale [BS] < 5) bowel cleansing of 26% (44 patients). Among patients with a BS ≥5 (126 patients [74%]) less than half (46% [58 out of 126]) reached a very good bowel cleansing (BS ≥7). Variables related to a low BS were: age ≥50 years (p=0.009), comorbidities (p=0.05), diabetes (p=0.02), lack of the GP's involvement (p=0.05), lower education level (p=0.04). Proportional incidence of interval colorectal cancer in a large population-based faecal immunochemical test screening programmeDigestive and Liver DiseaseVol. 52Issue 4PreviewThe European guidelines for quality assurance in colorectal cancer (CRC) screening recommend that interval cancer rate be expressed as a proportion of background incidence rate. Full-Text PDF" @default.
• W3034450955 created "2020-06-19" @default.
• W3034450955 creator A5000268699 @default.
• W3034450955 creator A5005609886 @default.
• W3034450955 creator A5007719681 @default.
• W3034450955 creator A5052898590 @default.
• W3034450955 creator A5072181176 @default.
• W3034450955 date "2020-09-01" @default.
• W3034450955 modified "2023-09-25" @default.
• W3034450955 title "Colorectal cancer screening and diagnosis: from desirable excellence to the dark side of clinical reality." @default.
• W3034450955 doi "https://doi.org/10.1016/j.dld.2020.05.008" @default.
• W3034450955 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/32553698" @default.
• W3034450955 hasPublicationYear "2020" @default.
• W3034450955 type Work @default.
• W3034450955 sameAs 3034450955 @default.
• W3034450955 citedByCount "0" @default.
• W3034450955 crossrefType "journal-article" @default.
• W3034450955 hasAuthorship W3034450955A5000268699 @default.
• W3034450955 hasAuthorship W3034450955A5005609886 @default.
• W3034450955 hasAuthorship W3034450955A5007719681 @default.
• W3034450955 hasAuthorship W3034450955A5052898590 @default.
• W3034450955 hasAuthorship W3034450955A5072181176 @default.
• W3034450955 hasConcept C120665830 @default.
• W3034450955 hasConcept C121332964 @default.
• W3034450955 hasConcept C121608353 @default.
• W3034450955 hasConcept C126322002 @default.
• W3034450955 hasConcept C141071460 @default.
• W3034450955 hasConcept C144024400 @default.
• W3034450955 hasConcept C149923435 @default.
• W3034450955 hasConcept C151730666 @default.
• W3034450955 hasConcept C17744445 @default.
• W3034450955 hasConcept C199539241 @default.
• W3034450955 hasConcept C2776269092 @default.
• W3034450955 hasConcept C2777267654 @default.
• W3034450955 hasConcept C2777352838 @default.
• W3034450955 hasConcept C2778435480 @default.
• W3034450955 hasConcept C2908647359 @default.
• W3034450955 hasConcept C2911091166 @default.
• W3034450955 hasConcept C2993160541 @default.
• W3034450955 hasConcept C2994225220 @default.
• W3034450955 hasConcept C512399662 @default.
• W3034450955 hasConcept C526805850 @default.
• W3034450955 hasConcept C61434518 @default.
• W3034450955 hasConcept C61511704 @default.
• W3034450955 hasConcept C71924100 @default.
• W3034450955 hasConcept C86803240 @default.
• W3034450955 hasConcept C99454951 @default.
• W3034450955 hasConceptScore W3034450955C120665830 @default.
• W3034450955 hasConceptScore W3034450955C121332964 @default.
• W3034450955 hasConceptScore W3034450955C121608353 @default.
• W3034450955 hasConceptScore W3034450955C126322002 @default.
• W3034450955 hasConceptScore W3034450955C141071460 @default.
• W3034450955 hasConceptScore W3034450955C144024400 @default.
• W3034450955 hasConceptScore W3034450955C149923435 @default.
• W3034450955 hasConceptScore W3034450955C151730666 @default.
• W3034450955 hasConceptScore W3034450955C17744445 @default.
• W3034450955 hasConceptScore W3034450955C199539241 @default.
• W3034450955 hasConceptScore W3034450955C2776269092 @default.
• W3034450955 hasConceptScore W3034450955C2777267654 @default.
• W3034450955 hasConceptScore W3034450955C2777352838 @default.
• W3034450955 hasConceptScore W3034450955C2778435480 @default.
• W3034450955 hasConceptScore W3034450955C2908647359 @default.
• W3034450955 hasConceptScore W3034450955C2911091166 @default.
• W3034450955 hasConceptScore W3034450955C2993160541 @default.
• W3034450955 hasConceptScore W3034450955C2994225220 @default.
• W3034450955 hasConceptScore W3034450955C512399662 @default.
• W3034450955 hasConceptScore W3034450955C526805850 @default.
• W3034450955 hasConceptScore W3034450955C61434518 @default.
• W3034450955 hasConceptScore W3034450955C61511704 @default.
• W3034450955 hasConceptScore W3034450955C71924100 @default.
• W3034450955 hasConceptScore W3034450955C86803240 @default.
• W3034450955 hasConceptScore W3034450955C99454951 @default.
• W3034450955 hasIssue "9" @default.
• W3034450955 hasLocation W30344509551 @default.
• W3034450955 hasOpenAccess W3034450955 @default.
• W3034450955 hasPrimaryLocation W30344509551 @default.
• W3034450955 hasRelatedWork W2106637587 @default.
• W3034450955 hasRelatedWork W2337575236 @default.
• W3034450955 hasRelatedWork W2404670256 @default.
• W3034450955 hasRelatedWork W3034450955 @default.
• W3034450955 hasRelatedWork W3087237052 @default.
• W3034450955 hasRelatedWork W3112119406 @default.
• W3034450955 hasRelatedWork W3200757684 @default.
• W3034450955 hasRelatedWork W81951920 @default.
• W3034450955 hasRelatedWork W841956083 @default.
• W3034450955 hasRelatedWork W918281694 @default.
• W3034450955 hasVolume "52" @default.
• W3034450955 isParatext "false" @default.
• W3034450955 isRetracted "false" @default.
• W3034450955 magId "3034450955" @default.
• W3034450955 workType "article" @default.