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Article: Colorectal neoplasm in asymptomatic Asians: a prospective multinational multicenter colonoscopy survey

TitleColorectal neoplasm in asymptomatic Asians: a prospective multinational multicenter colonoscopy survey
Authors
Issue Date2007
PublisherMosby, Inc. The Journal's web site is located at http://www.elsevier.com/locate/gie
Citation
Gastrointestinal Endoscopy, 2007, v. 65 n. 7, p. 1015-1022 How to Cite?
AbstractBackground: Colorectal neoplasm is rapidly increasing in Asia, but a guideline for screening is not available. Objective: To evaluate the characteristics of colorectal neoplasm in asymptomatic Asian subjects. Design: Prospective cohort study. Setting: Multinational multicenters, including both primary and referral centers in Asia. Patients: A total of 860 consecutive asymptomatic adults undergoing screening colonoscopy in 11 Asian cities from July 2004 to December 2004. Patients under 16 years old; those patients with a colorectal resection history, colonoscopies, or barium enema within 5 years; symptoms suggestive of colorectal diseases; and those who had undergone surveillance colonoscopy were excluded. Main Outcome Measurements: The incidence and distribution of colorectal neoplasm and advanced neoplasm. Results: The mean age (±SD) was 54.4 ± 11.6 years; 471 were men (54.8%). The prevalence of colorectal neoplasm and advanced neoplasm was 18.5% and 4.5%, respectively. Male sex, advancing age, and a family history of colorectal cancer were risk factors for advanced neoplasm. Of the 168 patients with colorectal neoplasm, 76 had distal neoplasm only (45.2%), 66 had proximal neoplasm only (39.3%), and 26 had both proximal and distal neoplasms (15.5%). Although the presence of distal advanced neoplasm was a significant risk factor for proximal advanced neoplasm, 14 of the 758 subjects without distal neoplasm had proximal advanced neoplasm (1.8%). Limitations: The small number of enrolled subjects, especially from certain ethnic groups. Conclusions: The overall prevalence of advanced colorectal neoplasm in asymptomatic Asians is comparable with the West. Male sex, advancing age, and a family history of colorectal cancer were associated with a higher risk of advanced neoplasm. © 2007 American Society for Gastrointestinal Endoscopy.
Persistent Identifierhttp://hdl.handle.net/10722/163083
ISSN
2015 Impact Factor: 6.217
2015 SCImago Journal Rankings: 2.390
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorByeon, JSen_US
dc.contributor.authorYang, SKen_US
dc.contributor.authorKim, TIen_US
dc.contributor.authorKim, WHen_US
dc.contributor.authorLau, JYWen_US
dc.contributor.authorLeung, WKen_US
dc.contributor.authorFujita, Ren_US
dc.contributor.authorMakharia, GKen_US
dc.contributor.authorAbdullah, Men_US
dc.contributor.authorHilmi, Ien_US
dc.contributor.authorSollano, Jen_US
dc.contributor.authorYeoh, KGen_US
dc.contributor.authorWu, DCen_US
dc.contributor.authorChen, MHen_US
dc.contributor.authorKongkam, Pen_US
dc.contributor.authorSung, JJYen_US
dc.date.accessioned2012-09-05T05:27:23Z-
dc.date.available2012-09-05T05:27:23Z-
dc.date.issued2007en_US
dc.identifier.citationGastrointestinal Endoscopy, 2007, v. 65 n. 7, p. 1015-1022en_US
dc.identifier.issn0016-5107en_US
dc.identifier.urihttp://hdl.handle.net/10722/163083-
