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Your search keyword '"Valverde-Roig, María José"' showing total 2 results
Start Over Author "Valverde-Roig, María José" Topic colonoscopy
2 results on '"Valverde-Roig, María José"'

1. Risk factors for severe complications of colonoscopy in screening programs.

Author

Vanaclocha-Espi M, Ibáñez J, Molina-Barceló A, Valverde-Roig MJ, Pérez E, Nolasco A, de la Vega M, de la Lastra-Bosch ID, Oceja ME, Espinàs JA, Font R, Pérez-Riquelme F, Arana-Arri E, Portillo I, and Salas D

Subjects
Adult, Aged, Female, Humans, Male, Middle Aged, Retrospective Studies, Risk Factors, Spain, Colonoscopy adverse effects, Colorectal Neoplasms diagnosis, Early Detection of Cancer, Hemorrhage complications, Hemorrhage etiology
Abstract

Severe complications (SC) in colonoscopy represent the most important adverse effect of colorectal cancer screening programs (CRCSP). The objective is to evaluate the risk factors for SC in colonoscopy indicated after a positive fecal occult blood test in population-based CRCSP. The SC (n = 161) identified from 48,730 diagnostic colonoscopies performed in a cohort of all the women and men invited from 2000 to 2012 in 6 CRCSP in Spain. A total of 318 controls were selected, matched for age, sex and period when the colonoscopy was performed. Conditional logistic regression models were estimated. The analysis was performed separately in groups: immediate-SC (same day of the colonoscopy); late-SC (between 1 and 30 days after); perforation; and bleeding events. SC occurred in 3.30‰ of colonoscopies. Prior colon disease showed a higher risk of SC (OR = 4.87). Regular antiplatelet treatment conferred a higher risk of overall SC (OR = 2.80) and late-SC (OR = 9.26), as did regular anticoagulant therapy (OR = 3.47, OR = 7.36). A history of pelvic-surgery or abdominal-radiotherapy was a risk factor for overall SC (OR = 5.03), immediate-SC (OR = 8.49), late-SC (OR = 4.65) and perforation (OR = 21.59). A finding of adenoma or cancer also showed a higher risk of overall SC (OR = 8.71), immediate-SC (OR = 12.67), late-SC (OR = 4.08), perforation (OR = 4.69) and bleeding (OR = 17.02). The risk of SC doesn't vary depending on the type of preparation or type of anesthesia. Knowing the clinical history of patients such as regular previous medication and history of surgery or radiotherapy, as well as the severity of the findings during the colonoscopy process could help to focus prevention measures in order to minimize SC in CRCSP., (Copyright © 2018 Elsevier Inc. All rights reserved.)

Published
2019
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2. Risk factors for severe complications of colonoscopy in screening programs

Author

Vanaclocha-Espi, Mercedes, Ibáñez, Josefa, Molina-Barceló, Ana, Valverde-Roig, María José, Pérez, Elena, Nolasco, Andreu, Vega, Mariola de la, Diez de la Lastra-Bosch, Isabel, Oceja, María Elena, Espinàs, Josep Alfons, Font, Rebeca, Pérez-Riquelme, Francisco, Arana-Arri, Eunate, Portillo, Isabel, Salas, Dolores, CRIBEA Group, Universidad de Alicante. Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia, and Grupo Balmis de Investigación en Salud Comunitaria e Historia de la Ciencia

Subjects
Adult, Male, medicine.medical_specialty, Epidemiology, Population, Perforation (oil well), Colonoscopy, Hemorrhage, 01 natural sciences, CRCSP, Colorectal cancer screening programs, 03 medical and health sciences, 0302 clinical medicine, Risk Factors, Internal medicine, Medicine, Humans, 030212 general & internal medicine, 0101 mathematics, Risk factor, education, Adverse effect, CRC, Colorectal Cancer, Early Detection of Cancer, Aged, Retrospective Studies, education.field_of_study, medicine.diagnostic_test, business.industry, 010102 general mathematics, Fecal occult blood, Public Health, Environmental and Occupational Health, Cancer, Middle Aged, SC, Severe complication, medicine.disease, Spain, Cohort, Female, Enfermería, business, Colorectal Neoplasms
Abstract

Severe complications (SC) in colonoscopy represent the most important adverse effect of colorectal cancer screening programs (CRCSP). The objective is to evaluate the risk factors for SC in colonoscopy indicated after a positive fecal occult blood test in population-based CRCSP. The SC (n = 161) identified from 48,730 diagnostic colonoscopies performed in a cohort of all the women and men invited from 2000 to 2012 in 6 CRCSP in Spain. A total of 318 controls were selected, matched for age, sex and period when the colonoscopy was performed. Conditional logistic regression models were estimated. The analysis was performed separately in groups: immediate-SC (same day of the colonoscopy); late-SC (between 1 and 30 days after); perforation; and bleeding events. SC occurred in 3.30‰ of colonoscopies. Prior colon disease showed a higher risk of SC (OR = 4.87). Regular antiplatelet treatment conferred a higher risk of overall SC (OR = 2.80) and late-SC (OR = 9.26), as did regular anticoagulant therapy (OR = 3.47, OR = 7.36). A history of pelvic-surgery or abdominal-radiotherapy was a risk factor for overall SC (OR = 5.03), immediate-SC (OR = 8.49), late-SC (OR = 4.65) and perforation (OR = 21.59). A finding of adenoma or cancer also showed a higher risk of overall SC (OR = 8.71), immediate-SC (OR = 12.67), late-SC (OR = 4.08), perforation (OR = 4.69) and bleeding (OR = 17.02). The risk of SC doesn't vary depending on the type of preparation or type of anesthesia. Knowing the clinical history of patients such as regular previous medication and history of surgery or radiotherapy, as well as the severity of the findings during the colonoscopy process could help to focus prevention measures in order to minimize SC in CRCSP. This Project was funded by the Instituto de Salud Carlos III with co-funding from FEDER [PI12/00944].

Published
2019

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