Cancer screening practices among cancer survivors
Cancer screening practices among cancer survivors
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DOI：
10.1016/j.amepre.2005.01.005
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发表时间：
2005-05-01
影响因子：
5.5
通讯作者：
Pinto, B
中科院分区：
文献类型：
--
作者：
Trask, PC;Rabin, C;Pinto, B
背景：癌症幸存者比没有癌症的人更容易患癌症。因此，了解幸存者是否参与癌症筛查是很重要的。方法：对2000年健康访谈调查中报告的2151名癌症患者的筛查做法进行了检查，并与30195名非癌症患者的筛查做法进行了比较。结果：癌症幸存者接受筛查的比例从21%到77%不等。与未患癌症的个体相比，患有癌症的女性更有可能在推荐的时间内进行乳房x光检查（比值比[OR] =1.8, 95% CI=1.5-2.1）、临床乳房检查（OR=2.2, 95% CI=1.9-2.5）和/或Papanicolaou检查（OR=1.3, 95% CI=1.1-1.5）。同样，患有癌症的男性比没有癌症的男性更有可能进行前列腺特异性抗原检测（OR=2.5, 95% CI=2.0-3.0）。M癌症幸存者比没有癌症诊断的个体更有可能进行全身皮肤检查（OR=4.0, 95% CI=3.5-4.6），粪便隐血检查（OR=1.4, 95% CI=1.2-1.6）和/或结直肠检查（OR=2.2, 95% CI=1.9-2.5）。当被诊断患有癌症的个体被排除在筛查目的之外时，也得到了类似的结果。结论：研究结果表明，癌症幸存者的筛查率高于未确诊的个体。尽管如此，接受筛查的幸存者比例因筛查类型而有很大差异。了解癌症筛查对癌症幸存者的影响，以及接受和反对接受癌症筛查的原因是必要的。(c) 2005年《美国预防医学杂志》。
Background: Cancer survivors are more vulnerable to future cancers than individuals without cancer. As such, it is important to understand whether survivors are engaging in cancer screenings.Methods: The screening practices reported in response to the 2000 Health Interview Survey of 2151 individuals with cancer were examined and compared to those of 30,195 individuals without cancer.Results: The proportion of cancer survivors obtaining screenings ranged from 21% to 77%. Compared to individuals without cancer, women with cancer were more likely to have had a mammogram (odds ratio [OR] =1.8, 95% CI=1.5-2.1), a clinical breast exam (OR=2.2, 95% CI=1.9-2.5), and/or a Papanicolaou test (OR=1.3, 95% CI=1.1-1.5) in the recommended timeframe. Similarly, men with cancer were more likely than men without cancer to have had a prostate-specific antigen test performed (OR=2.5, 95% CI=2.0-3.0). M cancer survivors were more likely than individuals without a cancer diagnosis to have had a total body skin exam (OR=4.0, 95% CI=3.5-4.6), a fecal occult blood test (OR=1.4, 95% CI=1.2-1.6), and/or a colorectal exam (OR=2.2, 95% CI=1.9-2.5). Similar results were obtained when individuals diagnosed with the cancer for which the screen was designed to detect were excluded.Conclusions: The results demonstrate that cancer survivors have higher screening rates than individuals without a cancer diagnosis. Despite this, the proportion of survivors obtaining screenings varies considerably by the type of screen. An understanding of the impact of cancer screening in cancer survivors, as well as the reasons for and against obtaining cancer screenings, is necessary. (c) 2005 American journal of Preventive Medicine.