Compliance and findings in a Swedish population screened for colorectal cancer with sigmoidoscopy
Compliance and findings in a Swedish population screened for colorectal cancer with sigmoidoscopy
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DOI：
10.1053/ejso.2002.1282
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发表时间：
2002-12-01
期刊：
影响因子：
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通讯作者：
Påhlman, L
中科院分区：
文献类型：
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作者：
Blom, J;Lidén, A;Påhlman, L
目的：本研究的目的是评估的模式的遵守和频率的腺瘤和肿瘤在瑞典population.Methods：在1996年，2000年出生于1935年或1936年的男性和女性随机选择的人口登记的乌普萨拉和马尔莫/隆德。所有受试者均通过邮件邀请参加。在一项随机研究设计中，受试者要么由护士打电话预约乙状结肠镜检查，要么指示他们自己打电话。在乙状结肠镜检查对象与癌症，腺瘤（肿瘤性息肉）或超过三个增生性息肉被安排为一个完整的colonoscopy.Results：百分之三十九（770/1988）的所有邀请的主题有乙状结肠镜检查。两个中心的参与率不同，乌普萨拉中心为47%，马尔莫/隆德中心为30%（P < 0.01）。两个不同的邀请组之间没有统计学上的显著差异。总共有98例受试者（13%）计划接受结肠镜检查。接受结肠镜检查的受试者中有31名（35%）是女性，57名（65%）是男性。在46名受试者中发现了55个真正的腺瘤。总共有6名受试者患有近端腺瘤。五个腺癌被诊断，所有的乙状结肠scope.Conclusions范围内：依从性较低，腺瘤比预期的少。为了提高合规性，有必要严格控制邀请程序。(C)2002爱思唯尔科技有限公司版权所有。
Aim: The aim of this study was to evaluate the patterns of compliance and the frequency of adenomas and neoplasms in a Swedish population.Methods: In 1996, 2000 men and women born in 1935 or 1936 were selected at random from the population registers of Uppsala and Malmo/Lund. All subjects were invited by mail to participate. In a randomised study design, subjects were either called up by a nurse to schedule the appointment for sigmoidoscopy or instructed to call themselves. At sigmoidoscopy subjects with a cancer, an adenoma (neoplastic polyp) or more than three hyperplastic polyps were scheduled for a complete colonoscopy.Results: Thirty-nine percent (770/1988) of all the invited subjects had a sigmoidoscopy. The participation differed between the two centres, 47% at the Uppsala centre and 30% at the Malmo/Lund centre (P < 0.01). There was no statistically significant difference between the two different invitation groups. In all, 98 subjects (13%) were planned for colonoscopy. Thirty-one (35%) of the subjects having a colonoscopy were women and 57 (65%) were men. Fifty-five true adenomas were found in 46 subjects. All together, six subjects had proximal adenomas. Five adenocarcinomas were diagnosed, all within the reach of the sigmoidoscope.Conclusions: The compliance was lower and the adenomas were fewer than expected. To increase compliance it is necessary with rigorously controlled invitation routines. (C) 2002 Elsevier Science Ltd. All rights reserved.