Cost effectiveness of detecting Barrett's cancer.
作者： T A Wright , M R Gray , A I Morris , I T Gilmore , A Ellis
DOI: 10.1136/GUT.39.4.574
关键词: Risk factor 、 Mass screening 、 Cost effectiveness 、 Disease 、 Surgery 、 Esophageal disease 、 Stage (cooking) 、 Cancer 、 Internal medicine 、 Medicine 、 Incidence (epidemiology)
摘要: BACKGROUND: Screening Barrett's oesophagus is controversial owing to a large variation in the reported incidence of neoplastic change and lack evidence that screening improves tumour prognosis. AIMS: To determine cancer, its cost detection, stage disease at time diagnosis. PATIENTS AND METHODS: Data from our surveillance programme have been reviewed assess malignant change, diagnosis, per cancer detected. RESULTS: 166 patients had annual endoscopic surveillance. Six (five men) developed cancer-an one 59 male 167 female patient-years follow up. The screened group significantly earlier than control unscreened cancers (p < 0.05). detecting was Pounds 14 868 for men 42 084 women. CONCLUSIONS: high but may be justified on basis early disease.
sci-hub.se 参考文章(37)
Alan J. Cameron, Alan R. Zinsmeister, David J. Ballard, J.Aidan Carney, Prevalence of columnar-lined (Barrett's) esophagus: Comparison of population-based clinical and autopsy findings Gastroenterology. ,vol. 99, pp. 918- 922 ,(1990) , 10.1016/0016-5085(90)90607-3
Provenzale D, Wong Jb, Arora S, Kemp Ja, A guide for surveillance of patients with Barrett's esophagus. The American Journal of Gastroenterology. ,vol. 89, pp. 670- 680 ,(1994)
Stanley R. Hamilton, Robert R. L. Smith, The relationship between columnar epithelial dysplasia and invasive adenocarcinoma arising in Barrett's esophagus American Journal of Clinical Pathology. ,vol. 87, pp. 301- 312 ,(1987) , 10.1093/AJCP/87.3.301
Charles Winters, Timothy J. Spurling, Sarkis J. Chobanian, David J. Curtis, Regina L. Esposito, Joseph F. Hacker, David A. Johnson, David F. Cruess, J.D. Cotelingam, Michael S. Gurney, Edward L. Cattau, Barrett's esophagus: A prevalent, occult complication of gastroesophageal reflux disease Gastroenterology. ,vol. 92, pp. 118- 124 ,(1987) , 10.1016/0016-5085(87)90847-X
A.P. Naef, M. Savary, L. Ozzello, Frederick G. Pearson, Columnar-lined lower esophagus: an acquired lesion with malignant predisposition. Report on 140 cases of Barrett's esophagus with 12 adenocarcinomas. The Journal of Thoracic and Cardiovascular Surgery. ,vol. 70, pp. 826- 835 ,(1975) , 10.1016/S0022-5223(19)39666-7
Hassall E, Magee Jf, Dimmick Je, Adenocarcinoma in childhood Barrett's esophagus: case documentation and the need for surveillance in children. The American Journal of Gastroenterology. ,vol. 88, pp. 282- 288 ,(1993)
Rodger C. Haggitt, Joan Tryzelaar, F. Henry Ellis, Henry Colcher, Adenocarcinoma Complicating Columnar Epithelium-lined (Barrett’s) Esophagus American Journal of Clinical Pathology. ,vol. 70, pp. 1- 5 ,(1978) , 10.1093/AJCP/70.1.1
Manuel Pera, Alan J. Cameron, Victor F. Trastek, Herschel A. Carpenter, Alan R. Zinsmeister, Increasing incidence of adenocarcinoma of the esophagus and esophagogastric junction Gastroenterology. ,vol. 104, pp. 510- 513 ,(1993) , 10.1016/0016-5085(93)90420-H
Stanley R. Hamilton, David F. Hutcheon, William J. Ravich, John L. Cameron, Moses Paulson, Adenocarcinoma in Barrett's esophagus after elimination of gastroesophageal reflux Gastroenterology. ,vol. 86, pp. 356- 360 ,(1984) , 10.1016/0016-5085(84)90423-2
Douglas S. Levine, Rodger C. Haggitt, Patricia L. Blount, Peter S. Rabinovitch, Valerie W. Rusch, Brian J. Reid, An endoscopic biopsy protocol can differentiate high-grade dysplasia from early adenocarcinoma in Barrett's esophagus Gastroenterology. ,vol. 105, pp. 40- 50 ,(1993) , 10.1016/0016-5085(93)90008-Z