In:
Journal of Gastroenterology and Hepatology, Wiley, Vol. 32, No. 7 ( 2017-07), p. 1328-1335
Abstract:
Little is known about how to include adults 〈 50 years in colonoscopy screening. This study aimed to derive a risk‐scoring model incorporating laboratory indicators for metabolic risks to predict advanced colorectal neoplasia (ACN) in asymptomatic Korean adults both younger and older than 50 years. Methods In this cross‐sectional study, 70 812 consecutive adult recipients of a screening colonoscopy in a single health check‐up center in Korea between 2003 and 2012 were enrolled. A risk score model was developed using multiple logistic regression model and internally validated. Results Overall prevalence of ACN was 1.4% (956/70 812). A 15‐point score model was developed to comprise age, sex, family history of colorectal cancer, smoking, body mass index, serum levels of fasting glucose, low‐density lipoprotein cholesterol, and carcinoembryonic antigen. Based on the score, the validation cohort could be categorized into five risk groups (low, borderline, moderate, high, and very high) with an ACN prevalence of 0.7%, 1.3%, 2.7%, 6.6%, and 13.2%, respectively. Compared with the borderline risk group, the low‐risk group showed a 50.3% reduced risk of ACN. Meanwhile, the moderate, high, and very high risk groups showed 2, 5, and 10‐fold increased risk of ACN. The score showed significantly superior discriminative power than the Asian‐Pacific colorectal screening score ( P = 0.003). Conclusions Our scoring model based on both clinical and laboratory risk factors is useful for the prediction of ACN. This score may be used to include adults 〈 50 years in colonoscopy screening.
Type of Medium:
Online Resource
ISSN:
0815-9319
,
1440-1746
DOI:
10.1111/jgh.2017.32.issue-7
Language:
English
Publisher:
Wiley
Publication Date:
2017
detail.hit.zdb_id:
2006782-3
