AIM: To determine the diagnostic yield of the "third eye retroscope",on adenoma detection rate during screening colonoscopy.METHODS: The "third eye retroscope" when used with standard colonoscopy p...AIM: To determine the diagnostic yield of the "third eye retroscope",on adenoma detection rate during screening colonoscopy.METHODS: The "third eye retroscope" when used with standard colonoscopy provides an additional retrograde view to visualize lesions on the proximal aspects of folds and flexures.We searched MEDLINE(Pub Med and Ovid),SCOPUS(including MEDLINE and EMBASE databases),Cochrane Database of Systemic Reviews,Google Scholar,and CINAHL Plus databases to identify studies that evaluated diagnostic yield of "third eye retroscope" during screening colonoscopy.Der Simonian Laird random effects model was used to generate the overall effect for each outcome.We evaluated statistical heterogeneity among the studies by using the Cochran Q statistic and quantified by I2 statistics.RESULTS: Four distinct studies with a total of 920 patients,mean age 59.83(95%CI: 56.77-62.83) years,were included in the review.The additional adenoma detection rate(AADR) defined as the number of additional adenomas identified due to "third eye retroscope" device in comparison to standard colonoscopy alone was 19.9%(95%CI: 7.3-43.9).AADR for right and left colon were 13.9%(95%CI: 9.4-20) and 10.7(95%CI: 1.9-42),respectively.AADR for polyps ≥ 6 mm and ≥ 10 mm were 24.6%(95%CI: 16.6-34.9) and 24.2%(95%CI: 12.9-40.8),respectively.The additional polyp detection rate defined as the number of additional polyps identified due to "third eye retroscope" device in comparison to standard colonoscopy alone was 19.8%(95%CI: 7.9-41.8).There were no complications reported with use of "third eye retroscope" device.CONCLUSION: The "third eye retroscope" device when used with standard colonoscopy is safe and detects 19.9% additional adenomas,compared to standard colonoscopy alone.展开更多
In this paper, we consider an inference method for recurrent event data in which the primary exposure covariate is assessed only in a validation set, while as an auxiliary covariate for the main exposure is available ...In this paper, we consider an inference method for recurrent event data in which the primary exposure covariate is assessed only in a validation set, while as an auxiliary covariate for the main exposure is available for the full cohort. Additive rate model is considered. The existing estimating equations in the absence of primary exposure are corrected by taking use of the validation data and auxiliary information, which yield consistent and asymptotically normal estimators of the regression parameters. The estimated baseline mean process is shown to converge weakly to a zero-mean Gaussian process. Extensive simulations are conducted to evaluate finite sample performance.展开更多
Recurrent event data often arises in biomedical studies, and individuals within a cluster might not be independent. We propose a semiparametric additive rates model for clustered recurrent event data, wherein the cova...Recurrent event data often arises in biomedical studies, and individuals within a cluster might not be independent. We propose a semiparametric additive rates model for clustered recurrent event data, wherein the covariates are assumed to add to the unspecified baseline rate. For the inference on the model parameters, estimating equation approaches are developed, and both large and finite sample properties of the proposed estimators are established.展开更多
文摘AIM: To determine the diagnostic yield of the "third eye retroscope",on adenoma detection rate during screening colonoscopy.METHODS: The "third eye retroscope" when used with standard colonoscopy provides an additional retrograde view to visualize lesions on the proximal aspects of folds and flexures.We searched MEDLINE(Pub Med and Ovid),SCOPUS(including MEDLINE and EMBASE databases),Cochrane Database of Systemic Reviews,Google Scholar,and CINAHL Plus databases to identify studies that evaluated diagnostic yield of "third eye retroscope" during screening colonoscopy.Der Simonian Laird random effects model was used to generate the overall effect for each outcome.We evaluated statistical heterogeneity among the studies by using the Cochran Q statistic and quantified by I2 statistics.RESULTS: Four distinct studies with a total of 920 patients,mean age 59.83(95%CI: 56.77-62.83) years,were included in the review.The additional adenoma detection rate(AADR) defined as the number of additional adenomas identified due to "third eye retroscope" device in comparison to standard colonoscopy alone was 19.9%(95%CI: 7.3-43.9).AADR for right and left colon were 13.9%(95%CI: 9.4-20) and 10.7(95%CI: 1.9-42),respectively.AADR for polyps ≥ 6 mm and ≥ 10 mm were 24.6%(95%CI: 16.6-34.9) and 24.2%(95%CI: 12.9-40.8),respectively.The additional polyp detection rate defined as the number of additional polyps identified due to "third eye retroscope" device in comparison to standard colonoscopy alone was 19.8%(95%CI: 7.9-41.8).There were no complications reported with use of "third eye retroscope" device.CONCLUSION: The "third eye retroscope" device when used with standard colonoscopy is safe and detects 19.9% additional adenomas,compared to standard colonoscopy alone.
基金Supported by the National Natural Science Foundation of China(No.11571263,11371299)
文摘In this paper, we consider an inference method for recurrent event data in which the primary exposure covariate is assessed only in a validation set, while as an auxiliary covariate for the main exposure is available for the full cohort. Additive rate model is considered. The existing estimating equations in the absence of primary exposure are corrected by taking use of the validation data and auxiliary information, which yield consistent and asymptotically normal estimators of the regression parameters. The estimated baseline mean process is shown to converge weakly to a zero-mean Gaussian process. Extensive simulations are conducted to evaluate finite sample performance.
基金supported by International Cooperation Projects (2010DFA31790) of Chinese Ministry of Science and Technologythe fund of Central China Normal University for Ph.D students (No. 2009023)+2 种基金supported by the National Natural Science Foundation of China Grants(No. 10731010, 10971015 and 11021161)the National Basic Research Program of China (973 Program) (No.2007CB814902)Key Laboratory of Random Complex Structures and Data Science, Academy of Mathematics& Systems Science, Chinese Academy of Sciences (No. 2008DP173182)
文摘Recurrent event data often arises in biomedical studies, and individuals within a cluster might not be independent. We propose a semiparametric additive rates model for clustered recurrent event data, wherein the covariates are assumed to add to the unspecified baseline rate. For the inference on the model parameters, estimating equation approaches are developed, and both large and finite sample properties of the proposed estimators are established.