{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T01:35:02Z","timestamp":1777512902252,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Med Insights Gastroenterol"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Narrow-Band imaging International Colorectal Endoscopic (NICE) could reduce histopathology study requirements in colorectal polyp evaluation. Local and regional studies are required to validate its utility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To evaluate concordance between NICE classification and histopathology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Prospective analytic study performed in the Hospital Universitario San Ignacio, Bogot\u00e1 (Colombia) between 2021 and 2022.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Concordance between NICE I, II and III classification and histopathology [Hyperplastic Polyp (HP), adenoma and deep submucosal invasive cancer (DSIC)] was evaluated using weighted kappa. Diagnostic performance was evaluated for NICE I\u2013II versus NICE III for DSIC versus adenoma\/HP. A subgroup analysis was performed for polyps \u2a7e10\u2009mm and those located in the rectum, sigmoid, and left colon.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 238 polyps from 135 patients were evaluated. Median age 67\u2009years (IQR 58.5\u201374.5), 54.4% males. 23 (17.1%) had \u2a7e3 polyps. Of polyps, 52.1% were located on rectum, sigmoid and left colon. A total of 182 (76.5%) were &lt;10\u2009mm. NICE and histopathology evidenced a fair-moderate concordance (quadratic weighted kappa 0.36, linear weighted kappa 0.43). NICE classification (NICE I\u2013II versus III) compared to histopathology (DSIC versus adenoma\/HP) evidenced a sensitivity of 90.9% and specificity of 99.1%. For DSIC diagnosis specificity was \u2a7e95% on polyps \u2a7e10\u2009mm and those left sided located.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>NICE and histopathology concordance is suboptimal. However, NICE III for DSIC diagnosis evidence good specificity. Therefore, NICE III polyps require a prompt histopathological evaluation and follow-up. Good operative characteristics stand in polyps \u2a7e10\u2009mm and left sided located. NBI formal training is recommended in gastroenterology units in Latin America.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26317745241231102","type":"journal-article","created":{"date-parts":[[2024,2,21]],"date-time":"2024-02-21T04:31:08Z","timestamp":1708489868000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Concordance between nice classification and histopathology in colonic polyps: a tertiary center experience"],"prefix":"10.1177","volume":"17","author":[{"given":"Andrea C.","family":"Buitrago-Tamayo","sequence":"first","affiliation":[{"name":"Gastroenterologist, Pontificia Universidad Javeriana, Bogot\u00e1, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6392-7554","authenticated-orcid":false,"given":"Carlos E.","family":"Lombo-Moreno","sequence":"additional","affiliation":[{"name":"Gastroenterology Fellow, Gastroenterology Unit, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Cra. 7 No 40 - 62, Bogot\u00e1 110231, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valentina","family":"Ursida","sequence":"additional","affiliation":[{"name":"Gastroenterology Fellow, Gastroenterology Unit, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogot\u00e1, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana M.","family":"Leguizamo-Naranjo","sequence":"additional","affiliation":[{"name":"Gastroenterologist, Pontificia Universidad Javeriana, Bogot\u00e1, ColombiaGastroenterology Unit, Hospital Universitario San Ignacio, Bogot\u00e1, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5401-0018","authenticated-orcid":false,"given":"Oscar M.","family":"Mu\u00f1oz-Velandia","sequence":"additional","affiliation":[{"name":"Internal Medicine Department, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogot\u00e1, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R\u00f3mulo D.","family":"Vargas-Rubio","sequence":"additional","affiliation":[{"name":"Gastroenterologist, Pontificia Universidad Javeriana, Bogot\u00e1, ColombiaGastroenterology Unit, Hospital Universitario San Ignacio, Bogot\u00e1, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,2,21]]},"reference":[{"key":"bibr1-26317745241231102","unstructured":"International Agency for Research on Cancer. Cancer today [Internet], https:\/\/gco.iarc.fr\/today\/online-analysis-map?v=2020&mode=population&mode_population=continents&population=900&populations=900&key=asr&sex=0&cancer=39&type=0&statistic=5&prevalence=0&population_group=0&ages_group%5B%5D=0&ages_group%5B%5D=17&nb_items=10&gr (2020, accessed 25 Feb 2023)."},{"key":"bibr2-26317745241231102","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2208375"},{"key":"bibr3-26317745241231102","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2022.6644"},{"key":"bibr4-26317745241231102","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v25.i2.190"},{"key":"bibr5-26317745241231102","doi-asserted-by":"publisher","DOI":"10.1016\/j.giec.2010.07.008"},{"key":"bibr6-26317745241231102","doi-asserted-by":"publisher","DOI":"10.1111\/j.1443-1661.2011.01106.x"},{"key":"bibr7-26317745241231102","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2013.04.185"},{"key":"bibr8-26317745241231102","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2012.05.006"},{"key":"bibr9-26317745241231102","doi-asserted-by":"publisher","DOI":"10.1186\/s12876-021-01898-z"},{"key":"bibr10-26317745241231102","unstructured":"Board WC of TE. WHO classification of tumors. Digestive system tumors. 5th ed. World Health Organization, 2019, pp. 157\u2013188."},{"key":"bibr11-26317745241231102","doi-asserted-by":"publisher","DOI":"10.1097\/EDE.0b013e3181577511"},{"key":"bibr12-26317745241231102","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2014.05.305"},{"key":"bibr13-26317745241231102","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2014.06.097"},{"key":"bibr14-26317745241231102","doi-asserted-by":"publisher","DOI":"10.4251\/wjgo.v13.i1.58"},{"key":"bibr15-26317745241231102","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/7531368"},{"key":"bibr16-26317745241231102","doi-asserted-by":"publisher","DOI":"10.1111\/1751-2980.12841"},{"key":"bibr17-26317745241231102","doi-asserted-by":"publisher","DOI":"10.1111\/den.12600"},{"key":"bibr18-26317745241231102","doi-asserted-by":"publisher","DOI":"10.1111\/ases.12463"},{"key":"bibr19-26317745241231102","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2018.10.004"},{"key":"bibr20-26317745241231102","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2014.385"}],"container-title":["Therapeutic Advances in Gastrointestinal Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26317745241231102","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/26317745241231102","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26317745241231102","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T15:46:16Z","timestamp":1777391176000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/26317745241231102"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":20,"alternative-id":["10.1177\/26317745241231102"],"URL":"https:\/\/doi.org\/10.1177\/26317745241231102","relation":{},"ISSN":["2631-7745","2631-7745"],"issn-type":[{"value":"2631-7745","type":"print"},{"value":"2631-7745","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]},"article-number":"26317745241231102"}}