dc.description.abstractBackground: Colorectal neoplasm is rapidly increasing in Asia, but a guideline for screening is not available. Objective: To evaluate the characteristics of colorectal neoplasm in asymptomatic Asian subjects. Design: Prospective cohort study. Setting: Multinational multicenters, including both primary and referral centers in Asia. Patients: A total of 860 consecutive asymptomatic adults undergoing screening colonoscopy in 11 Asian cities from July 2004 to December 2004. Patients under 16 years old; those patients with a colorectal resection history, colonoscopies, or barium enema within 5 years; symptoms suggestive of colorectal diseases; and those who had undergone surveillance colonoscopy were excluded. Main Outcome Measurements: The incidence and distribution of colorectal neoplasm and advanced neoplasm. Results: The mean age (±SD) was 54.4 ± 11.6 years; 471 were men (54.8%). The prevalence of colorectal neoplasm and advanced neoplasm was 18.5% and 4.5%, respectively. Male sex, advancing age, and a family history of colorectal cancer were risk factors for advanced neoplasm. Of the 168 patients with colorectal neoplasm, 76 had distal neoplasm only (45.2%), 66 had proximal neoplasm only (39.3%), and 26 had both proximal and distal neoplasms (15.5%). Although the presence of distal advanced neoplasm was a significant risk factor for proximal advanced neoplasm, 14 of the 758 subjects without distal neoplasm had proximal advanced neoplasm (1.8%). Limitations: The small number of enrolled subjects, especially from certain ethnic groups. Conclusions: The overall prevalence of advanced colorectal neoplasm in asymptomatic Asians is comparable with the West. Male sex, advancing age, and a family history of colorectal cancer were associated with a higher risk of advanced neoplasm. © 2007 American Society for Gastrointestinal Endoscopy.en_US
dc.languageengen_US
dc.publisherMosby, Inc. The Journal's web site is located at http://www.elsevier.com/locate/gieen_US
dc.relation.ispartofGastrointestinal Endoscopyen_US
dc.subject.meshAdulten_US
dc.subject.meshAge Distributionen_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 And Overen_US
dc.subject.meshAsian Continental Ancestry Groupen_US
dc.subject.meshColonoscopyen_US
dc.subject.meshColorectal Neoplasms - Diagnosis - Ethnologyen_US
dc.subject.meshDiagnosis, Differentialen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshIncidenceen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPopulation Surveillance - Methodsen_US
dc.subject.meshPrevalenceen_US
dc.subject.meshProspective Studiesen_US
dc.subject.meshRisk Factorsen_US
dc.subject.meshSex Distributionen_US
dc.titleColorectal neoplasm in asymptomatic Asians: a prospective multinational multicenter colonoscopy surveyen_US
dc.typeArticleen_US
dc.identifier.emailLeung, WK:waikleung@hku.hken_US
dc.identifier.authorityLeung, WK=rp01479en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/j.gie.2006.12.065en_US
dc.identifier.pmid17531636-
dc.identifier.scopuseid_2-s2.0-34249086540en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-34249086540&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume65en_US
dc.identifier.issue7en_US
dc.identifier.spage1015en_US
dc.identifier.epage1022en_US
dc.identifier.isiWOS:000247216300013-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridByeon, JS=7004081013en_US
dc.identifier.scopusauthoridYang, SK=7406948347en_US
dc.identifier.scopusauthoridKim, TI=34770429800en_US
dc.identifier.scopusauthoridKim, WH=34770557300en_US
dc.identifier.scopusauthoridLau, JYW=13907867100en_US
dc.identifier.scopusauthoridLeung, WK=7201504523en_US
dc.identifier.scopusauthoridFujita, R=7103049318en_US
dc.identifier.scopusauthoridMakharia, GK=6701885809en_US
dc.identifier.scopusauthoridAbdullah, M=9243577500en_US
dc.identifier.scopusauthoridHilmi, I=12780634900en_US
dc.identifier.scopusauthoridSollano, J=6602099153en_US
dc.identifier.scopusauthoridYeoh, KG=7004891021en_US
dc.identifier.scopusauthoridWu, DC=7404298244en_US
dc.identifier.scopusauthoridChen, MH=8642044500en_US
dc.identifier.scopusauthoridKongkam, P=8720849400en_US
dc.identifier.scopusauthoridSung, JJY=35405352400en_US

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