Pratique de la coloscopie en France en 2011 : résultats de l’enquête électronique « une semaine d’endoscopie en France » View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2012-12

AUTHORS

M. Barret, C. Boustiere, D. Heresbach, J. -M. Canard, J. -P. Arpurt, D. Bernardini, P. Bulois, S. Chaussade, I. Joly, J. Lapuelle, R. Laugier, G. Lesur, P. Pienkowski, T. Ponchon, B. Pujol, B. Richard-Molard, M. Robaszkiewicz, R. Systchenko, C. Cellier, pour la SFED (Société française d’endoscopie digestive)

ABSTRACT

Peu de données sont disponibles sur la pratique de la coloscopie et son rendement diagnostique en Europe. Nous avons mené une étude prospective nationale d’évaluation de la pratique de la coloscopie et des performances diagnostiques de cet examen. Un questionnaire en ligne a été envoyé à 2 600 gastroentérologues français. Les informations sur les professionnels de santé ayant répondu ont été recueillies et comparées aux données nationales de l’ordre des médecins. Durant une semaine, les données de toutes les endoscopies digestives réalisées, puis secondairement les résultats histologiques étaient renseignés en ligne. Les résultats ont été extrapolés à une année entière d’endoscopie en France, et les facteurs associés au taux de détection d’adénome (TDA), de polype ou de cancer colorectal (CCR) ont été déterminés. Trois cent quarante-deux gastroentérologues représentatifs de la spécialité ont fourni des données sur 3 266 coloscopies. La coloscopie était complète dans 90 % des cas. Les patients étaient des hommes dans 48 % des cas, âgés de plus de 50 ans dans 77 % des cas. Les indications de la coloscopie étaient le dépistage du CCR dans 40 % des cas, des symptômes digestifs dans 39 % des cas, et un test Hémoccult® positif dans 5 % des cas. Une résection de polype était réalisée dans 31,3 % des cas, et les lésions étaient supérieures à 10 mm dans 21 % des cas, n supérieur à 3 dans 14 % des cas, et de localisation colique droite dans 47 % des cas. Les taux de détection d’adénome et d’adénocarcinome étaient de 17,7 et 2,9 % des cas, respectivement. Les facteurs associés à un TDA élevé étaient le sexe masculin (p < 0,0001), un âge supérieur à 50 ans (p < 0,0001), les facteurs de risque familiaux de CCR (p = 0,0002), un antécédent personnel de polype ou de CCR (p < 0,001) et un test Hémoccult® positif (p = 0,0008). Le taux de CCR était trois fois plus élevé chez les patients n’ayant jamais bénéficié d’une coloscopie (4,2 vs 1,4 %, p < 0,0001). Ces données nationales prospectives sur la pratique de la coloscopie, incluant pour la première fois en France des résultats histologiques, soulignent l’importance de l’amélioration de la préparation colique, retrouvent un TDA global de 17,7 % et confirment le rôle préventif de la surveillance coloscopique sur la survenue du CCR. More... »

PAGES

290-295

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10190-012-0285-x

DOI

http://dx.doi.org/10.1007/s10190-012-0285-x

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1006856737


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