ArticleWorld journal of gastrointestinal endoscopy2025
Effect of family history on detection of adenomas and sessile serrated lesions in individuals aged 40s.
Article in World journal of gastrointestinal endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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10 authors.
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Abstract
backgroundAccording to the guidelines in the United States, individuals with a family history of colorectal cancer should be screened at the age of 40 years. Data on the prevalence of adenomas and sessile serrated lesions (SSLs) in individuals aged 40-49 years in Japan are lacking.
aimTo investigate the effect of family history on the detection of adenomas and SSLs during colonoscopy in Japan.
methodsThis retrospective, single-center cohort study included individuals aged 40-79 years who underwent colonoscopy by expert endoscopists with an adenoma detection rate (ADR) ≥ 40% between 2021 and 2024. The ADR and adenoma plus SSL detection rate (ASDR) were investigated according to age. Multivariable analyses were performed to examine the effects of first-degree family history of colorectal cancer, fecal immunochemical test, and sex on the ADR and ASDR for each age group. A binomial logistic regression model was used.
resultsIn 10248 participants, the overall ADR and ASDR were 53.6% and 59.1%, respectively. The ADR and ASDR increased with age. Among 2317 participants aged 40-49 years, the presence of a family history significantly increased the ADR (47.6%
conclusionParticipants with a family history exhibited significantly elevated ADR (47.6%) and ASDR (58.0%), in their 40s. Individuals with a family history should initiate colonoscopy at 40 years old.
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