Proximal Sessile Serrated Adenomas Are More Prevalent in Caucasians, and Gastroenterologists Are Better Than Nongastroenterologists at Their Detection
Joint Authors
Sanaka, Madhusudhan R.
Thota, Prashanthi N.
Parikh, Malav P.
Muthukuru, Sujit
Jobanputra, Yash
Naha, Kushal
Gupta, Niyati M.
Wadhwa, Vaibhav
Lopez, Rocio
Source
Gastroenterology Research and Practice
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-12-18
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background and Aim.
Proximal sessile serrated adenomas (PSSA) leading to colorectal cancer (CRC) represent an alternate pathway for CRC development.
In this study, we aim to determine the prevalence of PSSAs and the impact of patient, colonoscopy, and endoscopist-related factors on PSSA detection.
Methods.
Patients ≥ 50 years of age undergoing a screening colonoscopy between 2012 and 2014 were included.
Detection rates based on patient gender, race, colonoscopy timing, fellow participation, bowel preparation quality, and specialty of the endoscopist were calculated.
t-tests were used to compare detection rates and a multivariate-adjusted analysis was performed.
Results.
140 PSSAs were detected from 4151 colonoscopies, with a prevalence of 3.4%.
Detection rate was higher in Caucasians compared to African-Americans (AA) (3.7 ± 4.1 versus 0.96 ± 3.5; p<0.001).
Gastroenterologists detected more PSSAs compared to nongastroenterologists (3.9 ± 3.5 versus 2.2 ± 3.0; p=0.028).
These findings were still significant after adjusted multivariate analysis.
The rest of the factors did not make significant difference in PSSA detection rate.
Conclusions.
PSSAs are more prevalent in Caucasians compared to AAs.
Racial difference in prevalence of PSSAs is intriguing and warrants further investigation.
Gastroenterologists have a significantly higher PSSADR compared to nongastroenterologists.
Educational measures should be implemented in nongastroenterologists to improve their PSSA detection rates.
American Psychological Association (APA)
Parikh, Malav P.& Muthukuru, Sujit& Jobanputra, Yash& Naha, Kushal& Gupta, Niyati M.& Wadhwa, Vaibhav…[et al.]. 2017. Proximal Sessile Serrated Adenomas Are More Prevalent in Caucasians, and Gastroenterologists Are Better Than Nongastroenterologists at Their Detection. Gastroenterology Research and Practice،Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1156544
Modern Language Association (MLA)
Parikh, Malav P.…[et al.]. Proximal Sessile Serrated Adenomas Are More Prevalent in Caucasians, and Gastroenterologists Are Better Than Nongastroenterologists at Their Detection. Gastroenterology Research and Practice No. 2017 (2017), pp.1-7.
https://search.emarefa.net/detail/BIM-1156544
American Medical Association (AMA)
Parikh, Malav P.& Muthukuru, Sujit& Jobanputra, Yash& Naha, Kushal& Gupta, Niyati M.& Wadhwa, Vaibhav…[et al.]. Proximal Sessile Serrated Adenomas Are More Prevalent in Caucasians, and Gastroenterologists Are Better Than Nongastroenterologists at Their Detection. Gastroenterology Research and Practice. 2017. Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1156544
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1156544