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논문 기본 정보

자료유형
학술저널
저자정보
Dae Kyung Sohn (National Cancer Center) Il Won Shin (National Cancer Center) Jeonghwa Yeon (National Cancer Center) Jin Yoo (National Cancer Center) Byung Chang Kim (National Cancer Center) Bun Kim (National Cancer Center) Chang Won Hong (National Cancer Center) Kyung Su Han (National Cancer Center)
저널정보
대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.97 No.6
발행연도
2019.12
수록면
319 - 325 (7page)

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초록· 키워드

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Purpose: This study aimed to validate an automated calculating system developed for determining the adenoma detection rate (ADR).
Methods: To calculate the automated ADR, the data linking processes were as follows: (1) matching the selected colonoscopy results with the pathological results, (2) matching the polyp number from colonoscopy with that from pathology and confirming the histopathological results of each colonic polyp, and (3) confirming the histopathological results, especially the adenoma status of each colonic polyp. To verify the accuracy of the automated ADR calculating system, we manually calculated the ADR for 3 months through medical record review. Accuracy was calculated by measuring the error rate for each value. The cause of error was analyzed by additional order and chart review.
Results: After excluding 318 cases, 2,543 patients (1,351 men and 1,192 women; median age, 57.9 years) who underwent colonoscopy were included in this study. When the automated calculating system was used, polyps were found in 1,336 cases (52.6%) and adenomas were found in 1,003 cases (39.4%). When the manual calculating system was used, polyps were found in 1,327 cases (52.2%) and adenomas were found in 1,003 cases (39.4%). The accuracies of the polyp detection rate and ADR according to the automated calculating system were 99.3% and 100%, respectively.
Conclusion: We developed a system to automatically calculate the ADR by extracting hospital electronic medical record results and verified that it provided satisfactory results. It may help to improve colonoscopy quality.

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INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

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